FOCUS MENTAL HEALTH SERVICES, LLC
NPI: 1851658959
· SHAWNEE, OK 74801
· Mental Health Counselor
· NPI assigned 04/13/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code H0004 with only 3 total codes billed. Highly concentrated billing profile.
$4.73M
Total Medicaid Paid
24,702
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,886 |
$625K |
| 2019 |
10,100 |
$656K |
| 2020 |
10,613 |
$663K |
| 2021 |
10,518 |
$672K |
| 2022 |
11,200 |
$746K |
| 2023 |
12,464 |
$838K |
| 2024 |
7,689 |
$528K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
71,429 |
23,661 |
$4.64M |
| H0032 |
Mental health service plan development by non-physician |
987 |
987 |
$89K |
| H0031 |
Mental health assessment, by non-physician |
54 |
54 |
$5K |