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.

St Mary's Physician Services LLC (NPI 1124084991)

St Mary's Physician Services LLC is a general practice physician provider located in Russellville, Arkansas. This profile covers 0 Medicare and 148 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	St Mary's Physician Services LLC
Address	101 Skyline Dr
City	Russellville
State	AR
ZIP	72801
Taxonomy	General Practice Physician
NPI Enumerated	April 21, 2006

Payer Source	Total Paid
Medicaid	$12.1M
Medicare	$0

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

148 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…	134,980	$30	$4.2M
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…	58,610	$50	$3M
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…	16,290	$50	$863.4K
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…	14,110	$50	$733.8K
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…	5,020	$80	$391.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,620	$50	$344.4K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	2,730	$120	$335.4K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	2,400	$80	$194.2K
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,…	8,060	$20	$177.2K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	3,850	$40	$138.5K

Showing 1–10 of 148

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

St Mary's Physician Services LLC — 14 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

148 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	21	100	1,230	$80	$201.3K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	11	70	830	$40	$146.4K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	11	70	830	$40	$144.9K
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…	10	80	470	$70	$139.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	33	50	260	$90	$137.8K
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.	102	200	1,600	$20	$129.3K
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…	6	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…	102	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…	4	210	500	$50	$106.5K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	34	110	600	$40	$95.8K

Showing 1–10 of 148

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shuja Rasool	AR	Cardiovascular Disease Physician	$324.6K	$0
Syed Mustafa	AR	Critical Care Medicine (Internal Medicine) Physician	$208.8K	$0
Blake Dixon	AR	Sports Medicine (Family Medicine) Physician	$165.6K	$0
Homer Beavers	AR	Internal Medicine Physician	$162.7K	$0
Keith Ison	AR	Internal Medicine Physician	$153.7K	$0
Jeffrey Yates	AR	Family Medicine Physician	$138.6K	$0
Zoltan Varga	AR	Interventional Cardiology Physician	$120.8K	$0
Michael Davis	AR	Hospitalist Physician	$104.6K	$0
Owen Kelly	AR	Orthopaedic Surgery Physician	$85.8K	$17.8K
Wassim Radwan Abd El Wahab	TX	Internal Medicine Physician	$96.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Friendship Community Care Inc.	AR	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$169.4M
Abc Children's Academy	AR	Developmentally Disabled Services Day Training Agency	$0	$8.5M
Real Development Corporation	AR	Community/Behavioral Health Agency	$0	$7.8M
Drs. Johnston & Lawrence	AR	Pediatric Dentistry	$0	$7.7M
Russellville Holdings LLC	AR	General Acute Care Hospital	$0	$6.5M
Abc Children's Academy	AR	Case Management Agency	$0	$5.7M
Counseling Associates Inc	AR	Community/Behavioral Health Agency	$0	$5M
Recovery Zone Pediatric Therapy, Inc	AR	Rehabilitation Clinic/Center	$0	$3.3M
Odyssey Healthcare Operating A, LP	AR	Home Health Agency	$0	$2.8M
Russellville School District	AR	Local Education Agency (LEA)	$0	$1.8M

St Mary's Physician Services LLC — 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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