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.

The Center For Pediatrics And Adolescent Medicine (NPI 1043225709)

The Center For Pediatrics And Adolescent Medicine is a specialist provider located in Fort Smith, Arkansas. This profile covers 0 Medicare and 24 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	The Center For Pediatrics And Adolescent Medicine
Address	3222 S 70th St
City	Fort Smith
State	AR
ZIP	72903
Taxonomy	Specialist
NPI Enumerated	July 30, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	16,760	$40	$586.6K
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…	9,040	$50	$461K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	3,990	$90	$339.5K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	1,810	$140	$251.2K
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…	5,070	$50	$243.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	4,820	$50	$231.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,200	$50	$147.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	670	$190	$125.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,760	$50	$82.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,270	$30	$56.7K

Showing 1–10 of 24

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

The Center For Pediatrics And Adolescent Medicine — 6 of 23 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	912	1,520	550	$40	$128.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	69	180	320	$40	$121.7K
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…	8	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…	64	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…	21	250	460	$50	$86.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	91	160	140	$80	$60.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	21	280	190	$50	$48.9K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	2	30	60	$160	$43.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	8	140	200	$40	$38.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	2	50	180	$70	$35.8K

Showing 1–10 of 24

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Gregory Kistler Treatment Center, Inc.	AR	Voluntary or Charitable Agency	$0	$28.3M
Bost, Inc.	AR	Counselor	$0	$25.9M
Mercy Clinic Fort Smith Communities	AR	Multi-Specialty Clinic/Center	$0	$24.1M
Mercy Hospital Fort Smith	AR	General Acute Care Hospital	$0	$22.5M
Western Arkansas Counseling & Guidance Center, Inc	AR	Community/Behavioral Health Agency	$0	$21.3M
Arkansas Family Supports, Inc.	AR	In Home Supportive Care Agency	$0	$15.6M
Kids Unlimited Learning Academy Of Ft. Smith	AR	Rehabilitation Clinic/Center	$0	$10.5M
1 Of A Kind In Home Care And Medical Services LLC	AR	In Home Supportive Care Agency	$0	$7M
The Gregory Kistler Treatment Center, Inc.	AR	Voluntary or Charitable Agency	$0	$6.5M
Little Hands At Play Therapy, LLC	AR	Pediatric Occupational Therapist	$0	$4.9M

The Center For Pediatrics And Adolescent Medicine — Billing Profile & Reimbursement Data

Sign up for The Center For Pediatrics And Adolescent Medicine — Billing Profile & Reimbursement Data policy alerts

The Center For Pediatrics And Adolescent Medicine — Billing Profile & Reimbursement Data

Sign up for The Center For Pediatrics And Adolescent Medicine — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References