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.

University Of Arkansas For Medical Sciences (NPI 1346230968)

Key Findings

Field	Value
Entity Type	Organization
Organization	University Of Arkansas For Medical Sciences
Address	333 Executive Ct
City	Little Rock
State	AR
ZIP	72205
Taxonomy	Pediatrics Physician
NPI Enumerated	October 25, 2005

Payer Source	Total Paid
Medicaid	$27.6M
Medicare	$0

This provider has no Medicare billing on file and is effectively single-payer in the claims data: Total Medicare revenue is none below while total Medicaid revenue is $27.6M, indicating Medicaid drives the entirety of reported lifetime federal program revenue. Analysts should treat comparisons and competitive assessments primarily within the Medicaid population rather than across Medicare/Medicaid mixed practices.

Revenue concentration is high: the precomputed top 3 Medicaid codes — 99472 ($3.6M, 14.0%), 99232 ($3M, 11.8%), and 99233 ($2.8M, 10.9%) — together account for 36.7% of this provider's total Medicaid revenue. That degree of concentration around a small set of inpatient and critical-care E/M codes signals that a few service lines are the primary revenue drivers.

The code mix points to a hospital-centered pediatric practice with strong inpatient and neonatal critical-care activity: 99472 (follow up care of a critically ill infant 29 days–24 months), 99469 (neonatal critical care), and multiple inpatient E/M codes (99222/99223/99232/99233/99238) dominate the top revenue list. High-volume procedural and perioperative services are also present — for example, tympanostomy 69436 ($1.7M) and anesthesia codes 00170 ($1.5M) and 01922 ($611.7K) — consistent with a tertiary pediatric surgical and inpatient footprint.

State-level competitive standing is dominant for many top codes: 99232 ranks #1 of 260 providers in-state (100th percentile; extreme outlier), 99472 ranks #1 of 5 providers (100th percentile; notably above typical state volume), and 69436 ranks #1 of 57 providers (100th percentile; extreme outlier). Multiple other services show top-percentile positions (for example, 99233 at the 99th percentile and 99238 at the 100th percentile), indicating this provider is a major volume leader in Arkansas for core pediatric inpatient services.

Several codes are flagged as statistical outliers or unusually high-volume relative to peers: 99232 and 99233 are described as extreme outliers and rank at the 100th and 99th percentiles respectively, 99238 and 99472 also appear at the 100th percentile, and chest radiograph 71045 is an extreme outlier at the 99th percentile with 58.9K claims. These characterizations suggest unusually high throughput for inpatient evaluation and basic imaging compared with typical in-state providers.

Operational throughput is very large for core E/M and imaging services: 99232 has 69.7K claims and 99233 has 48.9K claims, while 71045 has 58.9K claims. Such claim volumes combined with the revenue figures point to sustained, high-volume inpatient census and frequent short-interval follow-up or discharge-management encounters.

The provider maintains a broad mix beyond E/M: specialty diagnostics and monitoring are meaningful contributors, including EEG interpretation 95720 ($1.5M, ranks #1 of 4 in-state) and multiple echocardiography codes 93303/93320/93325 contributing a combined material share of revenue. This mix supports a multi-disciplinary pediatric center providing critical care, perioperative services, and advanced diagnostics rather than a narrow outpatient-only practice.

The provider has long tenure in enrollment, with NPI enumeration on 2005-10-25 (~21 years ago), indicating an established presence in the state Medicaid ecosystem. Coupled with the concentration of high-percentile ranks across many codes, the data are consistent with a stable, high-volume pediatric referral center that dominates several inpatient and procedural categories in Arkansas.

Medicaid: Complete Services Breakdown

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

104 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	11,360	$310	$3.6M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	69,740	$40	$3M
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…	48,880	$60	$2.8M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	14,660	$110	$1.7M
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	7,630	$200	$1.5M
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	7,830	$190	$1.5M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	11,600	$100	$1.1M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	12,790	$80	$1M
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	14,550	$70	$975.1K
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.	3,230	$280	$916.8K

Showing 1–10 of 104

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

University Of Arkansas For Medical Sciences — 14 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

104 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	5	10	1,970	$320	$1.4M
H2019	Therapeutic behavioral services, per 15 minutes	164	170	2,430	$80	$1.1M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	1	10	730	$320	$858.8K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	3	10	2,950	$110	$730.6K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	1	10	2,370	$260	$610.6K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	2	10	1,610	$100	$486.1K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	7	10	890	$110	$463.4K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	1	10	470	$190	$406.1K
95951	N/A	1	10	1,350	$200	$300.1K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	2	30	80	$600	$290.7K

Showing 1–10 of 104

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Department Of Health Immunizations	AR	Public Health or Welfare Agency	$0	$19.3M
Baptist Health	AR	General Acute Care Hospital	$0	$16.4M
Arkansas Department Of Health Family Planning Clinic	AR	Public Health or Welfare Agency	$0	$15.6M
Pediatrix Medical Group Of Arkansas PA	AR	Neonatal-Perinatal Medicine Physician	$0	$14.6M
Chenal Family Therapy, Plc	AR	Mental Health Counselor	$0	$12.2M
Francis A. Allen School For Exceptional Children, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$11.9M
Central Arkansas Radiation Therapy Institute Inc	AR	Hematology & Oncology Physician	$0	$11M
Central Arkansas Radiation Therapy Institute Inc	AR	Radiation Oncology Physician	$6.7M	$3.6M
Arkansas Department Of Health Std	AR	Public Health or Welfare Agency	$0	$8.4M
St Vincent Infirmary Medical Center	AR	General Acute Care Hospital	$0	$8.3M

University Of Arkansas For Medical Sciences — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Childrens Hospital	AR	Children's Hospital	$0	$154.7M
University Of Arkansas For Medical Sciences	AR	General Acute Care Hospital	$0	$87.2M
University Of Arkansas For Medical Sciences	AR	General Practice Physician	$0	$55M
University Of Arkansas For Medical Sciences	AR	Internal Medicine Physician	$0	$28.6M
Angel One Arkansas Children's Hospital	AR	Ambulance	$0	$20.1M
Pain Treatment Centers Of America, PLLC	AR	Multi-Specialty Clinic/Center	$0	$19.5M
Johns Hopkins University	MD	Body Imaging Physician	$0	$15.3M
Arkansas Childrens Hospital	AR	Pediatrics Physician	$0	$6.9M
Noha Mohamed	AR	Rheumatology Physician	$3.8M	$0
University Of Arkansas For Medical Sciences	AR	Family Medicine Physician	$0	$3M