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.

Advantages Of Southeast Arkansas, Inc. (NPI 1134347818)

Field	Value
Entity Type	Organization
Organization	Advantages Of Southeast Arkansas, Inc.
Address	168 W College Ave
City	Monticello
State	AR
ZIP	71655
Taxonomy	Case Management Agency
NPI Enumerated	April 20, 2007

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

Key Findings

ADVANTAGES OF SOUTHEAST ARKANSAS, INC. is effectively a Medicaid-focused operation: there is no Medicare billing on file and the provider reports $26.4M in lifetime Medicaid revenue, indicating a single-payer footprint concentrated on state Medicaid business rather than dual Medicare/Medicaid billing. This concentration shapes the revenue and service mix reported here and suggests contracting and utilization will be driven by Medicaid program rules and populations.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 85.5% of this provider's total Medicaid revenue, with T1015 alone contributing $16.6M (62.9% of Medicaid revenue). This means a small set of service lines — primarily those represented by the top codes — drive the bulk of the organization’s financial performance.

The dominant code T1015 (72K claims, $231 avg paid/claim, $16.6M revenue) positions the provider primarily as a clinic/encounter-focused organization offering all-inclusive visits. That code's scale implies day-to-day operations are organized around frequent clinic encounters or bundled clinic visits rather than episodic high-cost procedures. Although T1015 ranks #65 of 532 in-state (88th percentile), it is described as a typical, unremarkable volume for this code, suggesting the provider’s T1015 activity is large but within normal bounds for clinics in Arkansas.

Complementary service lines reflect community and support services: H2016 (3.3K claims, $1186 avg paid/claim, $3.9M revenue) indicates a material focus on comprehensive community support services delivered per diem, while A0120 (20.8K claims, $98 avg paid/claim, $2M revenue) shows substantial investment in non-emergency transportation. These codes together with T1015 (the top three) account for the majority of revenue and imply integrated service delivery that includes clinic encounters, community support, and transportation for beneficiaries.

Competitive standing across top Medicaid codes is mixed and generally described as typical: T1015 sits in the 88th percentile statewide, 92507 is at the 90th percentile (31.4K claims, $52 avg paid/claim, $1.6M revenue), and A0120 is in the 72th percentile, but the dataset repeatedly characterizes these volumes as "typical, unremarkable volume." That indicates the provider is an established participant with above-median activity on several codes but not framed as an outlier or a dominant statewide leader.

Service mix suggests a strong emphasis on rehabilitation and therapy services in addition to clinic and community supports: high claim counts for 92507 (31.4K claims) and 97530 (21.2K claims, $49 avg paid/claim, $1M revenue) indicate substantial speech-language pathology and therapeutic activity, while codes such as 97110 (18.9K claims, $965.9K revenue) and several PT/OT evaluation codes show a multi-disciplinary therapy footprint. This pattern aligns with a case management agency offering bundled clinic visits alongside allied therapy and support services.

Tenure is long enough to suggest market entrenchment: the NPI was enumerated on 2007-04-20 (~19 years ago), which supports the observed scale and breadth of Medicaid billing and implies established referral and payer relationships within Arkansas. Longevity combined with concentrated Medicaid revenue suggests operational stability in the Medicaid market.

Despite high absolute volumes on several codes, the reporting consistently labels activity as typical rather than exceptional, and some top codes (for example H2016 at the 44th percentile statewide) show only moderate penetration versus peers. For payers and network managers this profile signals a reliable, Medicaid-centric provider with predictable, high-volume clinic and therapy services rather than an anomalous outlier that would require special investigation or contract structuring.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	71,970	$230	$16.6M
H2016	Comprehensive community support services, per diem	3,320	$1,190	$3.9M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	20,790	$100	$2M
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…	31,400	$50	$1.6M
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.	21,240	$50	$1M
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…	18,940	$50	$965.9K
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…	760	$100	$78.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	550	$100	$52.6K
97003	N/A	300	$60	$16.8K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	210	$70	$14.8K

Showing 1–10 of 14

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

Advantages Of Southeast Arkansas, Inc. — 0 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	35	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	65	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…	57	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	30	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.	96	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…	69	500	3,410	$60	$523.5K
T1027	Family training and counseling for child development, per 15 minutes	28	90	250	$40	$51.2K
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…	12	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.	17	110	40	$100	$32.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	8	70	90	$40	$30.1K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Advantages Of Southeast Arkansas, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Delta Counseling Associates Inc	AR	Community/Behavioral Health Agency	$0	$15M
Living Hope Southeast, LLC	AR	Mental Health Counselor	$0	$13.2M
Bhc Pinnacle Pointe Healthcare	AR	Adolescent and Children Mental Health Clinic/Center	$0	$10M
Mainline Health Systems Inc	AR	Federally Qualified Health Center (FQHC)	$0	$4.8M
Odyssey Healthcare Operating A, LP	AR	Home Health Agency	$0	$4M
Drew Memorial Hospital, Inc.	AR	General Acute Care Hospital	$0	$3.8M
Monticello Medical Clinic Plc	AR	Clinic/Center	$0	$2.3M
Monticello Ambulance Service Inc.	AR	Land Ambulance	$321.1K	$577.4K
Southeast Emergency Medical Service, Inc	AR	Ambulance	$286K	$520.6K
Scott Claycomb	AR	Ophthalmology Physician	$786.7K	$0

Advantages Of Southeast Arkansas, Inc. — Billing Profile & Reimbursement Data

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Advantages Of Southeast Arkansas, 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