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 Guidance Center - Van Buren Clinic (NPI 1376718775)

The Guidance Center - Van Buren Clinic is a community/behavioral health agency provider located in Van Buren, Arkansas. This profile covers 0 Medicare and 18 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	The Guidance Center - Van Buren Clinic
Address	2705a Oak Ln
City	Van Buren
State	AR
ZIP	72956
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 25, 2008

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

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

18 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…	20,400	$80	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	4,200	$70	$289.7K
H2019	Therapeutic behavioral services, per 15 minutes	2,250	$70	$162.3K
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…	2,450	$70	$161.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,340	$100	$130.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,120	$60	$127K
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…	3,590	$40	$125.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,920	$30	$99.2K
90885	The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.	1,400	$60	$77.1K
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…	1,700	$40	$71.2K

Showing 1–10 of 18

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 Guidance Center - Van Buren Clinic — 1 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	87	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…	51	430	760	$80	$675.9K
H2015	Comprehensive community support services, per 15 minutes	88	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…	62	180	1,430	$40	$263.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	26	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…	477	1,520	550	$40	$128.7K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	77	120	390	$70	$97.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	48	230	480	$60	$94.8K
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…	81	170	300	$100	$94.6K
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…	25	170	390	$70	$94.3K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Arkansas Counseling & Guidance Center, Inc	AR	Community/Behavioral Health Agency	$0	$21.3M
The Guidance Center - Crisis Stabilization Unit	AR	Community/Behavioral Health Agency	$0	$4.5M
Philip Elangwe	AR	Family Medicine Physician	$328.4K	$0
James Schmitz	AR	Primary Care Clinic/Center	$162.7K	$0
Fayz Hudefi	AR	Addiction Medicine (Psychiatry & Neurology) Physician	$69K	$0
Alice Welch	AR	Psychiatric/Mental Health Nurse Practitioner	$34.5K	$0
Tonya Chambers	AR	Psychiatric/Mental Health Nurse Practitioner	$23.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stepping Stone School For Exceptional Children,inc	AR	Developmentally Disabled Services Day Training Agency	$0	$28.3M
In-sync Pediatric Therapy	AR	Clinic/Center	$0	$8.8M
Independence At Home Homecare, LLC	AR	In Home Supportive Care Agency	$0	$8.7M
Hope's Creek Inc.	AR	Assisted Living Facility	$0	$6.6M
Arkansas Pediatric Therapy	AR	Clinic/Center	$0	$3M
Baptist Health Regional Hospitals	AR	General Acute Care Hospital	$0	$2.5M
Adair Ya, LLC	AR	Speech-Language Pathologist	$0	$2.2M
Heather Hale	AR	Nurse Practitioner	$267.3K	$0
Laura Henson	AR	Nurse Practitioner	$43.7K	$0
Kristy Graham	AR	Orthopedic Chiropractor	$20.9K	$1.8K

The Guidance Center - Van Buren Clinic — Billing Profile & Reimbursement Data

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The Guidance Center - Van Buren Clinic — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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