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

FAMILY & CHILDREN'S SERVICES, INC (NPI: 1275142663) 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 1275142663?

NPI 1275142663 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: 1275142663Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.4M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2020-08→2024-11(52 months)

Total Paid

$25.4M

$25,420,296

Total Claims

87K

Beneficiaries

74K

1.2 claims/patient

Avg Cost/Claim

$292

Monthly Spending Trend

Yearly Spending

2020

$244K

+693%

2021

$1.9M

+256%

2022

$6.9M

+43%

2023

$9.9M

-35%

2024

$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 95% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1041Medicaid CCBHC services, per diemSee all providers →

$24.1M

29K claims

$840.43

$913.47

0.9×

Normal range

T1041Normal range

Medicaid CCBHC services, per diem

$24.1M

29K claims · 94.9%

Your Cost: $840.43/claim|Median: $913.47

0.9× median

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

$667K

34K claims

$19.52

$74.63

0.3×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$667K

34K claims · 2.6%

Your Cost: $19.52/claim|Median: $74.63

0.3× median

G9009 See all providers →

$248K

834 claims

$297.08

$345.34

0.9×

Normal range

G9009Normal range

$248K

834 claims · 1.0%

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

0.9× median

T1017Targeted case management, per 15 minSee all providers →

$238K

15K claims

$16.36

$69.56

0.2×

Normal range

T1017Normal range

Targeted case management, per 15 min

$238K

15K claims · 0.9%

Your Cost: $16.36/claim|Median: $69.56

0.2× median

T1016Case management, each 15 minSee all providers →

$58K

1,366 claims

$42.73

$49.62

0.9×

Normal range

T1016Normal range

Case management, each 15 min

$58K

1,366 claims · 0.2%

Your Cost: $42.73/claim|Median: $49.62

0.9× median

90839Psychotherapy for crisis, first 60 minSee all providers →

$45K

420 claims

$106.03

$83.98

1.3×

Normal range

90839Normal range

Psychotherapy for crisis, first 60 min

$45K

420 claims · 0.2%

Your Cost: $106.03/claim|Median: $83.98

1.3× median

H0032Mental health service plan developmentSee all providers →

$18K

328 claims

$54.45

$80.64

0.7×

Normal range

H0032Normal range

Mental health service plan development

$18K

328 claims · 0.1%

Your Cost: $54.45/claim|Median: $80.64

0.7× 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

H0031Mental health assessment by non-physicianSee all providers →

$10K

165 claims

$58.47

$96.18

0.6×

Normal range

H0031Normal range

Mental health assessment by non-physician

$10K

165 claims · 0.0%

Your Cost: $58.47/claim|Median: $96.18

0.6× median

T1027Family training and counseling, per 15 minutesSee all providers →

$3K

123 claims

$20.93

$53.00

0.4×

Normal range

T1027Normal range

Family training and counseling, per 15 minutes

$3K

123 claims · 0.0%

Your Cost: $20.93/claim|Median: $53.00

0.4× median

H0002Behavioral health screeningSee all providers →

$2K

67 claims

$25.32

$38.77

0.7×

Normal range

H0002Normal range

Behavioral health screening

$2K

67 claims · 0.0%

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

0.7× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$562

41 claims

$13.70

$106.70

0.1×

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

$562

41 claims · 0.0%

Your Cost: $13.70/claim|Median: $106.70

0.1× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$308

808 claims

$0.38

$84.12

0.0×

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

$308

808 claims · 0.0%

Your Cost: $0.38/claim|Median: $84.12

0.0× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$191

4,975 claims

$0.04

$91.63

0.0×

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$191

4,975 claims · 0.0%

Your Cost: $0.04/claim|Median: $91.63

0.0× median

H2015Comprehensive community support services, per 15 minSee all providers →

$164

245 claims

$0.67

$96.24

0.0×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$164

245 claims · 0.0%

Your Cost: $0.67/claim|Median: $96.24

0.0× median

H0034Medication training and management, per 15 minSee all providers →

$52

99 claims

$0.53

$56.90

0.0×

Normal range

H0034Normal range

Medication training and management, per 15 min

$52

99 claims · 0.0%

Your Cost: $0.53/claim|Median: $56.90

0.0× median

90847Family psychotherapy with patient, 50 minSee all providers →

15 claims

$0.00

$77.33

—

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33

90837Psychotherapy, 60 minutesSee all providers →

152 claims

$0.00

$85.66

—

Normal range

90837Normal range

Psychotherapy, 60 minutes

152 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66

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