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.

Positive Changes LLC (NPI 1891871489)

Field	Value
Entity Type	Organization
Organization	Positive Changes LLC
Address	2701 S Harvey Ave Fl 2
City	Oklahoma City
State	OK
ZIP	73109
Taxonomy	Psychiatric Hospital
NPI Enumerated	October 27, 2006

Payer Source	Total Paid
Medicaid	$44.3M
Medicare	$0

Key Findings

Provider is effectively single-payer: POSITIVE CHANGES LLC reports no Medicare revenue on file and $44.3M in lifetime Medicaid revenue, indicating its billed services are exclusively or overwhelmingly Medicaid-funded in the available records. This absence of Medicare activity means comparisons and competitive analysis should focus on Medicaid dynamics rather than dual-payer strategies.

Revenue is extremely concentrated in a single service line: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with H0035 alone representing $44.3M and 99.9% of the provider's total Medicaid revenue. That concentration shows the provider’s financial profile is driven almost entirely by one procedure category rather than a diversified mix of codes.

H0035 (Mental health partial hospitalization, treatment, less than 24 hours) dominates clinical operations by volume and dollars: POSITIVE CHANGES billed 293.1K claims for H0035 at an average paid/claim of $151, producing $44.3M in revenue. The code description and billing scale indicate the organization operates a high-volume partial hospitalization program (PHP) or similar short‑duration intensive outpatient mental-health service as its core activity.

Competitive standing on the dominant code is top-ranked but within a small peer set: the provider ranks #1 of 4 in-state for H0035 and sits at the 100th percentile, yet that same code is described as having a "typical, unremarkable volume" in its peer context. This suggests POSITIVE CHANGES is the largest Medicaid biller for partial hospitalization in a limited in-state market rather than being an outlier in a large competitive field.

Other billed codes contribute negligible revenue and appear supportive rather than core: 99232 (288 claims, $61 avg paid/claim, $17.6K revenue), H0031 (166 claims, $101 avg paid/claim, $16.8K revenue), and H0032 (166 claims, $90 avg paid/claim, $14.9K revenue) each register as 0.0% of the provider’s total Medicaid revenue. Those codes rank in middle-to-lower percentiles in-state (99232 at #188/279, 33rd percentile; H0031 at #54/275, 80th percentile; H0032 at #121/366, 67th percentile) and appear to reflect routine assessment, care‑planning and inpatient follow-up activity rather than primary revenue drivers.

The provider’s taxonomy and billing mix imply a behavioral-health institutional identity focused on Medicaid partial hospitalization: listed as a Psychiatric Hospital and overwhelmingly billing H0035, the organization behaves operationally like a facility delivering structured mental-health day-program services rather than Medicare-style inpatient E/M or procedural hospital care. This alignment should inform benchmarking against other Medicaid-focused mental-health providers rather than general acute hospitals.

Longevity in the enrollment file provides context for established operations: the NPI was enumerated on 2006-10-27 (~20 years ago), indicating the provider has been active for roughly two decades. Given that tenure combined with the single-code revenue concentration, policy or reimbursement changes to H0035 would have outsized impact on the organization’s Medicaid revenue base and strategic positioning.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	293,080	$150	$44.3M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	290	$60	$17.6K
H0031	Mental health assessment, by non-physician	170	$100	$16.8K
H0032	Mental health service plan development by non-physician	170	$90	$14.9K

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

Positive Changes LLC — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	1	10	47,680	$150	$14.9M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	188	280	840	$50	$179.5K
H0032	Mental health service plan development by non-physician	121	370	80	$60	$21.2K
H0031	Mental health assessment, by non-physician	54	280	50	$90	$17.5K

Nearby Providers

Other providers in the same ZIP code as Positive Changes LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$57M
Integris South Oklahoma City Hospital Corporation	OK	General Acute Care Hospital	$0	$38.7M
Osu-center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$16.3M
Okc Dental	OK	General Practice Dentistry	$0	$7.1M
Providence Family Practice, PLLC	OK	Family Nurse Practitioner	$0	$3.7M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$3.2M
Total Care Behavioral Health Services, LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.4M
Hands To Guide You Inc	OK	Community/Behavioral Health Agency	$0	$2.2M
Christiana Williams	OK	Nurse Practitioner	$1.8K	$2.2M
Integris Ddsi Endoscopy Centers LLC	OK	Ambulatory Surgical Clinic/Center	$656.6K	$1.4M

Positive Changes LLC — Billing Profile & Reimbursement Data

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Positive Changes LLC — 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

Nearby Providers

Frequently Asked Questions

References