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    OpenPayerNPI Medicare & MedicaidSt Bernards Physician Clinics Inc
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    St Bernards Physician Clinics Inc — Billing Profile & Reimbursement Data

    NPI 1275204307 · Jonesboro, AR · Primary Care Clinic/Center

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    St Bernards Physician Clinics Inc is a primary care clinic/center provider located in Jonesboro, Arkansas. This profile covers 0 Medicare and 60 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSt Bernards Physician Clinics Inc
    Address415 E Matthews Ave
    CityJonesboro
    StateAR
    ZIP72401
    TaxonomyPrimary Care Clinic/Center
    NPI EnumeratedSeptember 28, 2021

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

    Payer SourceTotal Paid
    Medicaid$2.5M
    Medicare$0

    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.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…24,140$60$1.4M
    99213The 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…14,970$30$449.2K
    87428The 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…5,480$30$169.7K
    0240UN/A990$90$91.8K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.7,760$10$77.6K
    0241UN/A940$70$69.3K
    99204The provider sees a new 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 provider…1,210$50$64K
    87426The 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,…1,170$30$29.3K
    99392Preventive 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…650$40$26K
    99203The provider sees a new 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 provider…700$30$20.2K

    Showing 1–10 of 60

    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

    60 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive3725304,960$70$2.6M
    0241UN/A22401,640$120$370.5K
    80053The 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.1902001,600$20$129.3K
    99214The 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…311,520550$40$128.7K
    99391Preventive 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…139210500$50$106.5K
    99213The 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…731,740550$30$88.8K
    99392Preventive 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…106250460$50$86.1K
    0240UN/A310270$110$67.8K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.95280190$50$48.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…231330680$10$48.3K

    Showing 1–10 of 60

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with St Bernards Physician Clinics Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Devi NairARClinical Cardiac Electrophysiology Physician$687K$0
    Colton NielsonARMOHS-Micrographic Surgery Physician$528.3K$0
    Rachel NelsonTNDiagnostic Radiology Physician$383.2K$0
    Ben OwensARInternal Medicine Physician$329.1K$0
    Andrew SelzmanTXUrology Physician$291.6K$0
    Travis PetreeNDDiagnostic Radiology Physician$275.7K$0
    Ted ShieldsARInterventional Pain Medicine Physician$271.5K$0
    Ezekiel ShottsARDiagnostic Radiology Physician$208.5K$34.1K
    Mohammed AlhajjiARNephrology Physician$230.5K$0
    Clinton EdwardsARNephrology Physician$228.7K$0

    Nearby Providers

    Other providers in the same ZIP code as St Bernards Physician Clinics Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Focus, IncARDevelopmentally Disabled Services Day Training Agency$0$41.3M
    St Bernards Hospital IncARGeneral Acute Care Hospital$0$35.4M
    Nea Therapy Providers, LLCARPhysical Therapist$0$26.9M
    First Step Arkansas, LLCAREarly Intervention Provider Agency$0$23.8M
    Communication Made Easy IncARSpeech-Language Pathologist$0$17.8M
    Baptist Memorial Hospital-jonesboro IncARGeneral Acute Care Hospital$0$17M
    The Logan Centers, Inc.ARMental Health Clinic/Center (Including Community Mental Health Center)$0$16.5M
    Arisa Health, Inc.ARCommunity/Behavioral Health Agency$0$15.6M
    Kidsplace Learning Center Dba KidspotARSpeech-Language Pathologist$0$14.1M
    Miracle Kids Success Academy NorthARRehabilitation Clinic/Center$0$14M

    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
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    St Bernards Physician Clinics Inc — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas