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 Childrens Hospital (NPI 1194776757)

Field	Value
Entity Type	Organization
Organization	Arkansas Childrens Hospital
Address	1 Childrens Way
City	Little Rock
State	AR
ZIP	72202
Taxonomy	Children's Hospital
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$154.7M
Medicare	$0

Key Findings

ARKANSAS CHILDRENS HOSPITAL is effectively a Medicaid-focused provider with no Medicare billing on file; its lifetime Medicaid revenue totals $154.7M and there is no recorded Medicare revenue, indicating a single-payer concentration in Medicaid for the population it serves. This payer mix implies the hospital’s operations and revenue depend heavily on pediatric Medicaid volumes rather than Medicare patients.

Revenue concentration in Medicaid is material: the precomputed top 3 Medicaid codes by revenue account for 36.3% of the provider’s total Medicaid revenue. That concentration signals reliance on a relatively small set of high-revenue services and test procedures to generate a large share of overall Medicaid receipts.

The code T1015 (Clinic visit/encounter, all-inclusive) generated $13.1M and represents 15.2% of Medicaid revenue; ARKANSAS CHILDRENS HOSPITAL ranks #3 of 532 in-state and is flagged as an extreme outlier. High-volume clinic encounters combined with the extreme outlier status suggest this hospital operates a very large ambulatory pediatric clinic network or central outpatient hub relative to other state providers.

Several high-revenue procedure and testing codes show the hospital is a statewide center for advanced pediatric imaging and specialty therapeutic infusions: 70551 (MRI brain, $5.5M, ranks #1) and 70553 (MRI brain with and without contrast, $2.6M, ranks #2) are both in the top codes; J0585 (onabotulinumtoxina, $10.7M, ranks #1) and J1745 (infliximab, $5.7M, ranks #1) indicate significant infusion and specialty drug administration activity. Together these codes point to substantial in-house radiology and infusion services supporting complex pediatric care.

The hospital is an extreme statewide outlier on many high-volume laboratory and infectious disease testing codes: U0002 ($4.7M, ranks #1), 0241U ($4.4M, ranks #1), 87633 ($7.4M, ranks #2), 87798 ($2.3M, ranks #2), 87651 ($1.6M, ranks #1), 87486 ($1.3M, ranks #2) and 87581 ($1.3M, ranks #2). These patterns indicate a large centralized lab performing high volumes of respiratory and pathogen panels, consistent with a tertiary pediatric center performing diagnostic testing at scale.

Procedure-level volumes further emphasize tertiary pediatric specialty services: 93306/93303 echocardiography claims ($3.6M and $2.9M respectively, both top-state ranks) and 43239 endoscopic biopsy ($2.7M, ranks #1) reflect concentrated cardiology and GI procedural capacity that place the hospital well above typical state volumes for specialized pediatric diagnostics and interventions.

Clinical procedure and inpatient-related activity is also visible in surgical and inpatient operation codes such as 42820 (tonsillectomy/adenoidectomy in young children, $1.7M, ranks #1) and 95716 (extended EEG monitoring, $1.5M, sole provider), suggesting the hospital manages significant pediatric surgical and complex inpatient neurology cases not widely performed by peers.

Tenure and market position: the NPI was enumerated on 2006-05-16 (approximately 20 years ago), indicating long-standing operation in the state. Combined with numerous #1 rankings and multiple extreme outlier flags across major Medicaid codes, the hospital functions as a dominant pediatric referral and service hub within Arkansas.

Medicaid: Complete Services Breakdown

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

630 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	932,660	$10	$13.1M
J0585	Injection, onabotulinumtoxina, 1 unit	4,100	$2,610	$10.7M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	28,880	$260	$7.4M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	2,530	$2,240	$5.7M
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	12,150	$450	$5.5M
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	68,440	$70	$4.7M
0241U	N/A	29,480	$150	$4.4M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	11,820	$300	$3.6M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	18,900	$150	$2.9M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	6,540	$420	$2.7M

Showing 1–10 of 630

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 Childrens Hospital — 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

630 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1	10	1,290	$2,230	$2.9M
T1015	Clinic visit/encounter, all-inclusive	3	530	4,960	$70	$2.6M
J0585	Injection, onabotulinumtoxina, 1 unit	1	10	280	$1,420	$2.1M
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	1	10	2,010	$750	$1.5M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	2	30	290	$240	$857.7K
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…	192	570	2,470	$70	$801.4K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	1	10	2,950	$110	$730.6K
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.	284	580	3,620	$60	$712.7K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	2	10	440	$420	$698K
70543	The provider obtains multi–sequence and multi–planar images of the orbits, face, and/or neck initially without the use of contrast and then injects contrast to see additional images and diagnose…	1	10	680	$910	$618.7K

Showing 1–10 of 630

Related Providers

Other providers that share a Tax Identification Number (TIN) with Arkansas Childrens Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Arkansas For Medical Sciences	AR	General Practice Physician	$0	$55M
University Of Arkansas For Medical Sciences	AR	Pediatrics Physician	$0	$27.6M
Angel One Arkansas Children's Hospital	AR	Ambulance	$0	$20.1M
Arkansas Childrens Hospital	AR	Pediatrics Physician	$0	$6.9M
Noha Mohamed	AR	Rheumatology Physician	$3.8M	$0
Arkansas Childrens Hospital	AR	Dental Clinic/Center	$0	$1.3M
Donna Graham	AR	Allergy & Immunology Physician	$16.2K	$1.1M
Matthew Lindberg	AR	Anatomic Pathology Physician	$507.9K	$0
Terry Fletcher	AR	Pain Medicine (Anesthesiology) Physician	$419.5K	$0
Melissa Magill	GA	Pediatrics Physician	$0	$377.8K

Nearby Providers

Other providers in the same ZIP code as Arkansas Childrens Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Children's Medical Group PLLC	AR	Pediatrics Physician	$0	$16M
Above And Beyond Home Care Of Central Arkansas	AR	In Home Supportive Care Agency	$0	$13M
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$7.9M
Twin Rivers Respiratory Care, Inc.	AR	Oxygen Equipment & Supplies (DME)	$0	$2.1M
University Of Arkansas For Medical Sciences	AR	Child & Adolescent Psychiatry Physician	$0	$1.4M
Sc Pharmacy Group Opco LLC	AR	Community/Retail Pharmacy	$296.2K	$0
Joseph Jansen	AR	Anesthesiology Physician	$202.3K	$0
Theresa Wyrick	AR	Orthopaedic Hand Surgery Physician	$168.7K	$0
Candace Brown	AR	Nurse Practitioner	$94.7K	$0
Garrett Andrews	AR	Clinical Neuropsychologist	$55.2K	$0

Arkansas Childrens Hospital — Billing Profile & Reimbursement Data

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Arkansas Childrens Hospital — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References