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.

Arisa Health, Inc. (NPI 1306532767)

Field	Value
Entity Type	Organization
Organization	Arisa Health, Inc.
Address	3700 Access Rd
City	Jonesboro
State	AR
ZIP	72401
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 17, 2023

Payer Source	Total Paid
Medicaid	$15.6M
Medicare	$0

Key Findings

ARISA HEALTH, INC. bills exclusively to Medicaid in the dataset: there is no Medicare billing on file and total reported Medicaid revenue is $15.6M, so the provider functions effectively as a Medicaid-focused organization rather than a mixed Medicare/Medicaid practice. This single-payer concentration should frame any competitive or utilization comparisons.

Revenue is extremely concentrated in a single service line: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and H0019 alone represents $15.4M (98.7% of the provider's Medicaid revenue). That level of concentration indicates that per-diem residential billing is the dominant revenue driver for the organization.

The code mix and descriptions point to a residential behavioral health operation as the core business. H0019 (long-term residential, per diem) dominates volumes and revenue, implying the provider operates a non-medical, non-acute residential treatment program with extended stays rather than an outpatient clinic model.

Smaller revenue streams come from rehabilitation and group therapy: H2017 (psychosocial rehabilitation, per 15 minutes) generated $149.6K (1.0% of Medicaid revenue) and 90853 (group psychotherapy) generated $51.2K (0.3% of Medicaid revenue). These codes likely reflect programmatic supports and therapy groups provided within the residential program rather than standalone outpatient services.

Competitive standing for the top code is above median but not dominant statewide: H0019 ranks #10 of 39 providers in-state (76th percentile) and is described as having typical, unremarkable volume for that code. The follow-on codes also sit in mid-level state rank bands (H2017: #51 of 128, 61th percentile; 90853: #69 of 181, 62th percentile) and are similarly characterized as typical, unremarkable volume, indicating ARISA is a meaningful regional participant but not a statewide leader.

Clinical/service-line gaps are apparent in office-based and individual psychotherapy billing: 90837, 99214, and 90832 each appear at negligible revenue levels (90837 $4K, 99214 $1.9K, 90832 $238) and occupy low state percentiles (90837 18th percentile; 99214 10th percentile; 90832 4th percentile) with volumes labeled typical, unremarkable. This pattern reinforces that the organization is oriented toward residential per-diem care rather than outpatient evaluation/management or individual psychotherapy.

The provider's NPI was enumerated on 2023-04-17 (~3 years ago), indicating relatively recent entry into the billing environment. Given the short tenure, the concentrated reliance on H0019 could reflect an initial operational footprint focused on long-term residential services with limited diversification to date.

The business is operationally exposed to payment or policy changes affecting long-term residential per-diem billing: with H0019 accounting for $15.4M and 98.7% of Medicaid revenue and the top 3 codes totaling 100.0% of Medicaid revenue, any shifts in reimbursement, eligibility, or utilization for residential services would materially affect overall revenue. Monitoring state Medicaid edits and per-diem rate changes for H0019 should be a priority for payers and analysts.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	33,430	$460	$15.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	3,740	$40	$149.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	3,010	$20	$51.2K
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…	90	$40	$4K
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…	30	$70	$1.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	$10	$240

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

Arisa Health, Inc. — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	10	40	14,300	$260	$4.8M
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…	353	430	760	$80	$675.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	51	130	2,210	$40	$529K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	69	180	1,430	$40	$263.8K
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…	1,369	1,520	550	$40	$128.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	224	230	470	$40	$67.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Arisa Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arisa Health, Inc.	AR	Community/Behavioral Health Agency	$0	$14.9M
Tammy Berke	AR	Clinical Psychologist	$105.7K	$0
Mark Baltz	AR	Psychiatry Physician	$47.7K	$0
Cathy Boyd	AR	Clinical Social Worker	$43.6K	$0
Donna Rocha	AR	Psychiatry Physician	$41.1K	$0
Whitney Reed	AR	Psychiatric/Mental Health Nurse Practitioner	$21K	$0
Ashlie Williams	AR	Clinical Psychologist	$17.9K	$0
Mary Wegner	AR	Psychiatry Physician	$17.6K	$0
Darice Barber	AR	Psychiatric/Mental Health Nurse Practitioner	$16.8K	$0
Jennie Anderson	AR	Psychiatric/Mental Health Nurse Practitioner	$14.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Focus, Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$41.3M
St Bernards Hospital Inc	AR	General Acute Care Hospital	$0	$35.4M
Nea Therapy Providers, LLC	AR	Physical Therapist	$0	$26.9M
First Step Arkansas, LLC	AR	Early Intervention Provider Agency	$0	$23.8M
Communication Made Easy Inc	AR	Speech-Language Pathologist	$0	$17.8M
Baptist Memorial Hospital-jonesboro Inc	AR	General Acute Care Hospital	$0	$17M
The Logan Centers, Inc.	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.5M
Kidsplace Learning Center Dba Kidspot	AR	Speech-Language Pathologist	$0	$14.1M
Miracle Kids Success Academy North	AR	Rehabilitation Clinic/Center	$0	$14M
Delta Medical Group Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$13.4M

Arisa Health, Inc. — Billing Profile & Reimbursement Data

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Arisa Health, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References