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.

The P.a.t. (people Advocating Transition) Center (NPI 1144404799)

Field	Value
Entity Type	Organization
Organization	The P.a.t. (people Advocating Transition) Center
Address	620 South Laurel Street
City	Pine Bluff
State	AR
ZIP	71601
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 18, 2007

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

Key Findings

THE P.A.T. (PEOPLE ADVOCATING TRANSITION) CENTER is effectively a Medicaid-focused provider: there is no Medicare billing on file while Medicaid revenue totals $24.1M, so the organization operates as a single-payer (Medicaid) billing entity at scale in Arkansas. This payer concentration means Medicaid reimbursement patterns will drive the provider’s financial profile and competitive positioning.

Revenue is highly concentrated in a very small set of codes: the top three Medicaid codes (H2019, H2015, 90837) account for 83.3% of this provider's total Medicaid revenue, with H2019 generating $10.4M (43.0%), H2015 generating $4.9M (20.2%), and 90837 generating $4.8M (20.1%). Those three codes also show very large claim volumes (123.4K, 65K, and 54.9K claims respectively) and moderate average paid/claim levels ($84, $75, and $88), indicating the business depends on high-volume, time- or session-based reimbursement.

The code mix points to a community behavioral health and intensive outpatient model: large volumes of H2019 (Therapeutic behavioral services, per 15 minutes) and H2015 (Comprehensive community support services, per 15 minutes) alongside high-volume 90837 (long psychotherapy sessions) indicate the provider delivers time-based therapeutic and community support services rather than fee-for-service procedural care. This pattern suggests staffing and scheduling optimized for high-frequency, session-length encounters and community-based interventions.

THE P.A.T. CENTER is a dominant statewide player for several Medicaid behavioral-health codes. H2019 ranks #3 of 170 providers in-state (99th percentile; extreme outlier) and H2015 ranks #2 of 153 providers in-state (99th percentile; extreme outlier), while 90837 ranks #14 of 434 providers in-state (97th percentile; notably above typical state volume). Those rankings place the provider among the leading in-state suppliers for intensive behavioral and community support services.

Beyond the top three, several additional codes show outsized statewide standing, indicating service breadth within behavioral health: 90846 (family therapy without patient) has 23.2K claims and $1.6M revenue and ranks #1 of 115 providers in-state (100th percentile; extreme outlier), 90887 ranks #1 of 132 providers in-state (100th percentile; extreme outlier) with 6.9K claims and $295.7K revenue, and S0220 ranks #3 of 108 providers in-state (98th percentile; notably above typical state volume) with 2.4K claims and $111.2K revenue. These patterns show capacity for family-focused services, family education/interpretation, and interdisciplinary conferences in addition to individual therapy.

Operationally, the provider’s billing profile is characterized by very large claim counts in short-interval, time-based codes (e.g., 123.4K claims for H2019 and 65K claims for H2015), paired with average paid/claim amounts in the tens of dollars. That combination implies a high-throughput, labor- and time-intensive delivery model where reimbursement depends on sustained per-session volume rather than high unit prices.

The organization has an established presence in Arkansas: the NPI was enumerated on 2007-12-18 (~19 years ago), indicating nearly two decades of operation under this billing NPI. This tenure, combined with top state rankings on several behavioral-health codes, suggests an entrenched provider role in Pine Bluff and the surrounding service area.

Because Medicaid accounts for all reported revenue and the top three codes make up 83.3% of Medicaid revenue, THE P.A.T. CENTER has concentrated exposure to state Medicaid policy and rate changes affecting H2019, H2015, and 90837. Any material reimbursement or coverage changes for those time-based behavioral and psychotherapy codes could disproportionately affect the provider’s revenue profile given its current code concentration.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	123,440	$80	$10.4M
H2015	Comprehensive community support services, per 15 minutes	64,980	$80	$4.9M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	54,940	$90	$4.8M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	23,170	$70	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	8,850	$70	$593.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	5,790	$80	$434K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	6,880	$40	$295.7K
90885	The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.	3,600	$80	$270K
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…	3,230	$60	$206.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,870	$90	$158.7K

Showing 1–10 of 19

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

The P.a.t. (people Advocating Transition) Center — 8 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	3	170	2,430	$80	$1.1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	14	430	760	$80	$675.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	104	130	2,210	$40	$529K
H2015	Comprehensive community support services, per 15 minutes	2	150	1,770	$70	$390.2K
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…	72	180	1,430	$40	$263.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	10	140	1,180	$90	$238.7K
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…	297	1,520	550	$40	$128.7K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	1	120	390	$70	$97.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	150	230	480	$60	$94.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	26	170	300	$100	$94.6K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as The P.a.t. (people Advocating Transition) Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Ambulance Service, Inc.	AR	Paramedic	$2.1M	$8.8M
Jefferson Comprehensive Care System, Inc	AR	Federally Qualified Health Center (FQHC)	$0	$4.8M
Area Agency On Aging Of Southeast Arkansas Inc	AR	Home Health Agency	$0	$1.6M

The P.a.t. (people Advocating Transition) Center — Billing Profile & Reimbursement Data

Sign up for The P.a.t. (people Advocating Transition) Center — Billing Profile & Reimbursement Data policy alerts

The P.a.t. (people Advocating Transition) Center — Billing Profile & Reimbursement Data

Sign up for The P.a.t. (people Advocating Transition) Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References