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.

Bost, Inc. (NPI 1275643355)

Field	Value
Entity Type	Organization
Organization	Bost, Inc.
Address	7701 S Zero St
City	Fort Smith
State	AR
ZIP	72903
Taxonomy	Counselor
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$25.9M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file while lifetime Medicaid revenue is listed as $25.9M, so all measurable fee‑for‑service activity in the data is driven by Medicaid. The absence of Medicare activity means any competitive analysis should be framed against in‑state Medicaid peers rather than national Medicare benchmarks.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 81.7% of this provider’s total Medicaid revenue, with T1015 alone representing $17.2M (66.2% of Medicaid revenue). That concentration indicates the provider’s financial performance is heavily dependent on a single encounter-level clinic visit code.

The code mix indicates an integrated behavioral health and rehabilitative clinic model with ancillary transportation: the top codes include T1015 (clinic visit/encounter), 97530 (therapeutic activities), 92507 (speech/communication therapy), 97110 (therapeutic exercise) and A0120 (non‑emergency transportation). High volumes across both therapy and counseling codes, plus 66.7K claims for A0120 ($1.5M), suggest the operation bundles outpatient clinical encounters with therapy services and transport support rather than offering a narrow single service.

Competitive standing for the dominant clinic encounter is strong: T1015 shows 291K claims, $59 avg paid/claim and $17.2M revenue, and the provider ranks #11 of 532 in‑state (98th percentile) — described as notably above typical state volume. This places the provider among the leading in‑state deliverers of clinic visit/encounter services and explains much of its Medicaid revenue concentration.

Other high‑volume therapy codes show elevated but generally not exceptional statewide positioning: 97530 (45.6K claims, $2.1M; rank #35 of 581, 94th percentile) and 92507 (42.3K claims, $1.9M; rank #37 of 567, 94th percentile) are described as typical, unremarkable volumes despite their revenue contributions. By contrast 97110 ($1.8M, rank #17 of 499, 97th percentile) is another code where the provider is notably above typical state volume, reinforcing a substantial role in therapeutic exercise services.

There is limited engagement in certain specialized community support lines: H2016 (per‑diem comprehensive community support) generated $189.7K but ranks #60 of 62 in‑state (3rd percentile), indicating only a minimal footprint in that per‑diem program; H0004 behavioral health counseling produced $306.3K and sits nearer the middle of participating providers (rank #28 of 142, 81st percentile). These contrasts show the provider concentrates on high‑volume outpatient encounters and therapy rather than broad participation across all community support programs.

The provider has an established market presence: the NPI was enumerated on 2006‑08‑30 (~20 years ago), which supports interpreting these volumes as the output of a long‑standing operation rather than a recent entrant. Tenure combined with the high rank in T1015 suggests entrenched referral or authorization pathways for clinic encounters.

Given the extreme concentration in T1015 (66.2% of Medicaid revenue) and an overall top‑three share of 81.7%, the provider is exposed to reimbursement or policy changes that affect encounter‑level billing or clinic visit definitions under Medicaid. Analysts monitoring this entity should prioritize tracking policy shifts, authorization practices, and utilization trends for T1015 and adjacent high‑volume therapy codes to assess revenue risk and operational resilience.

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	290,970	$60	$17.2M
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.	45,620	$50	$2.1M
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…	42,270	$50	$1.9M
97110	Therapeutic 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…	43,860	$40	$1.8M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	66,680	$20	$1.5M
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…	13,120	$30	$406.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,880	$80	$306.3K
H2016	Comprehensive community support services, per diem	80	$2,310	$189.7K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	1,170	$80	$87.5K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	930	$70	$64.9K

Showing 1–10 of 33

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

Bost, Inc. — 3 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	60	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	11	530	4,960	$70	$2.6M
H2019	Therapeutic behavioral services, per 15 minutes	95	170	2,430	$80	$1.1M
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…	37	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	6	100	10,500	$40	$791K
T2028	Specialized supply, not otherwise specified, waiver	4	10	390	$240	$751.5K
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.	35	580	3,620	$60	$712.7K
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…	64	430	760	$80	$675.9K
97110	Therapeutic 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…	17	500	3,410	$60	$523.5K
H2015	Comprehensive community support services, per 15 minutes	105	150	1,770	$70	$390.2K

Showing 1–10 of 33

Nearby Providers

Other providers in the same ZIP code as Bost, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Gregory Kistler Treatment Center, Inc.	AR	Voluntary or Charitable Agency	$0	$28.3M
Mercy Clinic Fort Smith Communities	AR	Multi-Specialty Clinic/Center	$0	$24.1M
Mercy Hospital Fort Smith	AR	General Acute Care Hospital	$0	$22.5M
Western Arkansas Counseling & Guidance Center, Inc	AR	Community/Behavioral Health Agency	$0	$21.3M
Arkansas Family Supports, Inc.	AR	In Home Supportive Care Agency	$0	$15.6M
Kids Unlimited Learning Academy Of Ft. Smith	AR	Rehabilitation Clinic/Center	$0	$10.5M
1 Of A Kind In Home Care And Medical Services LLC	AR	In Home Supportive Care Agency	$0	$7M
The Gregory Kistler Treatment Center, Inc.	AR	Voluntary or Charitable Agency	$0	$6.5M
Little Hands At Play Therapy, LLC	AR	Pediatric Occupational Therapist	$0	$4.9M
The Guidance Center - Crisis Stabilization Unit	AR	Community/Behavioral Health Agency	$0	$4.5M

Bost, Inc. — 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

Nearby Providers

Frequently Asked Questions

References