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.

A Counseling, Inc (NPI 1891331187)

Field	Value
Entity Type	Organization
Organization	A Counseling, Inc
Address	123 E Avenue C Ste B
City	Heavener
State	OK
ZIP	74937
Taxonomy	Mental Health Counselor
NPI Enumerated	November 21, 2019

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	34,110	$70	$2.5M
T1017	Targeted case management, each 15 minutes	3,000	$40	$120K
H0032	Mental health service plan development by non-physician	130	$70	$9.1K
H0031	Mental health assessment, by non-physician	50	$100	$4.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	90	$50	$4.6K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	900	$1	$3.6K

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

A Counseling, Inc — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	85	620	6,640	$70	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	210	240	1,280	$50	$259.4K
T1017	Targeted case management, each 15 minutes	71	280	930	$30	$88.4K
H0032	Mental health service plan development by non-physician	142	370	80	$60	$21.2K
H0031	Mental health assessment, by non-physician	144	280	50	$90	$17.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	36	100	350	$1	$8.1K

Nearby Providers

Other providers in the same ZIP code as A Counseling, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Melinda Scantling	OK	Family Nurse Practitioner	$8.3K	$2.4M

A Counseling, Inc — Billing Profile & Reimbursement Data

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A Counseling, Inc — 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