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.

River Valley Primary Care Services (NPI 1023163193)

Field	Value
Entity Type	Organization
Organization	River Valley Primary Care Services
Address	4900 Kelley Highway
City	Fort Smith
State	AR
ZIP	72904
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	31,260	$170	$5.4M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,690	$50	$81.3K
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…	1,320	$50	$68.6K
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…	1,260	$50	$60.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,190	$50	$57.1K
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…	1,930	$20	$42.4K
99383	The provider performs a well–patient visit for a child who is between the ages of 5 and 11 who meets the definition of new patient.	60	$40	$2.6K
99381	The provider performs a well–baby visit for a child under the age of one.	50	$50	$2.4K
99384	The provider performs a well–patient visit for an adolescent who is between the ages of 12 and 17 who meets the definition of new patient.	60	$30	$1.9K
0124A	N/A	20	$30	$590

Showing 1–10 of 15

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

River Valley Primary Care Services — 0 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	118	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…	1,132	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…	69	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…	655	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…	77	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.	49	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…	30	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.	31	270	110	$50	$28.9K
99381	The provider performs a well–baby visit for a child under the age of one.	31	60	50	$50	$12.2K
99383	The provider performs a well–patient visit for a child who is between the ages of 5 and 11 who meets the definition of new patient.	10	30	40	$30	$4.7K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with River Valley Primary Care Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
River Valley Primary Care Services	AR	Federally Qualified Health Center (FQHC)	$0	$1.8M
River Valley Primary Care Services	AR	Federally Qualified Health Center (FQHC)	$0	$1.6M
River Valley Primary Care Services	AR	Federally Qualified Health Center (FQHC)	$0	$1.5M
Sara Roberson	AR	Family Medicine Physician	$10.6K	$0
Nathan Bennett	AR	Internal Medicine Physician	$3K	$0

Nearby Providers

Other providers in the same ZIP code as River Valley Primary Care Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adebayo Fasanya	AR	Pulmonary Disease Physician	$300.8K	$0

River Valley Primary Care Services — Billing Profile & Reimbursement Data

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River Valley Primary Care Services — Billing Profile & Reimbursement Data

Sign up for River Valley Primary Care Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References