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NPI 1326040692 · Fort Smith, AR · Community/Behavioral Health Agency
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Western Arkansas Counseling & Guidance Center, Inc is a community/behavioral health agency provider located in Fort Smith, Arkansas. This profile covers 0 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Western Arkansas Counseling & Guidance Center, Inc |
| Address | 3111 S 70th St |
| City | Fort Smith |
| State | AR |
| ZIP | 72903 |
| Taxonomy | Community/Behavioral Health Agency |
| NPI Enumerated | June 1, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21.3M |
| Medicare | $0 |
WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC reports no Medicare billing on file and $21.3M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid)-dependent provider in scale. The absence of Medicare activity combined with a sizable Medicaid revenue base indicates the organization’s financial footprint is concentrated within state Medicaid programs rather than dual-payor care delivery.
Revenue is highly concentrated in a small set of outpatient behavioral-health codes: the top three Medicaid codes (90837, H2019, H2017) account for 66.3% of the provider’s Medicaid revenue. Individually these are 90837 ($7M, 32.9%), H2019 ($3.8M, 17.8%), and H2017 ($3.3M, 15.7%), showing that a few service lines drive the majority of receipts.
The code mix points to a service model built around high-volume psychotherapy and community-based rehabilitation: 90837 (long psychotherapy sessions), H2017 (psychosocial rehabilitation per 15 minutes), and H2019 (therapeutic behavioral services per 15 minutes) dominate revenue. Heavy use of time-based units (per 15 minutes) alongside high-volume psychotherapy suggests programmatic delivery of frequent, repeat behavioral-health interventions rather than episodic inpatient care.
Competitive standing within Arkansas is strong for multiple core services. 90837 ranks #6 of 434 providers in-state (99th percentile; extreme outlier), H2017 ranks #5 of 128 (97th percentile; notably above typical), and H2019 ranks #13 of 170 (93rd percentile; typical, unremarkable), indicating the organization is a major statewide provider for long psychotherapy and psychosocial rehabilitation while its TBS volume is high but more matched by peers.
The provider also reports substantial volumes of assessment and medical-management activity, which supports an integrated outpatient model: 90791 ($666.6K, 3.1%) ranks #2 of 250 (100th percentile; extreme outlier) and 90792 ($718.8K, 3.4%) ranks #4 of 167 (98th percentile; extreme outlier). In addition, E/M codes 99213 ($759.1K, 3.6%) and 99214 ($681.8K, 3.2%) plus family and group therapy codes 90847 ($654.9K, 3.1%) and 90853 ($644.2K, 3.0%) point to combined diagnostic, medication-management, and multiple psychotherapy modalities delivered onsite or in clinic-based programs.
Several smaller but distinctive service lines show exceptionally high relative concentration versus peers, evidencing specialized program offerings: H2014 (skills training) ranks #1 of 5 providers in-state (100th percentile; notably above typical state volume) and H0034 (medication training and support) ranks #1 of 15 providers (100th percentile; extreme outlier). These #1 rankings in limited-provider code pools suggest the organization operates niche habilitation and medication-support programs not widely supplied by other Arkansas providers.
Operational and financial risk is concentrated in Medicaid and in a narrow set of high-revenue codes. With $21.3M entirely from Medicaid, and the top three codes representing 66.3% of Medicaid revenue, contract changes, rate adjustments, or utilization shifts in psychotherapy, TBS, or psychosocial rehabilitation would have outsized impact on the organization’s revenue profile. Analysts should treat Medicaid policy and state contracting as the primary levers of fiscal exposure for this provider.
The NPI tenure—enumerated 2005-06-01 (~21 years ago)—combined with repeated high-ranking code performance indicates an established, long-standing regional operator. Longevity plus frequent appearance as a high-volume or extreme outlier performer on multiple behavioral-health codes supports the view that this entity is a mature, prominent community/behavioral health agency in the Fort Smith, AR market.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 86,190 | $80 | $7M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 49,700 | $80 | $3.8M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 94,970 | $40 | $3.3M |
| H2020 | Therapeutic behavioral services, per diem | 2,900 | $330 | $967K |
| 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… | 22,330 | $30 | $759K |
| 90792 | In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical… | 7,410 | $100 | $718.8K |
| 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… | 17,940 | $40 | $681.8K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 7,490 | $90 | $666.6K |
| 90847 | A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the… | 9,630 | $70 | $654.9K |
| 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… | 17,410 | $40 | $644.2K |
Showing 1–10 of 31
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
31 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H2020 | Therapeutic behavioral services, per diem | 2 | 10 | 4,860 | $250 | $1.2M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 13 | 170 | 2,430 | $80 | $1.1M |
| 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… | 6 | 430 | 760 | $80 | $675.9K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 6 | 10 | 310 | $270 | $598.5K |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 5 | 130 | 2,210 | $40 | $529K |
| H2015 | Comprehensive community support services, per 15 minutes | 63 | 150 | 1,770 | $70 | $390.2K |
| 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… | 23 | 180 | 1,430 | $40 | $263.8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 19 | 140 | 1,180 | $90 | $238.7K |
| 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… | 44 | 1,520 | 550 | $40 | $128.7K |
| H0038 | Self‑help/peer services, per 15 minutes | 4 | 20 | 840 | $40 | $107.5K |
Showing 1–10 of 31
Other providers in the same ZIP code as Western Arkansas Counseling & Guidance Center, Inc, ranked by combined Medicare and Medicaid revenue.
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