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.

Rainbow Of Challenges, Inc. (NPI 1114031275)

Field	Value
Entity Type	Organization
Organization	Rainbow Of Challenges, Inc.
Address	500 S Main St
City	Hope
State	AR
ZIP	71801
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicaid	$37.9M
Medicare	$0

Key Findings

RAINBOW OF CHALLENGES, INC. is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and the provider reports $37.9M in lifetime Medicaid revenue, indicating Medicaid is the sole material source of claims-level revenue in the dataset. The provider’s NPI has been enumerated since 2006-08-18 (~20 years ago), suggesting an established presence in its market.

Revenue is highly concentrated in three service lines: T1015 (45.6% of Medicaid revenue), H2016 (37.1% of Medicaid revenue), and A0120 (6.5% of Medicaid revenue); these top three codes account for 89.2% of the provider’s total Medicaid revenue. That concentration implies most of the organization’s financial footprint depends on a narrow set of encounter/per‑diem and transportation services.

The code mix (T1015 – clinic visit/encounter all‑inclusive, H2016 – comprehensive community support services per diem, and A0120 – non‑emergency transportation mini‑bus) maps to an operational model anchored in day‑training and community support for people with developmental disabilities combined with organized group transportation. High claim volumes for these codes (39.5K claims for T1015, 35.1K for H2016, 30.7K for A0120) plus the per‑diem and encounter nature of payments indicate a high‑throughput, recurring‑service operation rather than episodic specialty care.

Despite large absolute Medicaid revenue, the provider’s standing within state peer groups is more consistent than dominant. T1015 is ranked #100 of 532 providers in‑state (81th percentile; typical, unremarkable volume for this code), H2016 is ranked #14 of 62 providers in‑state (79th percentile; typical, unremarkable volume for this code), and A0120 is ranked #19 of 103 providers in‑state (82th percentile; typical, unremarkable volume for this code), which together indicate above‑median activity but not market dominance in any single code.

The organization also bills a broad set of rehabilitative and habilitative services alongside its core encounter and community supports: 97530 shows 27.7K claims/$1.4M revenue (3.6%), 92507 shows 24.6K claims/$1.2M revenue (3.2%), and 97110 shows 18.3K claims/$788.5K revenue (2.1%). These secondary revenue streams point to integrated therapy and communication services consistent with a Developmentally Disabled Services Day Training Agency rather than a narrow transportation or administration‑only operation.

Several smaller codes reflect supplemental or episodic services: T2020 (day habilitation, waiver) appears with $694.4K revenue (1.8%) and T1017 (targeted case management) is minimal at $1.4K revenue (0.0%) and ranks #80 of 91 providers in‑state (12th percentile; typical, unremarkable volume for this code). The spread of low‑share codes suggests most non‑core services contribute little to top‑line Medicaid revenue.

Payment rates and average paid/claim figures reinforce the business model: T1015 averages $437 avg paid/claim, H2016 averages $400 avg paid/claim, while A0120 is a much lower unit value at $80 avg paid/claim. The combination of higher per‑encounter payments for clinic/community supports and large‑volume, low‑unit transportation services is consistent with a day‑program operator that relies on both higher‑value encounters and mass transportation billing to generate overall revenue.

Dataset labels attached to the provider’s top codes uniformly describe volumes as "typical, unremarkable volume for this code," despite the provider’s sizable absolute Medicaid revenue. In short, RAINBOW OF CHALLENGES appears as a long‑tenured, high‑volume Medicaid day‑services provider with revenue concentrated in a few per‑diem and encounter codes and a competitive profile that is above median but not an outlier among in‑state peers.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	39,510	$440	$17.3M
H2016	Comprehensive community support services, per diem	35,090	$400	$14M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	30,700	$80	$2.5M
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.	27,750	$50	$1.4M
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…	24,640	$50	$1.2M
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…	18,340	$40	$788.5K
T2020	Day habilitation, waiver; per diem	3,200	$220	$694.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	180	$70	$11.7K
97003	N/A	150	$80	$11.3K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	110	$100	$10.5K

Showing 1–10 of 13

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

Rainbow Of Challenges, Inc. — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	14	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	100	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…	87	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	19	100	10,500	$40	$791K
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.	69	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…	73	500	3,410	$60	$523.5K
T1017	Targeted case management, each 15 minutes	80	90	1,830	$20	$206.4K
T2020	Day habilitation, waiver; per diem	19	110	740	$40	$82.1K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	44	90	90	$80	$36.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	18	110	40	$100	$32.6K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Rainbow Of Challenges, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pafford Medical Services, Inc	AR	Land Ambulance	$8.2M	$24.2M
Smiles Of Arkansas Dental Center, PLLC	AR	General Practice Dentistry	$0	$7M
Odyssey Healthcare Operating A, LP	AR	Home Health Agency	$0	$4.1M
Horizons Of Hope Inc.	AR	Assisted Living Facility	$0	$3.1M
Premier Central Inc	AR	Pediatrics Physician	$0	$2.1M
Brim Holding Company, Inc.	AR	General Acute Care Hospital	$0	$1.8M
Experience Counseling Clinic, Inc.	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.5M
William Douglas	AR	Pediatric Adolescent Medicine Physician	$0	$1.3M
Mindy Brown	AR	Adult Health Nurse Practitioner	$179.6K	$0
George Garrett	AR	Family Medicine Physician	$60.7K	$0

Rainbow Of Challenges, Inc. — Billing Profile & Reimbursement Data

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Rainbow Of Challenges, Inc. — 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

Nearby Providers

Frequently Asked Questions

References