Agency
Edwin Fair Community Mental Health Center, INC.
Edwin Fair Community Mental Health Center, INC. was paid $773K by Medicaid between Jan 2018 and Jun 2023, across 10 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 55% of everything it billed.
33Billing provider infoEDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.
PONCA CITY, OK 74601
PONCA CITY, OK 74601
33aNPI1316997992assigned 05/12/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$773K
24GClaims15,042
24DCodes billed10
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Community/Behavioral Health Agency providers in Oklahoma
Rank by total paid#158 of 319
Median peer was paid$749K
This provider vs. median1.0×
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 | 447 | $31K | |
| 2019 | 1,658 | $80K | |
| 2020 | 4,383 | $203K | |
| 2021 | 3,631 | $179K | |
| 2022 | 3,292 | $183K | |
| 2023 | 1,631 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 55% | 6,525 | 3,715 | $425K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 15% | 2,632 | 1,122 | $117K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 14% | 3,258 | 1,702 | $105K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 1,782 | 1,713 | $59K |
| 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 | 3.1% | 375 | 351 | $24K |
| G9009 | Coordinated care fee, risk adjusted maintenance, level 3 | 2.9% | 65 | 54 | $22K |
| H0032 | Mental health service plan development by non-physician | 1.5% | 195 | 195 | $12K |
| 99205 | Prolong outpt/office vis | <1% | 49 | 49 | $6K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 149 | 125 | $2K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 12 | 12 | $303.84 |
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 officialDANIELS, MISTY (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Edwin Fair CMHC | Ponca City, OK | $188K |
| Edwin Fair Community Mental Health Center, INC. | Ponca City, OK | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.