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 Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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.

Oaks Behavioral Health PLLC (NPI 1649744228)

Field	Value
Entity Type	Organization
Organization	Oaks Behavioral Health PLLC
Address	100 S Broadway St
City	Glasgow
State	KY
ZIP	42141
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	January 16, 2019

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2020	Therapeutic behavioral services, per diem	61,540	$210	$12.8M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	13,040	$70	$899.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	5,970	$40	$244.8K
T2023	Targeted case management; per month	820	$280	$231.5K
H0032	Mental health service plan development by non-physician	3,530	$60	$218.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,110	$40	$114.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,160	$80	$87.1K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	2,270	$30	$77.2K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	950	$60	$59.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,290	$50	$58.2K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Oaks Behavioral Health PLLC — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	29	50	820	$190	$1.7M
H2020	Therapeutic behavioral services, per diem	3	130	1,730	$180	$1.2M
T2023	Targeted case management; per month	225	530	530	$300	$1.1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	107	1,270	760	$80	$447.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	770	3,340	1,020	$30	$296K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	921	2,460	580	$40	$245K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	142	600	600	$40	$207.8K
99354	N/A	164	170	470	$50	$151K
H0032	Mental health service plan development by non-physician	36	380	160	$70	$107.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	267	290	670	$20	$103.8K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Oaks Behavioral Health PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T J Samson Community Hospital	KY	General Acute Care Hospital	$0	$95.7M
Golden Gate Bridges	KY	Community/Behavioral Health Agency	$0	$17.6M
T J Samson Community Hospital	KY	Family Medicine Physician	$0	$15.5M
Alliance Counseling Associates	KY	Mental Health Counselor	$0	$12M
Ambulance Service Corporation Inc	KY	Ambulance	$1.2M	$3.4M
Adult Day Health, Inc.	KY	Adult Day Care Clinic/Center	$0	$3.4M
Martha Seeley, LLC	KY	Family Medicine Physician	$0	$2.9M
Mcpeak Surgery Center LLC	KY	Ambulatory Surgical Clinic/Center	$632.4K	$1.6M
Ely Drugs Inc	KY	Community/Retail Pharmacy	$74.8K	$729.2K
Martha Seeley	KY	Family Medicine Physician	$24.7K	$777.3K

Oaks Behavioral Health PLLC — Billing Profile & Reimbursement Data

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Oaks Behavioral Health PLLC — 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