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.

Full Potential (NPI 1427379387)

Field	Value
Entity Type	Organization
Organization	Full Potential
Address	8109 Interstate 30
City	Little Rock
State	AR
ZIP	72209
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	June 15, 2010

Payer Source	Total Paid
Medicaid	$55.3M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and all reported lifetime federal revenue is from Medicaid totaling $55.3M. The absence of Medicare activity means analyses of Medicare fee schedule exposure or dual‑payer mix are not applicable for this entity.

Revenue is extremely concentrated in a very small set of services: the precomputed top three Medicaid codes account for 88.2% of the provider’s total Medicaid revenue. Those top drivers are T1015 ($28.8M, 52.0% of Medicaid revenue), 97530 ($10.3M, 18.7%), and 92507 ($9.7M, 17.5%), indicating most dollars flow through these three codes alone.

The code mix points to a clinic model built around high‑volume, bundled clinic encounters plus hands‑on therapy and speech/communication services. T1015 is the single largest revenue line (clinic visit/encounter, all‑inclusive), while 97530 (therapeutic activities) and 92507 (speech‑language/communication services) show the provider delivers large volumes of rehabilitative and communication interventions rather than primarily physician evaluation and management services.

Claim volumes and average paid/claim further illustrate scale: T1015 has 436.1K claims at an average $66 paid/claim, 97530 has 166.5K claims at $62 avg paid/claim, and 92507 has 133K claims at $73 avg paid/claim. These very large claim counts, together with the average paid levels, explain why a small set of service types generates the bulk of the $55.3M Medicaid revenue.

Competitive standing in state markets is pronounced for the top therapy and clinic codes: T1015 ranks #7 of 532 providers in‑state (99th percentile; extreme outlier), 97530 ranks #3 of 581 (100th percentile; extreme outlier), and 92507 ranks #7 of 567 (99th percentile; extreme outlier). Multiple codes at or near the top percentiles indicate the provider is a dominant statewide participant for these service lines rather than a modest or mid‑tier competitor.

Several secondary codes also show unusually high relative volume despite smaller dollar contribution, which signals breadth within the therapy/education spectrum: 99367 ranks #1 of 57 providers (100th percentile; extreme outlier) and G0515 ranks #1 of 29 providers (100th percentile; extreme outlier), while 96112 and 97110 rank notably above peers (93rd and 99th percentiles respectively). These high ranks for meeting/coordination and developmental/cognitive intervention codes suggest multidisciplinary services and care coordination are part of the operating model.

The provider has an established tenure in the Medicare/Medicaid enrollment system, with NPI enumeration dated 2010‑06‑15 (approximately 16 years ago), indicating sustained operations over a multi‑year period that produced the current Medicaid volumes. That tenure, combined with concentrated service lines, suggests institutional capability in delivering recurring therapy and clinic encounters at scale.

The concentrated revenue profile (88.2% from three codes) creates material exposure to any Medicaid policy, rate, or prior‑authorization changes affecting T1015, 97530, or 92507. For payer/provider analysts, this pattern highlights where contractual leverage, utilization management, or program changes would most strongly influence the provider’s financial performance and where audit or quality‑measurement focus would yield the highest operational impact.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	436,140	$70	$28.8M
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.	166,520	$60	$10.3M
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…	133,000	$70	$9.7M
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…	62,520	$70	$4.1M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	38,140	$30	$1M
97532	N/A	36,770	$20	$845.7K
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…	2,130	$100	$207K
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.	9,650	$10	$86.9K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	870	$90	$78.3K
97001	N/A	630	$80	$52.6K

Showing 1–10 of 21

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

Full Potential — 9 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	7	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…	7	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.	3	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…	7	500	3,410	$60	$523.5K
97532	N/A	2	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.	2	70	4,530	$30	$172.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	854	1,740	550	$30	$88.8K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	19	50	60	$60	$74.1K
T1027	Family training and counseling for child development, per 15 minutes	45	90	250	$40	$51.2K
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…	7	90	90	$80	$36.8K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Full Potential, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Enterprises For The Developmentally Disabled, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$25.5M
Step By Step Senior Care	AR	Home Health Agency	$0	$4.1M
Complete Pediatrics	AR	Physical Therapist	$0	$3.6M
Elite Medical Care, LLC	AR	Durable Medical Equipment & Medical Supplies	$0	$3M
Anil Badhwar	AR	Allergy & Immunology Physician	$469.4K	$557.4K
Dina Dahdal	AR	Physical Medicine & Rehabilitation Physician	$136.4K	$0
Christopher John	AR	Critical Care Medicine (Internal Medicine) Physician	$132.3K	$0
John Carney	AR	Dermatology Physician	$123K	$0
Stephen Snyder	AR	Internal Medicine Physician	$98K	$0
Archana Jarathi	AR	Endocrinology, Diabetes & Metabolism Physician	$87.8K	$0

Full Potential — Billing Profile & Reimbursement Data

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Full Potential — 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