Edwin Fair Community Mental Health Center INC.

Edwin Fair Community Mental Health Center INC. was paid $204K by Medicaid between Jan 2018 and Jul 2019, across 11 billing codes. Its largest line is G9002, Coordinated care fee, maintenance rate — 51% of everything it billed.

33Billing provider infoEDWIN FAIR COMMUNITY MENTAL HEALTH CENTER INC.
PONCA CITY, OK 74601

33aNPI1134291578assigned 11/14/2006

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$204K

24GClaims1,896

24DCodes billed11

24AFirst – last monthJan 2018 – Jul 2019

Compared with peers

Next to other Community/Behavioral Health Agency providers in Oklahoma

Rank by total paid#228 of 319

Median peer was paid$749K

This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,073	$119K
2019	823	$84K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9002	Coordinated care fee, maintenance rate	51%	716	646	$104K
G9009	Coordinated care fee, risk adjusted maintenance, level 3	23%	133	117	$46K
H0004	Behavioral health counseling and therapy, per 15 minutes	13%	436	261	$26K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.5%	332	330	$19K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1.3%	116	116	$3K
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	<1%	53	35	$1K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	13	13	$1K
H0032	Mental health service plan development by non-physician	<1%	12	12	$873.96
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	<1%	23	20	$748.48
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	<1%	50	43	$681.25
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	<1%	12	12	$514.05

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCOWAN, GEOFFREY (EXECUTIVE DIRECTOR)