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.

Johnson Regional Medical Center (NPI 1134116049)

Johnson Regional Medical Center is a general acute care hospital provider located in Clarksville, Arkansas. This profile covers 0 Medicare and 136 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	Johnson Regional Medical Center
Address	1100 E Poplar St
City	Clarksville
State	AR
ZIP	72830
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 5, 2005

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

136 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	5,160	$110	$541.3K
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…	11,380	$30	$352.8K
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.	15,320	$20	$275.7K
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.	1,940	$140	$263.4K
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.	3,330	$70	$239.5K
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.	2,160	$100	$224.5K
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.	4,470	$50	$205.5K
87634	The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.	2,030	$80	$164.3K
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…	19,930	$10	$139.5K
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.	1,440	$80	$110.6K

Showing 1–10 of 136

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

Johnson Regional Medical Center — 2 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

136 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	44	80	2,420	$150	$948.2K
A0425	Ground mileage, per statute mile	54	90	3,650	$70	$764.6K
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…	115	500	3,410	$60	$523.5K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	17	30	80	$600	$290.7K
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…	95	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…	39	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.	71	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.	37	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.	52	150	1,240	$50	$208.4K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	39	60	180	$190	$207.2K

Showing 1–10 of 136

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Nursing And Rehab Sa Pediatrics, LLC	TX	Home Health Agency	$0	$46.3M
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Mark Ellis	MN	Specialist	$337.9K	$0
Arlene Sussman	MN	Diagnostic Radiology Physician	$242.3K	$29.9K
David Wong	MN	Diagnostic Radiology Physician	$201.3K	$0
Robert Joodi	MN	Diagnostic Radiology Physician	$189.3K	$0
Christopher Leoni	MN	Diagnostic Radiology Physician	$186.3K	$860
Michael Hynes	MN	Diagnostic Radiology Physician	$166.3K	$3.4K
Peter Verhey	MN	Diagnostic Radiology Physician	$148.8K	$5K
Kenneth Richardson	AL	Diagnostic Radiology Physician	$141.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forrester-davis Development Center, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$16.6M
Birch Tree Communities, Inc.	AR	Community/Behavioral Health Agency	$0	$4.1M
Birch Tree Communities, Inc.	AR	Community/Behavioral Health Agency	$0	$3.4M
Birch Tree Communities, Inc	AR	Community/Behavioral Health Agency	$0	$2.5M
Family Practice Associates Of Clarksville,pa	AR	Legal Medicine	$0	$2.2M
Birch Tree Communities, Inc	AR	Community/Behavioral Health Agency	$0	$2M
Clarksville Medical Group, P.A.	AR	Family Medicine Physician	$0	$1.8M
Bhc Pinnacle Pointe Hospital	AR	Adolescent and Children Mental Health Clinic/Center	$0	$1.7M
Robert Frederick Noonan Jr Md PA	AR	Family Medicine Physician	$0	$1.5M
East Arkansas Emergency Physicians, PLLC	AR	Emergency Medicine Physician	$0	$1.3M

Johnson Regional Medical Center — Billing Profile & Reimbursement Data

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Johnson Regional Medical Center — 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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