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.

St Francis House Nwa, Inc (NPI 1356759385)

Field	Value
Entity Type	Organization
Organization	St Francis House Nwa, Inc
Address	610 E Emma Ave
City	Springdale
State	AR
ZIP	72764
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 22, 2014

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	10,680	$160	$1.7M
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1,330	$60	$74.7K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	910	$20	$19K
0002A	N/A	140	$100	$13.8K
99391	Preventive 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…	240	$50	$13.1K
0072A	N/A	220	$40	$8.6K
99392	Preventive 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…	140	$60	$8.3K
0001A	N/A	90	$100	$8.3K
0071A	N/A	160	$40	$6.4K
90661	This code represents a vaccine product administered into the muscle to protect against the flu virus. This is a trivalent vaccine, meaning it protects against three different strains of influenza.…	200	$10	$2.8K

Showing 1–10 of 25

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

St Francis House Nwa, Inc — 0 of 24 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	202	530	4,960	$70	$2.6M
99391	Preventive 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…	137	210	500	$50	$106.5K
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…	803	1,740	550	$30	$88.8K
99392	Preventive 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…	172	250	460	$50	$86.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	212	280	190	$50	$48.9K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	53	120	740	$20	$29K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	180	270	110	$50	$28.9K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	15	110	170	$40	$22K
90681	This code represents a live, weakened rotavirus vaccine given by mouth in a two–dose schedule to protect against rotavirus infection.	39	60	190	$10	$15.6K
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	106	140	200	$10	$15K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Francis House Nwa, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Francis House Nwa, Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$11.7M
St. Francis House Nwa, Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$11.5M
St Francis House Nwa, Inc	AR	Federally Qualified Health Center (FQHC)	$0	$3.5M
Jonathan Kruger	AR	Rheumatology Physician	$227.5K	$0
Jennifer Jennings	AR	Family Nurse Practitioner	$134.9K	$0
Mark Miller	AR	Family Medicine Physician	$111.2K	$0
John Caswell	AR	Family Medicine Physician	$76.3K	$0
Scott Stinnett	AR	Family Medicine Physician	$73K	$0
Yasmin Al-atrache	AR	Physician Assistant	$61.7K	$0
Stacy Johnson	OK	Family Nurse Practitioner	$26.5K	$0

Nearby Providers

Other providers in the same ZIP code as St Francis House Nwa, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Elizabeth Richardson Ctr.	AR	Developmentally Disabled Services Day Training Agency	$0	$30.4M
Kids Unlimited Learning Academy Of Springdale	AR	Rehabilitation Clinic/Center	$0	$13.1M
Northwest Arkansas Hospitals, LLC	AR	General Acute Care Hospital	$0	$11.4M
Kids Spot LLC	AR	Physical Therapy Clinic/Center	$0	$11.2M
Thera-play Pediatrics	AR	Clinic/Center	$0	$8.1M
St. Francis House, Nwa, Inc.	AR	Dental Clinic/Center	$0	$7.1M
City Of Springdale	AR	Land Ambulance	$496.6K	$1.9M
Outcomes Incorporated	AR	Developmentally Disabled Services Day Training Agency	$0	$2.3M
Physician's Therapy Group, LLC	AR	Speech-Language Pathologist	$0	$2.2M
Ahr Springdale Trs Sub, LLC	AR	Assisted Living Facility	$0	$2M

St Francis House Nwa, Inc — Billing Profile & Reimbursement Data

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St Francis House Nwa, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References