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.

Baptist Health (NPI 1043240682)

Key Findings

Field	Value
Entity Type	Organization
Organization	Baptist Health
Address	9601 Baptist Health Drive
City	Little Rock
State	AR
ZIP	72205
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

BAPTIST HEALTH has no Medicare billing on file and reports $16.4M in lifetime Medicaid revenue, making its public-payer footprint effectively single-payer Medicaid in the available data. The absence of Medicare billing indicates analysts should treat this profile as Medicaid-centered when assessing payer mix and reimbursement exposure.

Revenue is moderately concentrated: the precomputed top 3 Medicaid codes by revenue account for 36.4% of this provider's total Medicaid revenue. The three largest contributors are U0003 ($1.6M, 14.9%), 80047 ($1.5M, 14.5%), and 70450 ($747.3K, 7.0%), so a relatively small set of lab and imaging services drive more than a third of Medicaid receipts.

The code mix points to a high-throughput acute-care operation with heavy investment in laboratory and diagnostic imaging capabilities. High-revenue laboratory/infectious-disease testing codes such as U0003 (18.6K claims) and common panels like 80047 (48.1K claims) sit alongside major imaging volumes (70450 at 9.5K claims and multiple CT/MRI codes), consistent with the taxonomy of a General Acute Care Hospital that runs consolidated lab and radiology services.

Operational throughput is reflected in extremely large claim counts for basic specimen and lab services: 36415 appears 60.2K times and 85025 appears 51.9K times, while 80047 has 48.1K claims and U0003 has 18.6K claims. Those volumes suggest a centralized outpatient/inpatient lab that handles very high specimen volumes and supports broad diagnostic testing across the hospital.

On in-state competitive standing, BAPTIST HEALTH is a dominant performer for a number of lab measures: U0003 ranks #1 of 81 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and 80047 ranks #1 of 14 providers (100th percentile; notably above typical state volume). The provider also posts top-tier positions or high percentiles on several other assays and specimen-collection measures (e.g., 36415 ranks #3 of 554, 100th percentile; 80076 ranks #1 of 59, 100th percentile), indicating clear statewide leadership in lab services.

Imaging and cardiovascular diagnostics are also important revenue drivers: CT head 70450 ($747.3K, 7.0%) ranks in the 95th percentile statewide and 93306 echo services ($627.9K, 5.9%) rank in the 94th percentile. Multiple CT and MRI codes (74177, 72148, 70553, 70551) appear in upper percentiles, which supports the interpretation that the hospital maintains robust radiology capacity and handles a substantial share of advanced imaging in the state.

The provider has been enumerated since 2006-07-03 (~20 years ago), indicating an established presence in the market; this tenure is consistent with the scale of recurring lab and imaging volumes observed. Long-term operation combined with concentrated revenue lines suggests established clinical workflows and investment in diagnostic infrastructure.

Because a sizable portion of Medicaid revenue is tied to infectious-disease testing and common lab panels (notably U0003 and 80047), the provider's Medicaid revenue profile is likely sensitive to changes in test demand or policy reimbursement for those services. Analysts should treat dependence on a small set of high-volume lab codes as a potential volatility vector when modeling future Medicaid revenue under shifting public-health or policy conditions.

Medicaid: Complete Services Breakdown

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

356 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	18,560	$90	$1.6M
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	48,140	$30	$1.5M
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.	9,460	$80	$747.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5,440	$130	$690.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	6,410	$100	$627.9K
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…	1,670	$300	$503K
0241U	N/A	4,430	$110	$469.8K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	1,940	$200	$388.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	51,870	$10	$363.1K
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.	5,160	$60	$319.7K

Showing 1–10 of 356

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

Baptist Health — 8 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

356 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	178	530	4,960	$70	$2.6M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	6	30	290	$240	$857.7K
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.	432	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…	269	500	3,410	$60	$523.5K
0241U	N/A	6	40	1,640	$120	$370.5K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	5	40	160	$280	$278.1K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	8	30	160	$70	$259.6K
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…	8	40	360	$300	$254.1K
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	1	10	1,710	$30	$233K
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.	39	190	1,780	$50	$231.9K

Showing 1–10 of 356

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Arkansas For Medical Sciences	AR	General Acute Care Hospital	$0	$87.2M
University Of Arkansas For Medical Sciences	AR	Internal Medicine Physician	$0	$28.6M
University Of Arkansas For Medical Sciences	AR	Pediatrics Physician	$0	$27.6M
Arkansas Department Of Health Immunizations	AR	Public Health or Welfare Agency	$0	$19.3M
Arkansas Department Of Health Family Planning Clinic	AR	Public Health or Welfare Agency	$0	$15.6M
Pediatrix Medical Group Of Arkansas PA	AR	Neonatal-Perinatal Medicine Physician	$0	$14.6M
Chenal Family Therapy, Plc	AR	Mental Health Counselor	$0	$12.2M
Francis A. Allen School For Exceptional Children, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$11.9M
Central Arkansas Radiation Therapy Institute Inc	AR	Hematology & Oncology Physician	$0	$11M
Central Arkansas Radiation Therapy Institute Inc	AR	Radiation Oncology Physician	$6.7M	$3.6M

Baptist Health — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health	AR	General Acute Care Hospital	$0	$14M
Baptist Health	AR	Critical Access Hospital	$0	$4.8M
Mcsa LLC	AR	General Acute Care Hospital	$0	$4.3M
Baptist Health	AR	Critical Access Hospital	$0	$3.7M
Baptist Health	AR	Rehabilitation Hospital	$0	$2.9M
Sarah Jewell	AR	Hematology & Oncology Physician	$2.7M	$0
Baptist Health	AR	General Acute Care Hospital	$0	$2.7M
Baptist Health	AR	Land Ambulance	$396K	$1.5M
Baptist Health	AR	Home Health Agency	$0	$1.8M
Arkansas Health Group	AR	Pulmonary Disease Physician	$0	$1.7M