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.

Daybreak Family Services, LLC (NPI 1770751760)

Field	Value
Entity Type	Organization
Organization	Daybreak Family Services, LLC
Address	1516 S. Boston Ave.
City	Tulsa
State	OK
ZIP	74119
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 13, 2008

Payer Source	Total Paid
Medicaid	$24.4M
Medicare	$0

Key Findings

DAYBREAK FAMILY SERVICES, LLC is effectively a Medicaid-focused behavioral health provider: it reports Total Medicaid revenue of $24.4M and Total Medicare revenue: none, indicating the organization operates almost exclusively within the Medicaid program rather than serving Medicare beneficiaries. Its NPI was enumerated on 2008-02-13 (~18 years ago), so the entity has an established presence in the market.

Revenue is highly concentrated in a single service line: the top 3 Medicaid codes by revenue account for 99.9% of this provider's total Medicaid revenue, with H0004 alone representing the overwhelming share. This concentration implies that the provider’s financial performance is heavily dependent on per-15-minute behavioral counseling and therapy services.

H0004 (Behavioral health counseling and therapy, per 15 minutes) dominates the payer mix by volume and revenue: 401.9K claims, $60 avg paid/claim, $24.1M revenue (98.6% of this provider's total Medicaid revenue). The provider ranks #2 of 621 providers in-state for H0004 and is described as an extreme outlier, far above typical state volume for this code, signaling a dominant operational focus on high-volume therapy delivery.

Beyond H0004, the next largest Medicaid revenue drivers are small by comparison: T1017 (Targeted case management, each 15 minutes) generated 11.9K claims, $19 avg paid/claim, $226.3K revenue (0.9% of this provider's total Medicaid revenue) and ranks #19 of 284 in-state, a performance labeled notably above typical state volume. H0032 (Mental health service plan development by non-physician) produced 1.3K claims, $70 avg paid/claim, $93.2K revenue (0.4% of this provider's total Medicaid revenue) and ranks #19 of 366 in-state, characterized in the data as typical, unremarkable volume for this code. These figures show that ancillary service lines exist but are relatively minor revenue contributors.

The provider’s competitive standing is strongest in high-frequency therapy services: ranking #2 of 621 for H0004 places it in the 100th percentile statewide for that code, which indicates it is a major outlier and a leading provider of Medicaid-funded counseling and therapy in Oklahoma. For T1017 and H0032 the provider sits in the 94th and 95th percentiles respectively, which the data describes as notably above typical (T1017) and typical/unremarkable (H0032), suggesting the organization is above-average but not uniquely dominant for those case management and plan-development services.

Operationally, the code mix indicates a service model centered on frequent, time-based, direct behavioral health encounters (H0004) supplemented by targeted case management and non-physician plan development (T1017, H0032). This pattern is consistent with a community/behavioral health agency that delivers high-volume outpatient counseling and coordinates care for a Medicaid population, rather than providing medical procedures or physician-led services.

From a payer-mix and risk perspective, the absence of any Medicare billing (Total Medicare revenue: none) combined with $24.4M in Medicaid revenue means the organization is effectively single-payer dependent; this raises sensitivity to Medicaid policy, rate changes, and network decisions. Analysts should consider that shifts in Medicaid reimbursement for per-15-minute counseling (H0004) would disproportionately affect the provider’s revenues given the 98.6% concentration in that single code.

Given the provider’s ~18-year tenure since NPI enumeration and its outsized volume for H0004, competitive dynamics in-state are likely to be shaped by this provider’s capacity to deliver large volumes of counseling minutes. Payors and contracting analysts evaluating network adequacy or capacity should note DAYBREAK’s role as a major in-state counselor/therapy provider and the potential gaps that could appear if its services or participation status changed.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	401,860	$60	$24.1M
T1017	Targeted case management, each 15 minutes	11,910	$20	$226.3K
H0032	Mental health service plan development by non-physician	1,330	$70	$93.2K
H0031	Mental health assessment, by non-physician	190	$100	$18.1K

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

Daybreak Family Services, LLC — 2 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	2	620	6,640	$70	$1.2M
T1017	Targeted case management, each 15 minutes	19	280	930	$30	$88.4K
H0032	Mental health service plan development by non-physician	19	370	80	$60	$21.2K
H0031	Mental health assessment, by non-physician	47	280	50	$90	$17.5K

Nearby Providers

Other providers in the same ZIP code as Daybreak Family Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Community Dev Corp Of Ok	OK	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$14.8M
National Community Dev Corp Of Ok	OK	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$12.2M
Therapeutic Life Choices Tohi Usti Gvnvnv Edasdi LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.8M
Ability Resources, Inc.	OK	Case Management Agency	$0	$5M

Daybreak Family Services, LLC — Billing Profile & Reimbursement Data

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Daybreak Family Services, LLC — 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