Is FAMILY & CHILDREN'S SERVICES, INC flagged for Medicaid fraud?

FAMILY & CHILDREN'S SERVICES, INC (NPI: 1023122439) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does FAMILY & CHILDREN'S SERVICES, INC bill Medicaid?

FAMILY & CHILDREN'S SERVICES, INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in TULSA, OK.

What is NPI 1023122439?

NPI 1023122439 is the National Provider Identifier for FAMILY & CHILDREN'S SERVICES, INC. They are a Community/Behavioral Health provider based in TULSA, OK. This NPI is registered with the CMS NPI Registry.

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FAMILY & CHILDREN'S SERVICES, INC

Community/Behavioral Health·TULSA, OK·NPI: 1023122439Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.8M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$37.8M

$37,760,931

Total Claims

135K

Beneficiaries

103K

1.3 claims/patient

Avg Cost/Claim

$279

Monthly Spending Trend

Yearly Spending

2018

$612K

+23%

2019

$754K

-2%

2020

$740K

+215%

2021

$2.3M

+313%

2022

$9.6M

+43%

2023

$13.8M

-28%

2024

$9.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 92% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1041Medicaid CCBHC services, per diemSee all providers →

$34.9M

41K claims

$842.38

$913.47

0.9×

Normal range

T1041Normal range

Medicaid CCBHC services, per diem

$34.9M

41K claims · 92.4%

Your Cost: $842.38/claim|Median: $913.47

0.9× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$2.7M

83K claims

$32.60

$74.63

0.4×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.7M

83K claims · 7.2%

Your Cost: $32.60/claim|Median: $74.63

0.4× median

H0032Mental health service plan developmentSee all providers →

$28K

1,921 claims

$14.40

$80.64

0.2×

Normal range

H0032Normal range

Mental health service plan development

$28K

1,921 claims · 0.1%

Your Cost: $14.40/claim|Median: $80.64

0.2× median

G9009 See all providers →

$26K

89 claims

$297.08

$345.34

0.9×

Normal range

G9009Normal range

$26K

89 claims · 0.1%

Your Cost: $297.08/claim|Median: $345.34

0.9× median

90837Psychotherapy, 60 minutesSee all providers →

$19K

1,090 claims

$17.13

$85.66

0.2×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$19K

1,090 claims · 0.0%

Your Cost: $17.13/claim|Median: $85.66

0.2× median

H0031Mental health assessment by non-physicianSee all providers →

$14K

1,007 claims

$13.44

$96.18

0.1×

Normal range

H0031Normal range

Mental health assessment by non-physician

$14K

1,007 claims · 0.0%

Your Cost: $13.44/claim|Median: $96.18

0.1× median

T1016Case management, each 15 minSee all providers →

$11K

304 claims

$37.59

$49.62

0.8×

Normal range

T1016Normal range

Case management, each 15 min

$11K

304 claims · 0.0%

Your Cost: $37.59/claim|Median: $49.62

0.8× median

G9010 See all providers →

$10K

12 claims

$864.82

$1,009.60

0.9×

Normal range

G9010Normal range

$10K

12 claims · 0.0%

Your Cost: $864.82/claim|Median: $1,009.60

0.9× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$9K

1,127 claims

$8.35

$37.81

0.2×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$9K

1,127 claims · 0.0%

Your Cost: $8.35/claim|Median: $37.81

0.2× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$7K

979 claims

$7.35

$53.41

0.1×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$7K

979 claims · 0.0%

Your Cost: $7.35/claim|Median: $53.41

0.1× median

99349 See all providers →

$6K

143 claims

$40.89

$24.29

1.7×

Normal range

99349Normal range

$6K

143 claims · 0.0%

Your Cost: $40.89/claim|Median: $24.29

1.7× median

99348 See all providers →

$6K

229 claims

$24.60

$17.17

1.4×

Normal range

99348Normal range

$6K

229 claims · 0.0%

Your Cost: $24.60/claim|Median: $17.17

1.4× median

T1017Targeted case management, per 15 minSee all providers →

$4K

189 claims

$22.29

$69.56

0.3×

Normal range

T1017Normal range

Targeted case management, per 15 min

$4K

189 claims · 0.0%

Your Cost: $22.29/claim|Median: $69.56

0.3× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$4K

935 claims

$4.17

$9.56

0.4×

Normal range

96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$4K

935 claims · 0.0%

Your Cost: $4.17/claim|Median: $9.56

0.4× median

H0002Behavioral health screeningSee all providers →

$4K

145 claims

$25.32

$38.77

0.7×

Normal range

H0002Normal range

Behavioral health screening

$4K

145 claims · 0.0%

Your Cost: $25.32/claim|Median: $38.77

0.7× median

90791Psychiatric diagnostic evaluationSee all providers →

$861

24 claims

$35.89

$99.21

0.4×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$861

24 claims · 0.0%

Your Cost: $35.89/claim|Median: $99.21

0.4× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$774

223 claims

$3.47

$106.70

0.0×

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

$774

223 claims · 0.0%

Your Cost: $3.47/claim|Median: $106.70

0.0× median

T1027Family training and counseling, per 15 minutesSee all providers →

$754

186 claims

$4.06

$53.00

0.1×

Normal range

T1027Normal range

Family training and counseling, per 15 minutes

$754

186 claims · 0.0%

Your Cost: $4.06/claim|Median: $53.00

0.1× median

99442Telephone E/M by physician, 11-20 minutesSee all providers →

$538

61 claims

$8.81

$22.44

0.4×

Normal range

99442Normal range

Telephone E/M by physician, 11-20 minutes

$538

61 claims · 0.0%

Your Cost: $8.81/claim|Median: $22.44

0.4× median

99441Telephone E/M by physician, 5-10 minSee all providers →

$236

45 claims

$5.24

$13.30

0.4×

Normal range

99441Normal range

Telephone E/M by physician, 5-10 min

$236

45 claims · 0.0%

Your Cost: $5.24/claim|Median: $13.30

0.4× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$106

1,570 claims

$0.07

$91.63

0.0×

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$106

1,570 claims · 0.0%

Your Cost: $0.07/claim|Median: $91.63

0.0× median

H2015Comprehensive community support services, per 15 minSee all providers →

104 claims

$0.00

$96.24

—

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

104 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.24

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