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.

Mercy Health Northwest Arkansas Communities (NPI 1265490916)

Mercy Health Northwest Arkansas Communities is a multi-specialty clinic/center provider located in Rogers, Arkansas. This profile covers 0 Medicare and 115 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Mercy Health Northwest Arkansas Communities
Address	2710 S Rife Medical Ln
City	Rogers
State	AR
ZIP	72758
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 3, 2006

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

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

115 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	109,090	$30	$2.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	52,890	$50	$2.4M
99391	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…	17,180	$50	$893.6K
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…	9,350	$50	$467.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	21,530	$10	$172.2K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	1,080	$120	$132.2K
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…	9,680	$10	$116.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,150	$50	$107.3K
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…	2,160	$50	$103.6K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	11,270	$10	$101.4K

Showing 1–10 of 115

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

Mercy Health Northwest Arkansas Communities — 12 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

115 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0241U	N/A	26	40	1,640	$120	$370.5K
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…	39	100	1,230	$80	$201.3K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	37	50	260	$90	$137.8K
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.	73	80	300	$190	$134K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	129	200	1,600	$20	$129.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	7	1,520	550	$40	$128.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	123	180	320	$40	$121.7K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	3	10	730	$170	$117.6K
99391	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…	3	210	500	$50	$106.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	31	60	460	$30	$95.9K

Showing 1–10 of 115

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Rogers	AR	General Acute Care Hospital	$0	$14.2M
Walton Toy	AR	Rheumatology Physician	$592.6K	$0
Amr El-shafei	AR	Cardiovascular Disease Physician	$451.1K	$0
Vikas Sayal	AZ	Pulmonary Disease Physician	$442.1K	$1.3K
Roy Sampson	AR	Rheumatology Physician	$378.7K	$0
Ron Schechter	AR	Orthopaedic Surgery Physician	$270K	$0
Lance Weathers	AR	Cardiovascular Disease Physician	$219.9K	$0
Orlando Aguilar-guzman	AR	Urology Physician	$216.8K	$0
Cara Riley	AR	Internal Medicine Physician	$216.1K	$0
David Estes	AR	Internal Medicine Physician	$207K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Schaefer	AR	Hematology & Oncology Physician	$3.6M	$0
St. Francis House Nwa, Inc.	AR	Dental Clinic/Center	$0	$2.9M
Daniel Bradford	AR	Hematology & Oncology Physician	$2.8M	$0
Northwest Arkansas Pediatric Dental Center	AR	Pediatric Dentistry	$0	$2.5M
Brian T Hyatt Md LLC	AR	Psychiatry Physician	$0	$2.1M
Mercy Hospital Rogers	AR	Home Health Agency	$0	$1.8M
Harvey Pediatrics. PLLC	AR	Pediatrics Physician	$0	$1.8M
Precision Surgical Center Of Northwest Arkansas, LLC	AR	Ambulatory Surgical Clinic/Center	$1.8M	$0
Michael Garone	AR	Dermatology Physician	$1.2M	$0
Christopher Stout	AR	Vascular Surgery Physician	$908.2K	$260

Mercy Health Northwest Arkansas Communities — Billing Profile & Reimbursement Data

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Mercy Health Northwest Arkansas Communities — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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