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.

Pediatrics Plus Counseling & Diagnostics LLC (NPI 1194217703)

Field	Value
Entity Type	Organization
Organization	Pediatrics Plus Counseling & Diagnostics LLC
Address	12921 Cantrell Rd Ste 105
City	Little Rock
State	AR
ZIP	72223
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	May 31, 2018

Payer Source	Total Paid
Medicaid	$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.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	18,370	$90	$1.7M
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	710	$110	$78.4K
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…	1,330	$50	$66.5K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,460	$40	$55.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	200	$80	$16.4K
H2027	Psychoeducational service, per 15 minutes	260	$50	$13.9K
90832	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…	260	$30	$8.4K
96101	N/A	30	$150	$4.1K
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…	60	$50	$2.6K
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…	50	$40	$2K

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

Pediatrics Plus Counseling & Diagnostics LLC — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	430	760	$80	$675.9K
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…	66	230	480	$60	$94.8K
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…	141	170	390	$70	$94.3K
90832	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…	131	230	470	$40	$67.2K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	6	20	280	$100	$66.9K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	5	20	90	$50	$39.3K
H2027	Psychoeducational service, per 15 minutes	22	70	130	$80	$37.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	68	250	80	$90	$31.1K
96101	N/A	29	40	100	$80	$28.7K
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…	94	130	280	$50	$28.7K

Nearby Providers

Other providers in the same ZIP code as Pediatrics Plus Counseling & Diagnostics LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kitchens Pediatric Dentistry, PLLC	AR	Pediatric Dentistry	$0	$2.9M
Advanced Tissue, LLC	AR	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Stat Home Health - Cenark LLC	AR	Home Health Agency	$0	$2.5M
Sleep Management, L.L.C.	AR	Oxygen Equipment & Supplies (DME)	$0	$1.8M
James Eyecare Center, Inc	AR	Optometrist	$0	$1.6M
Ajay Suri Dds Ms PA	AR	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.6M
Benny Green	AR	Family Medicine Physician	$662.9K	$0
Tracy Yarbrough	AR	Nuclear Medicine Physician	$317.7K	$0
Andrea Mabry	AR	Dermatology Physician	$280.2K	$11.6K
M. Bruce Johnson	AR	Gastroenterology Physician	$253.9K	$0

Pediatrics Plus Counseling & Diagnostics LLC — Billing Profile & Reimbursement Data

Sign up for Pediatrics Plus Counseling & Diagnostics LLC — Billing Profile & Reimbursement Data policy alerts

Pediatrics Plus Counseling & Diagnostics LLC — Billing Profile & Reimbursement Data

Sign up for Pediatrics Plus Counseling & Diagnostics LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References