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.

Boston Mountain Rural Health Center, Inc (NPI 1174857825)

Field	Value
Entity Type	Organization
Organization	Boston Mountain Rural Health Center, Inc
Address	1103 West Main St
City	Green Forest
State	AR
ZIP	72638
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 29, 2009

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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	5,990	$190	$1.1M
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	400	$80	$30.6K
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…	190	$60	$10.7K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	400	$20	$8.3K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	710	$10	$7.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	40	$40	$1.7K
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…	30	$50	$1.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	30	$40	$1.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	20	$40	$790
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…	140	$1	$560

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

Boston Mountain Rural Health Center, Inc — 0 of 11 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
T1015	Clinic visit/encounter, all-inclusive	248	530	4,960	$70	$2.6M
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…	1,225	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…	217	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.	249	280	190	$50	$48.9K
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…	112	210	250	$50	$39.8K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	72	120	740	$20	$29K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	190	270	110	$50	$28.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	301	360	240	$30	$27.7K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	37	110	170	$40	$22K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	257	430	60	$10	$14.5K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Boston Mountain Rural Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boston Mountain Rural Health Center Inc	AR	Federally Qualified Health Center (FQHC)	$0	$5.3M
Boston Mountain Rural Health Center Inc	AR	Federally Qualified Health Center (FQHC)	$0	$4.5M
Boston Mountain Rural Health Center, Inc	AR	Federally Qualified Health Center (FQHC)	$0	$1.9M
Boston Mountain Rural Health Center Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$1.7M
Boston Mountain Rural Health Center Inc	AR	Federally Qualified Health Center (FQHC)	$0	$1.7M
Sabrina Daniel	AR	Family Nurse Practitioner	$80.4K	$0
Victoria Jones	AR	Family Nurse Practitioner	$75.5K	$0
Andrew Cole	AR	Obstetrics & Gynecology Physician	$16.6K	$0

Boston Mountain Rural Health Center, Inc — Billing Profile & Reimbursement Data

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Boston Mountain Rural Health Center, 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

Related Providers

Frequently Asked Questions

References