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.

Arkansas Department Of Health Immunizations (NPI 1184961625)

Key Findings

Field	Value
Entity Type	Organization
Organization	Arkansas Department Of Health Immunizations
Address	4815 W Markham St
City	Little Rock
State	AR
ZIP	72205
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	January 3, 2013

Payer Source	Total Paid
Medicaid	$19.3M
Medicare	$0

This entity is effectively a single-payer Medicaid operator: there is no Medicare billing on file while lifetime Medicaid revenue totals $19.3M, indicating its operations and reimbursement are driven almost entirely by Medicaid activity. Analysts should treat Medicare-level comparisons as not applicable for this provider.

Revenue is highly concentrated in a small set of vaccine and COVID-related codes: the top three Medicaid codes (U0004, 90686, 90633) account for 41.8% of this provider’s Medicaid revenue. Those top codes break down as U0004 $4M (21.2%), 90686 $2.8M (15.2%), and 90633 $998K (5.4%), showing a small group of services drives a large share of cash flow.

The code mix is dominated by immunization products and mass vaccination activity, consistent with a public health immunizations program: 90686 shows 283.3K claims ($2.8M), 90633 shows 90.7K claims ($998K), and many other childhood and adolescent vaccine codes (90670, 90651, 90648, 90707, 90716, 90715, 90734) each report tens of thousands of claims and high in-state ranks. These volumes and the specific vaccine codes point to large-scale, routine pediatric and community immunization operations rather than episodic clinical care.

COVID diagnostic and laboratory testing appears as a material ancillary service: 87426 has 25.1K claims and $878.1K revenue, and multiplex testing 87636 and antigen/combination panels such as 87428 also appear on the list. The presence of high-volume SARS–CoV–2 testing codes alongside vaccine administration supports a combined testing-and-immunization public health workflow.

The provider is a dominant in-state vaccine supplier: multiple vaccine codes rank #1 among many in-state providers at the 100th percentile and are labeled “extreme outlier, far above typical state volume” (for example 90686 ranks #1 of 430, 90633 ranks #1 of 140, and 90670 ranks #1 of 162). This consistent top ranking across dozens of vaccine codes indicates market-leading scale in Arkansas immunization delivery.

U0004 is a particularly large single revenue driver tied to COVID response: it accounts for $4M (21.2% of Medicaid revenue), reports 68.1K claims at $58 avg paid/claim, and ranks #2 of 26 providers in-state (96th percentile; notably above typical state volume for this code). That concentration suggests pandemic-era testing/response activity has been a substantial and distinct revenue stream for the organization.

The provider’s NPI was enumerated on 2013-01-03 (~13 years ago), indicating over a decade of presence in administrative records. This tenure, combined with the concentrated immunization profile, is consistent with an established public-health immunizations function rather than a recently-created clinic.

Because Medicaid is the sole recorded payer and vaccination/testing codes dominate revenue, the provider’s financial performance is sensitive to Medicaid reimbursement policy, immunization program funding, and episodic demands such as pandemic response. Significant changes to reimbursement for high-volume codes like 90686 or U0004, or shifts in public vaccination campaigns, could materially affect reported Medicaid revenue and service volume.

Medicaid: Complete Services Breakdown

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

78 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	68,150	$60	$4M
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…	283,280	$10	$2.8M
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	90,730	$10	$998K
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…	88,560	$10	$974.1K
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,…	25,090	$40	$878.1K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	73,890	$10	$812.8K
90648	This code represents a Haemophilus influenzae type b (Hib) vaccine product administered into the muscle to protect against Hib disease. This formulation uses a PRP–T conjugate and follows a four–dose…	65,760	$10	$789.1K
90707	This code represents an MMR vaccine product administered beneath the skin to protect against measles, mumps, and rubella (German measles).	68,450	$10	$753K
90716	The provider administers a live vaccine subcutaneously to protect against varicella infection.	68,410	$10	$752.6K
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	58,850	$10	$706.2K

Showing 1–10 of 78

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

Arkansas Department Of Health Immunizations — 23 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

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	2	30	180	$40	$420.6K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	24	30	400	$40	$112.1K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	6	50	90	$100	$92.7K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	56	150	510	$50	$90.1K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	24	40	160	$90	$45.5K
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…	13	210	250	$50	$39.8K
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,…	1	360	240	$30	$27.7K
0082A	N/A	3	10	180	$80	$24.8K
0081A	N/A	3	10	100	$90	$24.4K
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…	1	160	470	$10	$21.5K

Showing 1–10 of 78

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Arkansas For Medical Sciences	AR	General Acute Care Hospital	$0	$87.2M
University Of Arkansas For Medical Sciences	AR	Internal Medicine Physician	$0	$28.6M
University Of Arkansas For Medical Sciences	AR	Pediatrics Physician	$0	$27.6M
Baptist Health	AR	General Acute Care Hospital	$0	$16.4M
Pediatrix Medical Group Of Arkansas PA	AR	Neonatal-Perinatal Medicine Physician	$0	$14.6M
Chenal Family Therapy, Plc	AR	Mental Health Counselor	$0	$12.2M
Francis A. Allen School For Exceptional Children, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$11.9M
Central Arkansas Radiation Therapy Institute Inc	AR	Hematology & Oncology Physician	$0	$11M
Central Arkansas Radiation Therapy Institute Inc	AR	Radiation Oncology Physician	$6.7M	$3.6M
St Vincent Infirmary Medical Center	AR	General Acute Care Hospital	$0	$8.3M

Arkansas Department Of Health Immunizations — Billing Profile & Reimbursement Data

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Arkansas Department Of Health Immunizations — Billing Profile & Reimbursement Data

Sign up for Arkansas Department Of Health Immunizations — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Department Of Health Family Planning Clinic	AR	Public Health or Welfare Agency	$0	$15.6M
Arkansas Department Of Health Std	AR	Public Health or Welfare Agency	$0	$8.4M
Arkansas Department Of Health Materntiy	AR	Public Health or Welfare Agency	$0	$1.8M
Jennifer Dillaha	AR	Internal Medicine Physician	$401K	$0
Naveen Patil	AR	Infectious Disease Physician	$33.4K	$0