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.

State Of Oklahoma Dept. Of Human Services (NPI 1669566576)

Field	Value
Entity Type	Organization
Organization	State Of Oklahoma Dept. Of Human Services
Address	2400n Lincoln Blvd
City	Oklahoma City
State	OK
ZIP	73125
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$50.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: there is no Medicare billing on file and total Medicaid revenue is $50.2M, indicating a single-payer footprint dominated by state Medicaid business rather than Medicare. Analysts should treat Medicare-related analyses as inapplicable for this entity given the absence of Medicare claims.

Revenue is highly concentrated into a narrow set of services: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and the listed code H0018 alone represents 100.0% of the provider's Medicaid revenue. This concentration means the provider's financial performance is tightly linked to reimbursement and utilization trends for that specific service.

The code mix and taxonomy align with a short-term residential behavioral health model: as a Community/Behavioral Health Agency reporting H0018 (Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem), the operation appears to bill per diem residential treatment episodes rather than outpatient or room-and-board services. This suggests the organization operates one or more non-hospital residential treatment programs focused on short-stay behavioral health care.

Claims and payment profile show substantial utilization and per-claim intensity: H0018 is billed across 19.5K claims with an average paid per claim of $2582, consistent with per-diem reimbursement for residential services. The combination of high per-claim payment and large claim count accounts for the $50.2M Medicaid revenue and implies meaningful bed-day or episode volume driving revenue.

Competitive standing in-state is top-ranked but not unusually large: H0018 billing ranks #1 of 2 providers in-state and is at the 100th percentile, yet the dataset characterizes the volume as "typical, unremarkable volume for this code." In other words, the provider is the leading filer for this service in Oklahoma by rank, but its activity does not register as an extreme outlier relative to the small pool of peers.

The provider has an established enrollment history, with an NPI enumerated 2006-10-03 (~20 years ago), indicating a long-tenured presence in the market that may reflect stable program operations and payer relationships. This longevity can be relevant when assessing contract histories, continuity of care, and potential institutional experience in residential behavioral health.

Because revenue is entirely Medicaid-derived and concentrated in H0018, the provider is operationally and financially sensitive to Medicaid policy, rate changes, and any programmatic shifts affecting short-term residential behavioral health reimbursement. Analysts should flag exposure to single-code reimbursement changes when modeling future revenue scenarios or evaluating negotiation leverage with state Medicaid programs.

Data limitations should be noted: there are no Medicare claims and the Medicaid activity is dominated by a single code (H0018), which constrains cross-payer comparisons and makes it difficult to assess diversification across service lines. Any competitive or utilization conclusions should therefore be framed with the caveat that they are based on a narrow billing footprint in the available records.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	19,460	$2,580	$50.2M

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

State Of Oklahoma Dept. Of Human Services — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	10	17,100	$2,620	$44.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Oklahoma Dept Of Human Services	OK	Case Management Agency	$0	$224.5M
State Of Oklahoma Dept. Of Human Services	OK	Case Management Agency	$0	$187.4M

State Of Oklahoma Dept. Of Human Services — Billing Profile & Reimbursement Data

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State Of Oklahoma Dept. Of Human Services — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References