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.

Drew Memorial Hospital, Inc. (NPI 1023363348)

Drew Memorial Hospital, Inc. is a general acute care hospital provider located in Monticello, Arkansas. This profile covers 0 Medicare and 175 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Drew Memorial Hospital, Inc.
Address	778 Scogin Dr
City	Monticello
State	AR
ZIP	71655
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 24, 2012

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

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

175 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	11,480	$40	$413.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	4,700	$50	$253.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	25,700	$10	$231.3K
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.	4,750	$40	$185.1K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,150	$70	$156.7K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	4,370	$30	$118K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,240	$20	$115.2K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	5,740	$20	$109K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	2,680	$40	$104.6K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	2,680	$40	$104.6K

Showing 1–10 of 175

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

Drew Memorial Hospital, 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

175 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	468	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…	306	570	2,470	$70	$801.4K
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.	253	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…	113	500	3,410	$60	$523.5K
0241U	N/A	25	40	1,640	$120	$370.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	42	180	1,430	$40	$263.8K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	31	40	360	$300	$254.1K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	68	190	1,780	$50	$231.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	29	80	1,090	$70	$210.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	68	150	1,240	$50	$208.4K

Showing 1–10 of 175

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advantages Of Southeast Arkansas, Inc.	AR	Case Management Agency	$0	$26.4M
Delta Counseling Associates Inc	AR	Community/Behavioral Health Agency	$0	$15M
Living Hope Southeast, LLC	AR	Mental Health Counselor	$0	$13.2M
Bhc Pinnacle Pointe Healthcare	AR	Adolescent and Children Mental Health Clinic/Center	$0	$10M
Mainline Health Systems Inc	AR	Federally Qualified Health Center (FQHC)	$0	$4.8M
Odyssey Healthcare Operating A, LP	AR	Home Health Agency	$0	$4M
Monticello Medical Clinic Plc	AR	Clinic/Center	$0	$2.3M
Monticello Ambulance Service Inc.	AR	Land Ambulance	$321.1K	$577.4K
Southeast Emergency Medical Service, Inc	AR	Ambulance	$286K	$520.6K
Scott Claycomb	AR	Ophthalmology Physician	$786.7K	$0

Drew Memorial Hospital, 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

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