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.

Family & Children's Services, Inc (NPI 1730391368)

Field	Value
Entity Type	Organization
Organization	Family & Children's Services, Inc
Address	2325 S Harvard Ave
City	Tulsa
State	OK
ZIP	74114
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 4, 2007

Payer Source	Total Paid
Medicaid	$77.4M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single‑payer Medicaid operator, reporting $77.4M in lifetime Medicaid revenue and no Medicare revenue. The absence of Medicare activity means analysis and competitive benchmarking should focus on Medicaid program rules, rates, and in‑state peers rather than national Medicare dynamics.

Revenue is highly concentrated: the top 3 Medicaid codes account for 96.8% of this provider's total Medicaid revenue. In particular, T1041 generates $70.8M (91.5% of Medicaid revenue), making it the overwhelmingly dominant source of income for this entity.

T1041 (Medicaid certified community behavioral health clinic services, per month) dominates the book of business with 84.8K claims, $834 avg paid/claim and $70.8M in revenue. That monthly, per‑month code profile indicates the organization operates as a certified community behavioral health clinic model (a bundled/monthly payment structure) and derives most value from that certification and related monthly reimbursements rather than from fee‑for‑service visit billing.

The provider is a statewide market leader on multiple measures: T1041 ranks #1 of 97 providers in Oklahoma (100th percentile; extreme outlier, far above typical state volume for this code), and G9002 ranks #2 of 70 providers (99th percentile; extreme outlier). These rankings indicate the provider is a dominant supplier of certified clinic and coordinated care fee services in the state.

Beyond the T1041 dominance, the code mix shows operational breadth across care coordination and non‑physician behavioral health services. G9002 (coordinated care fee, maintenance rate) contributes $1.6M (2.1% of Medicaid revenue) and H0004 (behavioral health counseling and therapy, per 15 minutes) contributes $2.5M (3.2%), showing the organization bills both monthly clinic payments and high volumes of therapy/coordination encounters.

Several additional codes show top‑in‑state positions and are labeled extreme outliers or notably above typical state volume, including T1017 (45K claims) and multiple non‑physician assessment and plan codes (H0032, H0031, G9001) that each rank #1 or near the top of state providers. This pattern reinforces that the provider not only holds certification‑based revenue but also captures case management, assessment, and initial/maintenance coordinated care fees at scale across Oklahoma.

Despite high encounter counts for therapy (52.3K claims for H0004), those per‑unit services represent a small share of total revenue compared with T1041; many visit‑level codes have modest avg paid/claim amounts. This suggests the provider’s financial sensitivity is lower to fluctuations in visit volumes and higher to changes in monthly clinic payment policy or certification status.

The concentration of revenue in the certified clinic code (T1041) creates both strategic strength and exposure: as a market leader it likely benefits from stable monthly payments, but policy, rate, or certification changes affecting T1041/G9002 could materially impact the provider’s Medicaid revenue. Clinically, the mix indicates a focus on community behavioral health, care coordination, and high‑volume non‑physician services rather than physician‑led Medicare style E/M billing.

The organization has an established presence, with its NPI enumerated on 2007-05-04 (~19 years ago), supporting the view that this is a mature, long‑standing Medicaid behavioral health provider in the Tulsa market. Its longevity combined with extreme in‑state rankings on core codes suggests entrenched capacity to deliver community behavioral health services at scale in Oklahoma.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	84,840	$830	$70.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	52,260	$50	$2.5M
G9002	Coordinated care fee, maintenance rate	13,050	$130	$1.6M
T1017	Targeted case management, each 15 minutes	45,010	$10	$630.2K
H0032	Mental health service plan development by non-physician	21,190	$30	$550.9K
G9001	Coordinated care fee, initial rate	8,970	$50	$475.5K
H0031	Mental health assessment, by non-physician	8,600	$30	$283.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	20,660	$10	$124K
H2015	Comprehensive community support services, per 15 minutes	28,080	$1	$112.3K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	4,200	$20	$100.7K

Showing 1–10 of 23

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

Family & Children's Services, Inc — 11 of 20 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	1	100	4,790	$880	$8.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	43	620	6,640	$70	$1.2M
H2014	Skills training and development, per 15 minutes	7	10	13,990	$50	$815.2K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	5	10	430	$40	$321.6K
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…	174	1,680	820	$90	$307K
H2017	Psychosocial rehabilitation services, per 15 minutes	13	240	1,280	$50	$259.4K
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…	242	1,750	870	$70	$254.4K
G9002	Coordinated care fee, maintenance rate	2	70	630	$140	$216.3K
H0046	Mental health services, not otherwise specified	3	10	110	$830	$124K
99204	The provider sees a new 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 provider…	465	720	120	$150	$94.5K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Family & Children's Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Finley	OK	Ophthalmology Physician	$4.8M	$0
Justin Parschauer	OK	Ophthalmology Physician	$3.2M	$0
Jerry L Greer Dds PC	OK	Oral and Maxillofacial Surgery (Dentist)	$0	$2.5M
Tulsa Retina Consultants PLLC	OK	Ophthalmology Physician	$0	$2.2M
Family & Children's Services, Inc	OK	Psychiatry Physician	$0	$1.7M
Scott Meyers	OK	MOHS-Micrographic Surgery Physician	$691.4K	$0
Lindsay Cunningham	OK	Rheumatology Physician	$502.1K	$0
Mark Lehman	OK	Dermatology Physician	$350.7K	$0
George Monks	OK	Dermatology Physician	$327.7K	$0
Kelli Lovelace	OK	Dermatology Physician	$267.3K	$0

Family & Children's Services, Inc — Billing Profile & Reimbursement Data

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Family & Children's Services, Inc — 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