Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arkansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arkansas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arkansas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Easter Seals Arkansas (NPI 1013146786)

Field	Value
Entity Type	Organization
Organization	Easter Seals Arkansas
Address	3920 Woodland Heights Rd
City	Little Rock
State	AR
ZIP	72212
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	July 2, 2009

Payer Source	Total Paid
Medicaid	$94.4M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all reported federal revenue is Medicaid-based, with lifetime Medicaid revenue of $94.4M. The absence of Medicare activity indicates the organization’s operations and reimbursement exposure are concentrated in state Medicaid programs rather than dual Medicare/Medicaid streams.

Revenue is heavily concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 94.1% of total Medicaid revenue, driven primarily by H2016 (67.3%), T1015 (23.1%), and 92507 (3.7%). This concentration means a large share of cash flow depends on continued payment policy and utilization for those specific codes.

The code mix and descriptions indicate core operations focused on day/community habilitation and clinic-based encounters with embedded therapy services: H2016 (Comprehensive community support services, per diem) and T1015 (Clinic visit/encounter, all-inclusive) together represent the vast majority of Medicaid revenue, while 92507 (speech/communication therapy) and additional therapy codes such as 97530 and 97110 appear as meaningful ancillary service lines. Together these suggest EASTER SEALS ARKANSAS operates long-duration community support/day programs and a high-volume outpatient clinic model that also delivers speech and physical/occupational therapy.

H2016 is an outlier specialty for the state: the provider reports $63.5M in revenue for H2016 and ranks #3 of 62 providers in-state (97th percentile; labeled an extreme outlier, far above typical state volume for this code). That rank and the per-diem nature of H2016 imply the organization is a major regional provider of comprehensive community support services and likely has substantial day-program capacity.

T1015 activity is also very elevated: the provider reported $21.8M in revenue from T1015 and ranks #8 of 532 providers in-state (99th percentile; notably above typical state volume for this code). High volume of all-inclusive clinic encounters suggests heavy utilization of bundled visit billing and positions the provider as a prominent clinic-level service hub in the state Medicaid network.

Speech and related therapy services show above-average scale but are much smaller revenue contributors: 92507 accounts for $3.5M (3.7% of Medicaid revenue) and ranks #30 of 567 providers in-state (95th percentile; notably above typical state volume). These therapy revenues indicate in-house clinical capabilities (speech/language services) that complement the provider’s dominant day/community supports and clinic encounters.

The provider has an established operational history, with its NPI enumerated on 2009-07-02 (~17 years ago), which supports the interpretation that current scale—especially the unusually large H2016 footprint—is the result of long-term program development and sustained Medicaid contracting. This tenure is relevant for contracting and network planning decisions.

From a payer/contracting perspective, the organization’s extreme revenue concentration (94.1% in the top three codes) creates both negotiating leverage—because they are a dominant source of H2016 and T1015 volume—and concentration risk if state policy, per-diem rates, or utilization management targets those specific codes. Payors evaluating network adequacy or value-based arrangements should prioritize H2016 and T1015 performance and utilization metrics given their outsized contribution to the provider’s Medicaid revenue.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	371,540	$170	$63.5M
T1015	Clinic visit/encounter, all-inclusive	350,970	$60	$21.8M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	53,930	$70	$3.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	46,700	$60	$2.8M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	36,670	$60	$2.2M
T2020	Day habilitation, waiver; per diem	1,930	$110	$219.4K
T2025	Waiver services; not otherwise specified (nos)	1,060	$170	$177.2K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	8,860	$10	$115.1K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	310	$100	$30.6K
T2028	Specialized supply, not otherwise specified, waiver	320	$60	$19.7K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Arkansas Distribution

Easter Seals Arkansas — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	3	10	110	$150	$12.4M
H2016	Comprehensive community support services, per diem	3	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	8	530	4,960	$70	$2.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	30	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	57	100	10,500	$40	$791K
T2028	Specialized supply, not otherwise specified, waiver	7	10	390	$240	$751.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	33	580	3,620	$60	$712.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	27	500	3,410	$60	$523.5K
T2020	Day habilitation, waiver; per diem	28	110	740	$40	$82.1K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	28	90	90	$80	$36.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Easter Seals Arkansas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Natural State Genomics LLC	AR	Clinical Medical Laboratory	$1.2M	$4.3M
Easter Seals Arkansas	AR	Physical Therapist	$0	$2.2M
Bp Anesthesia, PLLC	AR	Certified Registered Nurse Anesthetist	$0	$2M
Premier Gastroenterology Associates PLLC	AR	Ambulatory Surgical Clinic/Center	$1.3M	$242.8K
Endoscopy Center Of Little Rock,llc	AR	Ambulatory Surgical Clinic/Center	$420.1K	$2.2K
Battle Street Surgery Center, LLC	AR	Ambulatory Surgical Clinic/Center	$382.9K	$34.4K
Brent James	AR	Optometrist	$71.8K	$300.3K
Robert Svoboda	AR	Gastroenterology Physician	$352.9K	$0
David Mcelreath	AR	Gastroenterology Physician	$310.3K	$0
Donald Gauldin	AR	Ophthalmology Physician	$292.3K	$0

Easter Seals Arkansas — Billing Profile & Reimbursement Data

Sign up for Easter Seals Arkansas — Billing Profile & Reimbursement Data policy alerts

Easter Seals Arkansas — Billing Profile & Reimbursement Data

Sign up for Easter Seals Arkansas — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References