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 Department Of Human Services (NPI 1720217946)

Field	Value
Entity Type	Organization
Organization	State Of Oklahoma Department Of Human Services
Address	2400 N Lincoln Blvd
City	Oklahoma City
State	OK
ZIP	73105
Taxonomy	Case Management Agency
NPI Enumerated	July 9, 2009

Payer Source	Total Paid
Medicaid	$21.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer Medicaid operator at scale: lifetime Medicaid revenue is $21.6M with no Medicare revenue reported. The absence of Medicare activity implies the entity’s operations and reimbursement exposure are concentrated entirely within Medicaid-funded programs rather than dual Medicare/Medicaid lines.

Medicaid revenue is highly concentrated in a single service line: the top 3 Medicaid codes account for 98.3% of this provider’s total Medicaid revenue. In particular, T2017 (Habilitation, residential, waiver; 15 minutes) alone generates $19.9M (92.0% of Medicaid revenue), indicating extreme dependence on one high-volume waiver service.

Operational footprint and service mix align with waiver and habilitation delivery: as a Case Management Agency, the large volume of T2017 (195K claims, $102 avg paid/claim) together with T2025 (2.1K claims, $565 avg paid/claim) and related waiver codes (T2036, T2037) indicates the organization primarily delivers and/or coordinates home- and community-based waiver habilitation and respite-type services rather than episodic medical care. The presence of S9451 (exercise classes) and T1999 (miscellaneous therapeutic items) further suggests ancillary therapeutic and programmatic offerings tied to waiver populations.

Revenue dynamics show a classic high-volume/low-unit-rate driver vs lower-volume/high-unit-rate contributors: T2017’s $102 avg paid/claim and 195K-claim volume produce the bulk of revenue, while T2025 posts a much higher $565 avg paid/claim on only 2.1K claims for a modest $1.2M in revenue. This mix means payer negotiations or rate changes for T2017 would disproportionately affect the provider’s top-line Medicaid revenue.

State competitive standing is strong for several waiver services: the provider ranks #1 of 3 in-state for T2017 and is listed at the 100th percentile (described as typical, unremarkable volume for that code), indicating it is a leading statewide biller for residential habilitation. Several other codes (T2025, S9451, T2036, T2037, A9270) show the provider as #1 of 1 in-state, meaning it is the sole reported state biller for those specific waiver or ancillary codes where peer comparison is not available.

For codes with broader peer sets, the provider sits above most peers on specific lines but is not necessarily an outlier in intensity: T1999 ranks #5 of 27 in-state at the 85th percentile and is characterized as typical, unremarkable volume, so while it performs well relative to peers on miscellaneous therapeutic items, that activity is still a small portion of total revenue (0.9%). This indicates pockets of competitive strength outside the dominant habilitation line but no broad-based dominance across many code families.

Tenure and registration history support an established presence: the NPI has been enumerated since 2009-07-09 (~17 years ago), consistent with an organization that has likely been embedded in state waiver networks long enough to build the high-volume T2017 billing relationships evident in the data. Longevity increases the plausibility that the provider’s operational model is centered on sustained Medicaid waiver service delivery.

From a payer/contracting perspective, the provider represents a concentrated Medicaid risk: with $21.6M of Medicaid revenue and 92.0% of that tied to T2017, any policy, rate, or authorization changes affecting residential habilitation/waiver 15-minute units would materially impact this supplier’s revenue profile. Analysts should treat the provider as a specialized, waiver-focused vendor whose performance and participation decisions are driven largely by a single dominant service code set.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	195,030	$100	$19.9M
T2025	Waiver services; not otherwise specified (nos)	2,080	$570	$1.2M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1,500	$130	$200K
S9451	Exercise classes, non-physician provider, per session	2,760	$70	$179.1K
T2036	Therapeutic camping, overnight, waiver; each session	220	$630	$141.1K
T2037	Therapeutic camping, day, waiver; each session	100	$350	$34K
A9270	Non-covered item or service	540	$20	$12.9K

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 Department Of Human Services — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	1	10	88,790	$220	$21.4M
T2025	Waiver services; not otherwise specified (nos)	1	10	2,080	$570	$1.2M
S9451	Exercise classes, non-physician provider, per session	1	10	2,760	$60	$178.1K
T2036	Therapeutic camping, overnight, waiver; each session	1	10	220	$630	$141.1K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	5	30	520	$180	$132.8K
T2037	Therapeutic camping, day, waiver; each session	1	10	100	$350	$33.9K
A9270	Non-covered item or service	1	10	540	$20	$13.1K

Nearby Providers

Other providers in the same ZIP code as State Of Oklahoma Department Of Human Services, 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
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
Oklahoma State Department Of Education	OK	Case Management Agency	$0	$2.9M
Life Resources Family & Children Services, Inc.	OK	Community/Behavioral Health Agency	$0	$2.6M

State Of Oklahoma Department Of Human Services — Billing Profile & Reimbursement Data

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State Of Oklahoma Department 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