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.

Boston Mountain Rural Health Center, Inc (NPI 1376631846)

Boston Mountain Rural Health Center, Inc is a federally qualified health center (fqhc) provider located in Clinton, Arkansas. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Boston Mountain Rural Health Center, Inc
Address	465 Medical Center Parkway
City	Clinton
State	AR
ZIP	72031
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	8,820	$200	$1.8M
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	730	$90	$66.7K
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…	1,700	$20	$30.5K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	530	$60	$30.3K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	1,400	$10	$15.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	310	$40	$11.1K
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…	390	$20	$6.3K
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…	1,160	$1	$3.5K
1125F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.	120	$0	$0
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	160	$0	$0

Showing 1–10 of 14

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

Boston Mountain Rural Health Center, Inc — 0 of 8 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	218	530	4,960	$70	$2.6M
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…	847	1,520	550	$40	$128.7K
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…	634	1,740	550	$30	$88.8K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	75	210	250	$50	$39.8K
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…	32	120	740	$20	$29K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	152	360	240	$30	$27.7K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	24	110	170	$40	$22K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	19	80	310	$10	$13.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	72	80	40	$10	$500
1125F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.	34	60	130	$1	$30

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ozark Health, Inc	AR	Critical Access Hospital	$0	$3.5M
Henry Wallace	AR	Orthopaedic Surgery Physician	$221.5K	$23.8K
Kyle Cotton	AR	Physician Assistant	$123.3K	$0
Walmart Inc.	AR	Community/Retail Pharmacy	$84.3K	$8.1K
Melissa Nokes	AR	Physical Therapist	$92K	$0
David Warren	AR	Chiropractor	$50.7K	$0
Jennie Anderson	AR	Psychiatric/Mental Health Nurse Practitioner	$14.6K	$0
Barry Carroll	AR	Family Medicine Physician	$5.8K	$0
Nichole Clark	AR	Family Nurse Practitioner	$1.9K	$0

Boston Mountain Rural Health Center, Inc — Billing Profile & Reimbursement Data

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Boston Mountain Rural Health Center, 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boston Mountain Rural Health Center Inc	AR	Federally Qualified Health Center (FQHC)	$0	$5.3M
Boston Mountain Rural Health Center Inc	AR	Federally Qualified Health Center (FQHC)	$0	$4.5M
Boston Mountain Rural Health Center Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$1.7M
Boston Mountain Rural Health Center Inc	AR	Federally Qualified Health Center (FQHC)	$0	$1.7M
Boston Mountain Rural Health Center, Inc	AR	Federally Qualified Health Center (FQHC)	$0	$1.2M
Sabrina Daniel	AR	Family Nurse Practitioner	$80.4K	$0
Victoria Jones	AR	Family Nurse Practitioner	$75.5K	$0
Andrew Cole	AR	Obstetrics & Gynecology Physician	$16.6K	$0