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    OpenPayerNPI Medicare & MedicaidCreoks Mental Health Services
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    Creoks Mental Health Services — Billing Profile & Reimbursement Data

    NPI 1841311289 · Tulsa, OK · Community/Behavioral Health Agency

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    Creoks Mental Health Services is a community/behavioral health agency provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCreoks Mental Health Services
    Address4103 S Yale Ave Ste B
    CityTulsa
    StateOK
    ZIP74135
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedApril 3, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$17.3M
    Medicare$0

    Key Findings

    CREOKS MENTAL HEALTH SERVICES is effectively a Medicaid-focused provider with no Medicare billing on file and $17.3M in lifetime Medicaid revenue, indicating its operations and reimbursement footprint are concentrated almost entirely within state Medicaid programs rather than the Medicare market. The absence of Medicare claims makes this organization effectively single-payer (Medicaid) in scope for the dataset provided.

    Revenue concentration is highly concentrated in a small set of Medicaid codes: the top three codes (H0004, G9009, T1017) together account for 87.3% of the provider's total Medicaid revenue, signaling that a few service lines drive the vast majority of cash flow. H0004 alone represents $9.7M (55.7% of Medicaid revenue) and G9009 contributes $4.7M (27.3%), so behavioral health counseling and the coordinated care fee are the primary revenue drivers.

    Service-line implications from the code mix show the organization operates primarily as a community/behavioral health agency delivering frequent, short-interval behavioral health counseling (H0004 – per 15 minutes) and participating heavily in coordinated care payment arrangements (G9009, G9010, G9002). The substantial volumes of H0004 and the presence of targeted case management codes (T1017, T1016) indicate a care model emphasizing repeated outpatient counseling sessions and case management rather than episodic medical procedures.

    Competitive standing within Oklahoma is especially strong for several codes: CREOKS ranks #6 of 621 providers for H0004 (99th percentile, described as an extreme outlier) and ranks #1 of 73 providers for G9009 (100th percentile, extreme outlier). These rankings position the provider as a dominant statewide player for core behavioral health counseling and coordinated-care maintenance payments relative to in-state peers.

    Several other codes show materially above-typical state volume even if they contribute less revenue: T1017 (20.7K claims, 4.3% of revenue) ranks #7 of 284 providers (98th percentile) and H0031/H0032 (mental health assessment and service plan development) rank in the high percentiles (97th–98th). These patterns reinforce that CREOKS has extensive throughput across assessment, care planning, and short-interval therapy services beyond just the top two revenue codes.

    Payment-level profile: average paid-per-claim varies by service type, with high-frequency short-interval therapy claims (H0004) paid at $65/claim and coordinated care maintenance payments (G9009) at $297/claim; the presence of higher-dollar but lower-volume codes such as G9010 ($876 avg paid/claim) indicates a mix of routine counseling encounters and episodic higher-value coordinated-care payments. This mix suggests reliance on large claim counts for revenue stability supplemented by substantial per-claim payments from risk-adjusted coordinated-care fees.

    Tenure: the provider's NPI was enumerated ~2007-04-03 (~19 years ago), indicating long-standing enrollment in national provider directories which supports continuity of operations and the accumulation of high claim volumes over time. That tenure likely enabled scale in outpatient behavioral health services and established referral/care pathways within the state Medicaid ecosystem.

    Risk and operational implications: because 87.3% of Medicaid revenue is concentrated in the top three codes, changes in state policy or reimbursement for H0004, G9009, or T1017 could disproportionately impact the provider's revenue base. Similarly, the provider’s extreme-outlier status for G9009 and H0004 suggests it would be sensitive to audits, rate changes, or care-model shifts that affect coordinated-care payments and short-interval therapy billing patterns.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0004Behavioral health counseling and therapy, per 15 minutes148,750$70$9.7M
    G9009Coordinated care fee, risk adjusted maintenance, level 315,930$300$4.7M
    T1017Targeted case management, each 15 minutes20,720$40$745.8K
    G9010Coordinated care fee, risk adjusted maintenance, level 4700$880$613.2K
    G9002Coordinated care fee, maintenance rate4,400$130$554.7K
    99213The 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…7,330$50$359.3K
    H0032Mental health service plan development by non-physician2,270$80$177.2K
    H0031Mental health assessment, by non-physician1,500$100$149.8K
    H0034Medication training and support, per 15 minutes4,360$30$117.8K
    H2019Therapeutic behavioral services, per 15 minutes2,570$40$95.2K

    Showing 1–10 of 19

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Oklahoma median

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1016Case management, each 15 minutes1031403,200$60$2.3M
    H0004Behavioral health counseling and therapy, per 15 minutes66206,640$70$1.2M
    G9009Coordinated care fee, risk adjusted maintenance, level 3170320$320$317.4K
    99214The 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…8331,680820$90$307K
    G9010Coordinated care fee, risk adjusted maintenance, level 4540140$970$285.1K
    99213The 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…2251,750870$70$254.4K
    G9002Coordinated care fee, maintenance rate670630$140$216.3K
    T1017Targeted case management, each 15 minutes7280930$30$88.4K
    99203The 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…278710140$100$74.6K
    H2015Comprehensive community support services, per 15 minutes121150770$40$73.8K

    Showing 1–10 of 19

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Creoks Mental Health Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Creoks Mental Health ServicesOKCommunity/Behavioral Health Agency$0$31.2M
    Creoks Mental Health ServicesOKMental Health Clinic/Center (Including Community Mental Health Center)$0$17.1M
    Creoks Mental Health ServicesOKMental Health Clinic/Center (Including Community Mental Health Center)$0$13.6M
    Creoks Mental Health Services, IncOKCommunity/Behavioral Health Agency$0$13M
    Creoks Mental Health ServicesOKCommunity/Behavioral Health Agency$0$12.5M
    Creoks Mental Health ServicesOKCommunity/Behavioral Health Agency$0$12.1M
    Creoks Mental HealthOKCommunity/Behavioral Health Agency$0$9.4M
    Creoks Mental HealthOKCommunity/Behavioral Health Agency$0$4.8M
    Creoks Mental Health ServicesOKCommunity/Behavioral Health Agency$0$3.5M
    Creoks Mental Health ServicesOKCommunity/Behavioral Health Agency$0$3.4M

    Nearby Providers

    Other providers in the same ZIP code as Creoks Mental Health Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    D & D Services IncOKNursing Care Agency$0$119.1M
    Board Of Regents Of The University Of Oklahoma Ou Physicians TulsaOKPediatrics Physician$0$43.2M
    Grand Lake Mental Health Center, Inc.OKCommunity/Behavioral Health Agency$0$38.5M
    Family & Children's Services, IncOKCommunity/Behavioral Health Agency$0$25.4M
    Board Of Regents Of The University Of Oklahoma Ou Physicians TulsaOKInternal Medicine Physician$0$15.6M
    Osu Center For Health SciencesOKClinic/Center$0$11.4M
    Therapy 4 Kids IncOKPediatric Occupational Therapist$0$8.4M
    Life Senior Services, IncOKCase Management Agency$0$6.9M
    Counseling & Recovery Services Of Oklahoma, Inc.OKCommunity/Behavioral Health Agency$0$5.8M
    Grand Lake Mental Health Center, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$5.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Oklahoma Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Creoks Mental Health Services — 7 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma