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.

White River Health System, Inc. (NPI 1134298268)

White River Health System, Inc. is a rural health clinic/center provider located in Batesville, Arkansas. This profile covers 0 Medicare and 45 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	White River Health System, Inc.
Address	1700 Harrison St
City	Batesville
State	AR
ZIP	72501
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	November 6, 2006

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

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

45 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…	37,300	$30	$1.2M
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…	8,850	$60	$504.4K
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…	6,230	$60	$355.1K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	2,940	$60	$176.1K
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,…	5,540	$20	$133K
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…	2,080	$60	$133K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,130	$60	$119.2K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	890	$100	$87.8K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	5,620	$10	$61.9K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	6,190	$10	$55.7K

Showing 1–10 of 45

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

White River Health System, Inc. — 6 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

45 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…	406	1,520	550	$40	$128.7K
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…	9	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…	23	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…	16	250	460	$50	$86.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	36	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.	12	30	60	$160	$43.9K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	9	210	250	$50	$39.8K
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…	41	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.	9	50	180	$70	$35.8K
95115	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.	11	20	830	$10	$31.8K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
White River Health System, Inc.	AR	General Acute Care Hospital	$0	$22.3M
White River Health System, Inc.	AR	Critical Access Hospital	$0	$3.3M
White River Health System, Inc	AR	Anesthesiology Physician	$0	$2.6M
Jasen Chi	AR	Rheumatology Physician	$1.5M	$0
Lakshman Gollapalli	AZ	Interventional Pain Medicine Physician	$483K	$0
Terry Fletcher	AR	Pain Medicine (Anesthesiology) Physician	$419.5K	$0
Todd Besselievre	AR	Interventional Pain Medicine Physician	$330.2K	$0
Mahesh Anantha Narayanan	AR	Interventional Cardiology Physician	$217.3K	$0
Hunter Brown	AR	Urology Physician	$190.1K	$0
Dylan Carpenter	AR	Orthopaedic Surgery Physician	$182.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myers Davis Life Coaching, Inc	AR	In Home Supportive Care Agency	$0	$37M
Survival Flight Inc.	AR	Air Ambulance	$8.5M	$23.5M
Mkjd, LLC	AR	Rehabilitation Clinic/Center	$0	$23.3M
The Communtiy School, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Bhc Pinnacle Pointe Hospital, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$7M
Vital Link, Inc.	AR	Ambulance	$1.5M	$4.4M
White River Area Agency On Aging,inc.	AR	Durable Medical Equipment & Medical Supplies	$0	$5.5M
Tooth Be Told Pediatric Dentistry	AR	Pediatric Dentistry	$0	$4.1M
Pediatric Therapy, Inc.	AR	Occupational Therapist	$0	$3.7M
Preferred Family Healthcare Inc	AR	Community/Behavioral Health Agency	$0	$2.8M

White River Health System, Inc. — 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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