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    OpenPayerNPI Medicare & MedicaidBaptist Memorial Hospital-jonesboro Inc
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    Baptist Memorial Hospital-jonesboro Inc — Billing Profile & Reimbursement Data

    NPI 1386699353 · Jonesboro, AR · General Acute Care Hospital

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    Baptist Memorial Hospital-jonesboro Inc is a general acute care hospital provider located in Jonesboro, Arkansas. This profile covers 0 Medicare and 276 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBaptist Memorial Hospital-jonesboro Inc
    Address4800 E Johnson Ave
    CityJonesboro
    StateAR
    ZIP72401
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedMay 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$17M
    Medicare$0

    Key Findings

    This provider effectively operates on a single major public payer: there is no Medicare billing on file while Medicaid revenue totals $17M, indicating Medicaid is the dominant — and for Medicare non-existent — payer relationship in the claims data. Analysts should treat the entity as a Medicaid-focused acute-care hospital for reimbursement and network planning purposes.

    Revenue concentration is notable: the top 3 Medicaid codes (80053, 70450, 74177) account for 29.6% of this provider's total Medicaid revenue. Those three codes individually generate $1.2M (10.9%), $1M (9.8%), and $953.6K (8.9%) respectively, signaling that a relatively small set of lab and imaging services drive a large share of Medicaid receipts.

    The code mix points to a clinical profile centered on high-volume diagnostic imaging and core laboratory services. Prominent codes include CT and MRI studies (70450, 74177, 70553, 72148, 71260, 74176) alongside major lab panels (80053, 85025) and high-volume viral testing (U0002, 87804), suggesting the hospital functions as an acute-care and diagnostic hub handling both emergency imaging and centralized lab throughput.

    Competitive standing within Arkansas is strong on several diagnostic and lab measures: 80053 ranks #5 of 195 in-state providers (98th percentile; extreme outlier), 70450 ranks #9 of 209 (96th percentile; notably above typical state volume), and 74177 ranks #13 of 183 (93th percentile; notably above typical volume). These ranks indicate the hospital is a major in-state provider for key lab and imaging services rather than a modest participant.

    Certain codes are extreme statistical outliers in the state, highlighting unusually high testing volumes: 87804 (influenza immunoassay) is #1 of 502 providers (100th percentile; extreme outlier), 85025 (CBC) is #7 of 331 (98th percentile; extreme outlier), and J1100 (dexamethasone injections) is #4 of 165 (98th percentile; extreme outlier). U0002 (SARS‑CoV‑2 testing) is also very high at #2 of 149 (99th percentile; notably above typical state volume), underscoring an exceptional throughput for infectious disease diagnostics and common lab work.

    Beyond lab and imaging, the provider also reports meaningful volumes of procedural and cardiovascular diagnostics consistent with a full-service hospital. Examples include 96365 (initial IV infusion) with 7.2K claims and $477.6K revenue (4.5% of Medicaid revenue; ranks #6 of 79, 94th percentile) and 93306 (2D echocardiography) with 4.7K claims and $436.7K revenue (4.1%; ranks #13 of 100, 88th percentile), which together suggest steady outpatient infusion and cardiology diagnostic activity.

    Emergency department throughput appears present but not unusually concentrated based on ED E/M code 99283 (4.8K claims, $183.6K revenue, 1.7% of Medicaid revenue; ranks #49 of 192, 75th percentile), while high ranks for CT head (70450) and CT spine (72125) imply the ED places heavy demand on imaging resources. In practice this pattern looks like a hospital with routine ED volumes that disproportionately drive imaging and lab utilization.

    The facility has a long-tenure NPI (enumerated 2006-05-24, ~20 years ago), reinforcing that these high Medicaid volumes and specialized diagnostic footprints represent established operational capacity rather than a short-term surge. For payers and contracting teams, the combination of long tenure plus concentrated Medicaid-driven lab and imaging revenue supports expectations of sustained demand for those service lines in network negotiations and utilization management planning.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    276 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.55,240$20$1.2M
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.9,810$110$1M
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.6,620$140$953.6K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc14,440$50$649.8K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…2,290$270$606.3K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.2,580$230$592.9K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.43,880$10$482.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.7,240$70$477.6K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…4,700$90$436.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…59,340$10$415.4K

    Showing 1–10 of 276

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arkansas median

    276 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive2225304,960$70$2.6M
    92507The 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…4765702,470$70$801.4K
    97530The 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.3805803,620$60$712.7K
    97110Therapeutic 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…4615003,410$60$523.5K
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…1130180$40$420.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…430530$150$342.5K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.73080$600$290.7K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.2040160$280$278.1K
    93320The 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…1210410$60$257.4K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…540360$300$254.1K

    Showing 1–10 of 276

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Baptist Memorial Hospital-jonesboro Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Arkansas Clinic Charitable Foundation, Inc.ARMulti-Specialty Clinic/Center$0$12.9M
    Kevin CollinsTNRadiation Oncology Physician$338.4K$0
    Adam SmithTNDiagnostic Radiology Physician$249.1K$0
    Kenneth ChanARNeurology Physician$235.6K$0
    Heidi UmphreyTNDiagnostic Radiology Physician$225.5K$0
    Barry HarrisAROptometrist$97.5K$97.5K
    Ranganathan ParthasarathyTNDiagnostic Radiology Physician$195K$0
    James MachinTNDiagnostic Radiology Physician$181.2K$0
    Ashok JayashankarTNDiagnostic Radiology Physician$179.9K$0
    Daniel CravenTNDiagnostic Radiology Physician$164.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Baptist Memorial Hospital-jonesboro Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Focus, IncARDevelopmentally Disabled Services Day Training Agency$0$41.3M
    St Bernards Hospital IncARGeneral Acute Care Hospital$0$35.4M
    Nea Therapy Providers, LLCARPhysical Therapist$0$26.9M
    First Step Arkansas, LLCAREarly Intervention Provider Agency$0$23.8M
    Communication Made Easy IncARSpeech-Language Pathologist$0$17.8M
    The Logan Centers, Inc.ARMental Health Clinic/Center (Including Community Mental Health Center)$0$16.5M
    Arisa Health, Inc.ARCommunity/Behavioral Health Agency$0$15.6M
    Kidsplace Learning Center Dba KidspotARSpeech-Language Pathologist$0$14.1M
    Miracle Kids Success Academy NorthARRehabilitation Clinic/Center$0$14M
    Delta Medical Group IncARDurable Medical Equipment & Medical Supplies$0$13.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arkansas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Baptist Memorial Hospital-jonesboro Inc — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas