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.

Concepts In Counseling, LLC (NPI 1639300213)

Field	Value
Entity Type	Organization
Organization	Concepts In Counseling, LLC
Address	3838 Nw 36th Street
City	Oklahoma City
State	OK
ZIP	73112
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 30, 2009

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	58,450	$70	$3.9M
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.	5,580	$120	$669.2K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1,460	$320	$468K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	2,150	$180	$375.9K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	2,660	$120	$330K
H0032	Mental health service plan development by non-physician	1,570	$60	$100.7K
H0031	Mental health assessment, by non-physician	320	$100	$30.9K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	10	$720	$9.3K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	180	$30	$4.5K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	30	$60	$1.4K

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

Concepts In Counseling, LLC — 1 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	37	620	6,640	$70	$1.2M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	8	20	1,460	$120	$845.2K
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.	64	200	1,720	$80	$645.7K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	2	10	410	$170	$488.8K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	17	50	1,640	$90	$212.4K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	5	10	30	$390	$26.1K
H0032	Mental health service plan development by non-physician	16	370	80	$60	$21.2K
H0031	Mental health assessment, by non-physician	33	280	50	$90	$17.5K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	7	10	90	$80	$14.2K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	35	150	60	$20	$5.9K

Nearby Providers

Other providers in the same ZIP code as Concepts In Counseling, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integris Baptist Medical Center Inc	OK	General Acute Care Hospital	$0	$30.7M
Variety Care, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$14.3M
Smiling Faces Pediatric Dentistry Inc	OK	General Practice Dentistry	$0	$14M
Pediatrix Medical Group Of Oklahoma, P.C.	OK	Neonatal-Perinatal Medicine Physician	$0	$11.2M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$9.7M
North Oklahoma County Mental Health Center	OK	Mental Health Counselor	$0	$6.3M
Oklahoma Emergency Physicians LLC	OK	Emergency Medicine Physician	$0	$5.2M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$4.8M
Your Key To Change, LLC	OK	Community/Behavioral Health Agency	$0	$4.8M
Sumit Nanda	OK	Retina Specialist (Ophthalmology) Physician	$4.2M	$0

Concepts In Counseling, LLC — Billing Profile & Reimbursement Data

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Concepts In Counseling, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References