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.

Modoc Nation Behavioral Health (NPI 1821636358)

Field	Value
Entity Type	Organization
Organization	Modoc Nation Behavioral Health
Address	24 N Eight Tribes Trl
City	Miami
State	OK
ZIP	74354
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	December 16, 2019

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	9,890	$650	$6.5M
H0031	Mental health assessment, by non-physician	20	$690	$16.5K
H0032	Mental health service plan development by non-physician	10	$650	$7.8K

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

Modoc Nation Behavioral Health — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	249	620	6,640	$70	$1.2M
H0032	Mental health service plan development by non-physician	334	370	80	$60	$21.2K
H0031	Mental health assessment, by non-physician	202	280	50	$90	$17.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Modoc Nation Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Modoc Nation Behavioral Health	OK	Multi-Specialty Clinic/Center	$0	$2.7M

Nearby Providers

Other providers in the same ZIP code as Modoc Nation Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$23M
Integris Miami Hospital	OK	General Acute Care Hospital	$0	$7.3M
Doc Services, Inc	OK	Home Delivered Meals	$0	$4.5M
Integris Miami Hospital	OK	Rural Health Clinic/Center	$0	$4.3M
Community Health Center Of Southeast Kansas, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$3.7M
Smiles Family Dental Care, Plc	OK	General Practice Dentistry	$0	$1.9M
Muzaffar Hussain	OK	Orthopaedic Surgery Physician	$405.1K	$0
Matthew Roberts	OK	Foot & Ankle Surgery Podiatrist	$156K	$0
Bradford Stephens	OK	Specialist	$141.4K	$0
Martin Grotheer	OK	Family Medicine Physician	$105.9K	$0

Modoc Nation Behavioral Health — Billing Profile & Reimbursement Data

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Modoc Nation Behavioral Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References