Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Oklahoma State Department Of Education (NPI 1558587949)

Field	Value
Entity Type	Organization
Organization	Oklahoma State Department Of Education
Address	2500 North Lincoln Blvd.
City	Oklahoma City
State	OK
ZIP	73105
Taxonomy	Case Management Agency
NPI Enumerated	April 17, 2007

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	64,940	$20	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	10,730	$70	$740.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	4,110	$90	$361.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	3,550	$70	$262.4K
T1027	Family training and counseling for child development, per 15 minutes	5,500	$30	$154.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	560	$210	$115.6K
T1002	Rn services, up to 15 minutes	1,750	$20	$29.8K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	800	$20	$18.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	320	$50	$14.8K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	80	$90	$7.5K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oklahoma Distribution

Oklahoma State Department Of Education — 2 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	22	140	3,200	$60	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	559	620	6,640	$70	$1.2M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	74	200	1,720	$80	$645.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	41	210	1,850	$70	$560.1K
T1001	Nursing assessment / evaluation	12	20	310	$60	$415K
T1002	Rn services, up to 15 minutes	23	50	1,690	$80	$367.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	14	100	500	$40	$72K
T1027	Family training and counseling for child development, per 15 minutes	2	60	220	$30	$39.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	4	70	40	$190	$32.5K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	10	20	50	$90	$10.5K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Oklahoma State Department Of Education, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$38.4M
State Of Oklahoma Department Of Human Services	OK	Case Management Agency	$0	$21.6M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$9.9M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$7.2M
Drug Recovery Inc	OK	Addiction (Substance Use Disorder) Counselor	$0	$7.2M
Oklahoma Mental Health Council	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.2M
Drug Recovery Inc	OK	Addiction (Substance Use Disorder) Counselor	$0	$3.8M
National Seating & Mobility, Inc.	OK	Durable Medical Equipment & Medical Supplies	$0	$3.8M
New Day Recovery Youth And Family Services Inc	OK	Community/Behavioral Health Agency	$0	$3.2M
Life Resources Family & Children Services, Inc.	OK	Community/Behavioral Health Agency	$0	$2.6M

Oklahoma State Department Of Education — Billing Profile & Reimbursement Data

Sign up for Oklahoma State Department Of Education — Billing Profile & Reimbursement Data policy alerts

Oklahoma State Department Of Education — Billing Profile & Reimbursement Data

Sign up for Oklahoma State Department Of Education — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References