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.

Red Road Counseling LLC (NPI 1790112647)

Field	Value
Entity Type	Organization
Organization	Red Road Counseling LLC
Address	1004 Choctaw Ridge Rd
City	Midwest City
State	OK
ZIP	73130
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 8, 2013

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	84,500	$70	$5.7M
H0032	Mental health service plan development by non-physician	1,930	$90	$164.1K
H0031	Mental health assessment, by non-physician	1,580	$100	$162.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	1,610	$60	$90.2K
T1017	Targeted case management, each 15 minutes	680	$60	$38.5K

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

Red Road Counseling LLC — 3 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	17	620	6,640	$70	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	104	240	1,280	$50	$259.4K
T1017	Targeted case management, each 15 minutes	158	280	930	$30	$88.4K
H0032	Mental health service plan development by non-physician	11	370	80	$60	$21.2K
H0031	Mental health assessment, by non-physician	6	280	50	$90	$17.5K

Nearby Providers

Other providers in the same ZIP code as Red Road Counseling LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Okc Speech, LLC	OK	Speech-Language Pathologist	$0	$4.6M
Above All Behavioral Health Services, LLC	OK	Community/Behavioral Health Agency	$0	$2.4M
Healthcare Express, LLP	OK	Family Medicine Physician	$0	$2.3M
Saints Medical Group, LLC	OK	Family Medicine Physician	$0	$1.6M
Touchstone Imaging Of Oklahoma, LLC	OK	Physiological Laboratory	$216K	$629.7K
Wudeneh Zewdie	OK	Nephrology Physician	$386.3K	$0
Shelbi Hayes	OK	Dermatology Physician	$351.2K	$0
Darrell Pickard	OK	Ophthalmology Physician	$312.2K	$0
Rizwan Aslam	OK	Nephrology Physician	$284.9K	$0
Samson Ambaw	OK	Nephrology Physician	$281.2K	$0

Red Road Counseling LLC — Billing Profile & Reimbursement Data

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Red Road Counseling LLC — 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