Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSevier County Developmental Center, Inc.
    Ask Trek AI about this page

    Sevier County Developmental Center, Inc. — Billing Profile & Reimbursement Data

    NPI 1255455010 · De Queen, AR · Developmental Disabilities Clinic/Center

    Customize your policy alerts

    Sign up for Sevier County Developmental Center, Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Sevier County Developmental Center, Inc. is a developmental disabilities clinic/center provider located in De Queen, Arkansas. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSevier County Developmental Center, Inc.
    Address161 Highway 399
    CityDe Queen
    StateAR
    ZIP71832
    TaxonomyDevelopmental Disabilities Clinic/Center
    NPI EnumeratedMarch 19, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$17M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: there is no Medicare billing on file and all reported claims are Medicaid-based, with total Medicaid revenue of $17M. The absence of Medicare activity means Medicaid policy, reimbursement rates, and waiver programs will drive revenue and utilization trends for this entity.

    Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 91.0% of the provider’s total Medicaid revenue, indicating tight dependence on a few program lines for the majority of income. High concentration suggests that changes to reimbursement or eligibility for these specific codes would materially affect overall revenue.

    H2016 (Comprehensive community support services, per diem) is the single largest revenue driver with $9.1M in revenue (53.3% of the provider’s Medicaid revenue) and 32.4K claims; the provider ranks #17 of 62 in-state (74th percentile) for this code and the volume is described as typical and unremarkable. This mix indicates the organization operates substantial community support programming on a per‑diem basis, positioning it as a meaningful regional provider of comprehensive community support rather than an outlier operator.

    T1015 (Clinic visit/encounter, all-inclusive) is the second largest contributor with $5.5M (32.4% of Medicaid revenue) across 90.4K claims, where the provider ranks #53 of 532 in-state (90th percentile) and the activity is also labeled typical and unremarkable. The high claim count and strong percentile standing for T1015 point to a high-volume clinic encounter workflow and suggest the organization functions as a busy ambulatory/clinic hub for its Medicaid population.

    92507 (direct, individual treatment for communication/hearing difficulties) contributes $906.2K (5.3% of Medicaid revenue) across 19.7K claims and ranks #104 of 567 in-state (82nd percentile) with typical, unremarkable volume. This indicates a substantial speech/language therapy component to their service mix, consistent with a developmental disabilities clinic that delivers both community support and specialized therapy.

    Beyond the top three codes, billing is skewed toward therapy and support services (examples include 97530 therapeutic activities with $844.3K, A0120 non‑emergency transportation with $400.2K, and 97110 therapeutic exercise with $263.2K), but each of these contributes a much smaller share individually. The presence of transportation and multiple therapy codes implies integrated service delivery (therapy plus logistical support) for a developmental/disability population, while the dollar concentration remains focused on the three leading codes.

    Competitive standing is mixed by code: the provider’s H2016 ranking (#17/62, 74th percentile) signals an above‑median but not dominant position among community support providers in-state, while the T1015 ranking (#53/532, 90th percentile) shows a stronger competitive footprint in clinic encounters relative to a large statewide cohort. Across its top codes the provider is a meaningful regional participant—particularly for clinic visit volume—but not a statewide dominator across every service line.

    The provider has been enumerated since 2007‑03‑19 (~19 years ago), which indicates long tenure in the market. Combined with the concentrated Medicaid revenue base and substantial claim volumes for H2016 and T1015, this longevity suggests an established operational model focused on Medicaid-funded community supports and clinic-based encounters rather than on Medicare or commercial lines.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem32,450$280$9.1M
    T1015Clinic visit/encounter, all-inclusive90,370$60$5.5M
    92507The 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…19,700$50$906.2K
    97530The 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.18,350$50$844.3K
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems17,400$20$400.2K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…5,370$50$263.2K
    92508The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…330$10$3.9K
    T2025Waiver services; not otherwise specified (nos)30$140$3.5K
    T1027Family training and counseling for child development, per 15 minutes320$10$2.2K
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.180$10$2.1K

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arkansas median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2025Waiver services; not otherwise specified (nos)1210110$150$12.4M
    H2016Comprehensive community support services, per diem17604,560$230$10.7M
    T1015Clinic visit/encounter, all-inclusive535304,960$70$2.6M
    92507The 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…1045702,470$70$801.4K
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems3810010,500$40$791K
    97530The 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.1055803,620$60$712.7K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…2025003,410$60$523.5K
    T1027Family training and counseling for child development, per 15 minutes3990250$40$51.2K
    92508The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…1852401,910$10$49.3K
    92523A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.10211040$100$32.6K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Sevier County Developmental Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Smiles Of Arkansas Dental Center, PLLCARGeneral Practice Dentistry$0$5.9M
    Randy D. Walker, M.d., P.L.L.C.ARFamily Medicine Physician$0$2.5M
    Healthy Connections IncARFederally Qualified Health Center (FQHC)$0$2.3M
    Lansdell Family Clinic PLLCARFamily Nurse Practitioner$0$1.9M
    Air Evac Ems Inc.ARAir Ambulance$958.4K$637.2K
    Randy WalkerARFamily Medicine Physician$338K$175.8K
    De Queen Health And Wellness Pharmacy LLCARCommunity/Retail Pharmacy$87.8K$70.9K
    Tammerah CopelandARClinical Social Worker$46.4K$0
    Susan WingoARFamily Medicine Physician$12.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arkansas Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Sevier County Developmental Center, Inc. — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas