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.

The Learning Center Of Northeast Arkansas, Inc. (NPI 1376671008)

Key Findings

Field	Value
Entity Type	Organization
Organization	The Learning Center Of Northeast Arkansas, Inc.
Address	2808 Fox Meadow Ln
City	Jonesboro
State	AR
ZIP	72404
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 2, 2007

Payer Source	Total Paid
Medicaid	$27.4M
Medicare	$0

THE LEARNING CENTER OF NORTHEAST ARKANSAS, INC. reports no Medicare billing on file and $27.4M in lifetime Medicaid revenue, making it effectively a Medicaid-dependent provider with the entirety of documented public-payer revenue coming from state Medicaid. This single-payer footprint shapes its service mix and competitive posture within Arkansas rather than across Medicare markets.

Revenue concentration is high: the precomputed top-3 Medicaid codes account for 83.1% of this provider’s total Medicaid revenue, with T1015 alone contributing $13.6M (49.7% of Medicaid revenue). That concentration indicates a narrow set of service lines drive nearly all payer receipts rather than a diversified billing mix.

The provider’s taxonomy as a Developmentally Disabled Services Day Training Agency together with its top codes (T1015, 92507, 97530, 97110) indicates a day-program operating model: large-volume clinic/encounter billing (T1015: 219.5K claims, $62 avg paid/claim), substantial speech/communication therapy (92507: 72K claims, $70 avg paid/claim), and high volumes of functional activity/therapeutic interaction (97530: 51.1K claims, $80 avg paid/claim; 97110: 38.5K claims, $75 avg paid/claim). This mix is consistent with center-based habilitation and therapy services for individuals with developmental disabilities.

On competitive standing, the provider ranks highly for several Medicaid codes: T1015 is #18 of 532 providers in-state (97th percentile; notably above typical state volume) and 92507 is #20 of 567 providers in-state (97th percentile; notably above typical state volume). These ranks indicate the organization is a major in-state provider for clinic/encounter services and speech-language services relative to peers.

97530 and 97110 together represent meaningful revenue but different comparative signals: 97530 supplies $4.1M (14.9% of Medicaid revenue) and ranks #27 of 581 providers in-state (96th percentile) yet is described as a "typical, unremarkable volume for this code," while 97110 supplies $2.9M (10.6% of Medicaid revenue) and ranks #24 of 499 providers in-state (95th percentile; notably above typical state volume). In short, functional activity therapy is a material line for the center, with parts of that category appearing routine relative to the state market despite high absolute volume.

Ancillary operational features are visible in mid-tier codes: non-emergency transportation A0120 has 30.1K claims for $812.2K (3.0% of Medicaid revenue), and adaptive behavior technician services 97153 account for 6.6K claims and $808K (3.0% of Medicaid revenue). These entries point to a program that operates transport and on-site technician-delivered behavioral services in addition to clinic- and therapy-based encounters.

Specialized assessment and coordination capabilities are present but represent small shares of revenue: 96112 and 96113 testing codes together produce only tens of thousands in revenue ($39.4K and $27.9K respectively), and multidisciplinary meeting code 99367 contributes $2.3K. This suggests the center provides diagnostic/assessment and team-based planning services at a limited scale relative to its core day-training and therapy volumes.

The provider’s NPI was enumerated on 2007-03-02 (~19 years ago), indicating an established operating history; combined with sustained, high-volume Medicaid billing and the heavy concentration in a few codes, this pattern is consistent with a mature, specialized day-training center whose business model is closely tied to Medicaid-funded habilitation and therapy services.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	219,520	$60	$13.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	72,050	$70	$5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	51,130	$80	$4.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	38,540	$80	$2.9M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	30,080	$30	$812.2K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	6,570	$120	$808K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	400	$100	$39.4K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	340	$90	$29.8K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	350	$80	$27.9K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	310	$80	$25.3K

Showing 1–10 of 11

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

The Learning Center Of Northeast Arkansas, Inc. — 4 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	18	530	4,960	$70	$2.6M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	6	20	1,430	$190	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	20	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	20	100	10,500	$40	$791K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	27	580	3,620	$60	$712.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	24	500	3,410	$60	$523.5K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	11	20	340	$110	$135.6K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	22	90	90	$80	$36.8K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	11	40	150	$60	$31.9K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	14	70	90	$40	$30.1K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medic One, LLC	AR	Land Ambulance	$3.5M	$18.8M
Miracle Kids Success Academy, Inc.	AR	Rehabilitation Clinic/Center	$0	$21.9M
Medic One, LLC	AR	Land Ambulance	$1.9M	$9.8M
Arknasas Mae Complete Services LLC	AR	In Home Supportive Care Agency	$0	$4.5M
Lincare Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$3M
Arkansas Dental Clinic	AR	General Practice Dentistry	$0	$2.6M
Thera-play Pediatric Therapy Associates	AR	Occupational Therapist	$0	$1.9M
Valley View School District	AR	Local Education Agency (LEA)	$0	$1.5M
Brannon Treece	AR	Internal Medicine Physician	$263.7K	$0
Timothy Mcnamara	AR	Family Medicine Physician	$232.1K	$0

The Learning Center Of Northeast Arkansas, Inc. — Billing Profile & Reimbursement Data

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The Learning Center Of Northeast Arkansas, 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

Nearby Providers

Frequently Asked Questions

References