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.

St Francis House Nwa, Inc (NPI 1013384288)

Field	Value
Entity Type	Organization
Organization	St Francis House Nwa, Inc
Address	3162 W Martin Luther King Blvd
City	Fayetteville
State	AR
ZIP	72704
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 24, 2015

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	19,380	$160	$3.2M
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1,660	$80	$130.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	700	$50	$37K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	710	$50	$36.8K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,090	$20	$23.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	210	$60	$12.3K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	980	$10	$11.8K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	510	$10	$5.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	500	$10	$4.5K
0002A	N/A	50	$80	$4.2K

Showing 1–10 of 32

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

St Francis House Nwa, Inc — 0 of 25 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	149	530	4,960	$70	$2.6M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,268	1,520	550	$40	$128.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	98	210	500	$50	$106.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	892	1,740	550	$30	$88.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	101	250	460	$50	$86.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	132	280	190	$50	$48.9K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	50	120	740	$20	$29K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	202	270	110	$50	$28.9K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	12	110	170	$40	$22K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	77	160	470	$10	$21.5K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Francis House Nwa, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Francis House Nwa, Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$11.7M
St. Francis House Nwa, Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$11.5M
St Francis House Nwa, Inc	AR	Federally Qualified Health Center (FQHC)	$0	$1.9M
Jonathan Kruger	AR	Rheumatology Physician	$227.5K	$0
Jennifer Jennings	AR	Family Nurse Practitioner	$134.9K	$0
Mark Miller	AR	Family Medicine Physician	$111.2K	$0
John Caswell	AR	Family Medicine Physician	$76.3K	$0
Scott Stinnett	AR	Family Medicine Physician	$73K	$0
Yasmin Al-atrache	AR	Physician Assistant	$61.7K	$0
Stacy Johnson	OK	Family Nurse Practitioner	$26.5K	$0

Nearby Providers

Other providers in the same ZIP code as St Francis House Nwa, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
1 Source Senior Care	AR	In Home Supportive Care Agency	$0	$3.4M
Kindred Pediatric Therapy, Plc	AR	Physical Therapy Clinic/Center	$0	$1.7M
Larry Coker	AR	Family Medicine Physician	$99.2K	$0
Brent Witherington	AR	Family Medicine Physician	$33.4K	$28.1K
David Knox	AR	Neurological Surgery Physician	$19.5K	$0
Zachary Guynn	AR	Family Medicine Physician	$18.7K	$0

St Francis House Nwa, Inc — Billing Profile & Reimbursement Data

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St Francis House Nwa, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References