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    OpenPayerNPI Medicare & MedicaidWhite River Health System, Inc.
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    White River Health System, Inc. — Billing Profile & Reimbursement Data

    NPI 1417913419 · Mountain View, AR · Critical Access Hospital

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    White River Health System, Inc. is a critical access hospital provider located in Mountain View, Arkansas. This profile covers 0 Medicare and 122 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
    OrganizationWhite River Health System, Inc.
    Address2106 E Main St
    CityMountain View
    StateAR
    ZIP72560
    TaxonomyCritical Access Hospital
    NPI EnumeratedApril 26, 2006

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

    Payer SourceTotal Paid
    Medicaid$3.3M
    Medicare$0

    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.

    122 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.2,720$150$399.1K
    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.2,570$120$313.1K
    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.11,830$20$248.5K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.3,750$70$243.6K
    87631The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…1,440$120$166.1K
    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.1,860$90$158.2K
    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…3,360$40$131.2K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…1,410$90$124.4K
    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.720$140$103.8K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.2,180$50$100.1K

    Showing 1–10 of 122

    • 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

    122 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive4065304,960$70$2.6M
    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…2525003,410$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…1030180$40$420.6K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.23301,080$360$415.6K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…2030380$340$264.7K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.751901,780$50$231.9K
    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.24801,090$70$210.4K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.831501,240$50$208.4K
    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…861001,230$80$201.3K
    87486The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…2020340$40$197.3K

    Showing 1–10 of 122

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with White River Health System, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    White River Health System, Inc.ARGeneral Acute Care Hospital$0$22.3M
    White River Health System, Inc.ARRural Health Clinic/Center$0$3.1M
    White River Health System, IncARAnesthesiology Physician$0$2.6M
    Jasen ChiARRheumatology Physician$1.5M$0
    Lakshman GollapalliAZInterventional Pain Medicine Physician$483K$0
    Terry FletcherARPain Medicine (Anesthesiology) Physician$419.5K$0
    Todd BesselievreARInterventional Pain Medicine Physician$330.2K$0
    Mahesh Anantha NarayananARInterventional Cardiology Physician$217.3K$0
    Hunter BrownARUrology Physician$190.1K$0
    Dylan CarpenterAROrthopaedic Surgery Physician$182.2K$0

    Nearby Providers

    Other providers in the same ZIP code as White River Health System, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Birch Tree Communities, Inc.ARCommunity/Behavioral Health Agency$0$5.5M
    University Of Arkansas For Medical SciencesARDevelopmental - Behavioral Pediatrics Physician$0$4.9M
    Birch Tree Communities, IncARCommunity/Behavioral Health Agency$0$2.4M
    Anandaraj SubramaniumARFamily Medicine Physician$345.6K$535.4K
    Jeffrey HoltARChiropractor$49K$164.4K
    James ZiniARFamily Medicine Physician$167.2K$0
    Eric SpannARFamily Medicine Physician$152K$0
    Charles VarelaAROrthopaedic Surgery Physician$108.4K$0
    John AkinsAROrthopaedic Surgery Physician$82.4K$0
    Charles PearrowARFamily Medicine Physician$48.7K$0

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    White River Health System, Inc. — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas