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.

North Oklahoma County Mental Health Center (NPI 1821120189)

Field	Value
Entity Type	Organization
Organization	North Oklahoma County Mental Health Center
Address	2617 General Pershing Blvd
City	Oklahoma City
State	OK
ZIP	73107
Taxonomy	Mental Health Counselor
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$31.7M
Medicare	$0

Key Findings

NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER reports no Medicare billing on file and $31.7M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-driven) operation in the available dataset. The absence of Medicare activity means competitive and utilization analyses should focus on Medicaid program structure and state-level reimbursement policies.

Revenue for this provider is extremely concentrated: the precomputed top three Medicaid codes (T1041, G9002, 99213) account for 99.8% of total Medicaid revenue, with a single code, T1041, generating $31.2M (98.5% of Medicaid revenue). This level of concentration indicates that most of the provider’s financial performance is tied to the reimbursement and eligibility rules governing that monthly community behavioral health clinic payment.

T1041 (Medicaid certified community behavioral health clinic services, per month) is the core service line by volume and dollars (42.5K claims, $735 avg paid/claim, $31.2M revenue) and the billing pattern is consistent with operation as a Medicaid-certified community behavioral health clinic or equivalent monthly-service model. That service orientation suggests the organization delivers bundled, ongoing behavioral health supports rather than episodic, high-fee specialty visits.

On competitive standing for key codes, the provider ranks #4 of 97 for T1041 (97th percentile), a position described as notably above typical state volume; this places the center among the largest in-state performers for that monthly community behavioral health clinic payment. By contrast, its G9002 activity (3K claims, $125 avg paid/claim, $377.3K revenue) ranks #9 of 70 (88th percentile) and is strong but secondary in revenue impact.

Common outpatient E/M codes show high claim counts but negligible revenue: 99213 (12.6K claims, $4 avg paid/claim, $50.6K revenue) and 99214 (14.7K claims, $3 avg paid/claim, $44.1K revenue) together reflect substantial clinical contact volume but very low per-claim payment. This pattern is consistent with E/M encounters being billed alongside or within a dominant monthly reimbursement (T1041), resulting in high utilization metrics that contribute little incremental revenue.

Several behavioral and case-management codes have material claim volumes but report $0 avg paid/claim (for example, H0004 5.9K claims; H2015 2.5K claims; T1023 2.4K claims; H0032 1.9K claims). These zero-paid codes indicate a disconnect between reported service activity and captured revenue in the dataset and should be interpreted as services that are recorded for encounter tracking or bundled reimbursement rather than standalone paid line items.

Tenure data show the provider’s NPI was enumerated on 2007-03-12 (~19 years ago), indicating an established presence in the market and a long operational history under current identifiers. That longevity, combined with high-volume T1041 reporting, supports the view of an entrenched Medicaid behavioral-health provider in the Oklahoma City area.

The extreme reliance on T1041 for revenue (98.5% from that code alone) creates concentration exposure: any policy change, rate adjustment, or certification requirement affecting T1041 or the Medicaid certified community behavioral health clinic model would materially affect the provider’s revenue. Payers and analysts should treat reimbursement changes to that code as the primary financial risk or leverage point when assessing contracting, audit priorities, and programmatic oversight.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	42,510	$740	$31.2M
G9002	Coordinated care fee, maintenance rate	3,020	$130	$377.3K
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…	12,640	$1	$50.6K
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…	14,720	$1	$44.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	470	$10	$4.3K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	140	$20	$2.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	380	$1	$1.1K
99441	N/A	230	$1	$690
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…	80	$1	$250
99442	N/A	40	$10	$210

Showing 1–10 of 21

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

North Oklahoma County Mental Health Center — 2 of 10 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	4	100	4,790	$880	$8.3M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	161	530	140	$450	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	330	620	6,640	$70	$1.2M
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…	67	1,680	820	$90	$307K
H2017	Psychosocial rehabilitation services, per 15 minutes	207	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…	110	1,750	870	$70	$254.4K
G9002	Coordinated care fee, maintenance rate	9	70	630	$140	$216.3K
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…	415	720	120	$150	$94.5K
T1017	Targeted case management, each 15 minutes	267	280	930	$30	$88.4K
99203	The provider sees a new 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 provider…	620	710	140	$100	$74.6K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Oklahoma County Mental Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Oklahoma County Mental Health Center	OK	Mental Health Counselor	$0	$6.3M

Nearby Providers

Other providers in the same ZIP code as North Oklahoma County Mental Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Care, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$18.1M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$13.7M
Bilingual Pediatric Therapies	OK	Speech-Language Pathologist	$0	$9.9M
Dr Glenn A Ashmore Inc	OK	General Practice Dentistry	$0	$6.2M
Oklahoma County Crisis Intervention Center	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.6M
Dental Depot Of 10004 South Memorial Drive PLLC	OK	Dentist	$0	$5.2M
Oklahoma Crisis Recovery Unit	OK	Emergency Care Clinic/Center	$0	$3.4M
Dentl Depot Reno And Rockwell, PLLC	OK	Dentist	$0	$3.1M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$2M
Peter Le	OK	Foot & Ankle Surgery Podiatrist	$455.7K	$0

North Oklahoma County Mental Health Center — Billing Profile & Reimbursement Data

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North Oklahoma County Mental Health Center — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References