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

    NPI 1912120452 · Sapulpa, OK · Community/Behavioral Health Agency

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    Creoks Mental Health Services is a community/behavioral health agency provider located in Sapulpa, Oklahoma. This profile covers 0 Medicare and 22 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
    Address23 E Ross Ave
    CitySapulpa
    StateOK
    ZIP74066
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedApril 11, 2007

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

    Payer SourceTotal Paid
    Medicaid$31.2M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer at scale: there is no Medicare billing on file while reported Medicaid revenue totals $31.2M, indicating the organization’s entire documented public-reimbursement footprint is concentrated in Medicaid rather than Medicare. Analysts should treat CREOKS MENTAL HEALTH SERVICES as a Medicaid-focused operation when modelling payer risk or contracting exposure.

    Revenue is extremely concentrated: the precomputed top‑3 Medicaid codes account for 94.3% of this provider’s total Medicaid revenue, and a single code, T1041, represents $27.5M or 88.2% of Medicaid revenue. That concentration implies the provider’s financial performance and utilization patterns are highly dependent on sustaining authorization, reimbursement policy, and enrollment for T1041‑type monthly community behavioral health clinic services.

    The code mix is consistent with an organization operating as a certified community behavioral health clinic that delivers ongoing, enrollment-based monthly services: T1041 (Medicaid certified community behavioral health clinic services, per month) dominates revenue, while coordinated care fees (G9002, G9009, G9010) and unit-based therapy codes like H0004 appear as secondary revenue streams. This mix suggests operational emphasis on longitudinal care coordination and bundled monthly payments rather than fee-for-service office visits.

    Competitive standing for the primary service is strong in-state: T1041 ranks #6 of 97 providers in Oklahoma and sits in the 95th percentile with the note "notably above typical state volume." That places CREOKS among the leading statewide providers for certified community behavioral health clinic monthly services, signaling significant patient volume or broad program enrollment relative to peers.

    The provider also ranks consistently high for coordinated care and maintenance fees: G9002 ($554.8K) ranks #8 of 70 (90th percentile), G9009 ($537.9K) ranks #8 of 73 (90th percentile), and G9010 ($523.2K) ranks #8 of 44 (84th percentile). Although each of these codes contributes a much smaller share of revenue compared with T1041, the repeat high-percentile ranks indicate active participation in coordinated care/risk‑adjusted maintenance programs relative to in-state peers.

    Behavioral counseling is present but secondary: H0004 generated $1.3M (4.3% of Medicaid revenue) across 36.2K claims and ranks #78 of 621 providers in-state (88th percentile). This shows a sizeable counseling volume in absolute terms but it remains a distant second to the monthly T1041 payments in revenue impact, implying counseling services are delivered largely within a broader CCBHC or program context rather than as the primary revenue driver.

    There are pockets of leadership in niche maintenance codes: G9005 contributed $119.3K (0.4% of Medicaid revenue) and ranks #2 of 19 providers in-state (89th percentile), indicating the provider is among the top billers for that specific coordinated care fee despite its small overall revenue share. Such rankings show the organization holds relative prominence in select, narrow service categories besides its dominant T1041 activity.

    CREOKS has an established operational history in Medicaid programs, with its NPI enumerated on 2007-04-11 (~19 years ago), which supports an interpretation of sustained engagement with state behavioral-health reimbursement structures; this tenure can inform expectations around contracting experience, state relationships, and program stability.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1041Medicaid certified community behavioral health clinic services, per month35,130$780$27.5M
    H0004Behavioral health counseling and therapy, per 15 minutes36,210$40$1.3M
    G9002Coordinated care fee, maintenance rate3,830$150$554.8K
    G9009Coordinated care fee, risk adjusted maintenance, level 31,560$350$537.9K
    G9010Coordinated care fee, risk adjusted maintenance, level 4520$1,010$523.2K
    S9484Crisis intervention mental health services, per hour150$2,330$356.9K
    G9005Coordinated care fee, risk adjusted maintenance260$450$119.3K
    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…3,130$30$96.9K
    H2017Psychosocial rehabilitation services, per 15 minutes1,230$40$47.9K
    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…600$70$42.6K

    Showing 1–10 of 22

    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

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1041Medicaid certified community behavioral health clinic services, per month61004,790$880$8.3M
    S9484Crisis intervention mental health services, per hour17202,090$510$3.2M
    T1016Case management, each 15 minutes1081403,200$60$2.3M
    H0004Behavioral health counseling and therapy, per 15 minutes786206,640$70$1.2M
    G9009Coordinated care fee, risk adjusted maintenance, level 3870320$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…9251,680820$90$307K
    S9485Crisis intervention mental health services, per diem1620460$200$294.1K
    G9010Coordinated care fee, risk adjusted maintenance, level 4840140$970$285.1K
    H2017Psychosocial rehabilitation services, per 15 minutes1242401,280$50$259.4K
    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…4481,750870$70$254.4K

    Showing 1–10 of 22

    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$17.3M
    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
    St John Sapulpa, Inc.OKCritical Access Hospital$0$6.9M
    Creek County Emergency Ambulance Service DistrictOKLand Ambulance$1M$5.2M
    Osu Center For Health SciencesOKClinic/Center$0$2.4M
    Bios CorporationOKPrivate Vehicle$0$2.2M
    Creoks Mental Health Services, IncOKMental Health Clinic/Center (Including Community Mental Health Center)$0$1.9M
    Kristin TidwellOKFamily Nurse Practitioner$361.7K$0
    Rebecca BeachOKPhysical Therapist$36.4K$0
    Joseph WareOKCertified Registered Nurse Anesthetist$32.1K$0
    Kendra SherierOKFamily Medicine Physician$17.6K$0

    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
    7 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 — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma