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.

Abc Children's Academy (NPI 1417087131)

Field	Value
Entity Type	Organization
Organization	Abc Children's Academy
Address	500 E 3rd St
City	Russellville
State	AR
ZIP	72801
Taxonomy	Case Management Agency
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	72,100	$50	$3.7M
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.	14,860	$50	$772.8K
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…	9,390	$70	$666.6K
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…	5,110	$60	$312K
97532	N/A	3,720	$30	$115.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	4,470	$20	$98.3K
99367	A physician joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	620	$20	$11.1K
G0515	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes	100	$50	$4.8K
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…	140	$30	$3.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	70	$10	$630

Showing 1–10 of 12

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

Abc Children's Academy — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	64	530	4,960	$70	$2.6M
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…	162	570	2,470	$70	$801.4K
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.	124	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…	207	500	3,410	$60	$523.5K
97532	N/A	41	60	5,070	$30	$189.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	36	70	4,530	$30	$172.5K
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…	41	90	90	$80	$36.8K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	39	70	90	$40	$30.1K
99367	A physician joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	10	60	210	$20	$11.8K
G0515	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes	28	30	590	$10	$11.5K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Abc Children's Academy, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Friendship Community Care Inc.	AR	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$169.4M
St Mary's Physician Services LLC	AR	General Practice Physician	$0	$12.1M
Abc Children's Academy	AR	Developmentally Disabled Services Day Training Agency	$0	$8.5M
Real Development Corporation	AR	Community/Behavioral Health Agency	$0	$7.8M
Drs. Johnston & Lawrence	AR	Pediatric Dentistry	$0	$7.7M
Russellville Holdings LLC	AR	General Acute Care Hospital	$0	$6.5M
Counseling Associates Inc	AR	Community/Behavioral Health Agency	$0	$5M
Recovery Zone Pediatric Therapy, Inc	AR	Rehabilitation Clinic/Center	$0	$3.3M
Odyssey Healthcare Operating A, LP	AR	Home Health Agency	$0	$2.8M
Russellville School District	AR	Local Education Agency (LEA)	$0	$1.8M

Abc Children's Academy — Billing Profile & Reimbursement Data

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Abc Children's Academy — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References