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.

Professional Counseling Associates Inc. (NPI 1437164977)

Field	Value
Entity Type	Organization
Organization	Professional Counseling Associates Inc.
Address	4354 Stockton Dr
City	North Little Rock
State	AR
ZIP	72117
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 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…	7,800	$70	$530.1K
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…	8,090	$50	$364.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	6,740	$40	$256.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,050	$70	$225.7K
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…	3,670	$60	$208.9K
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…	4,750	$40	$185.2K
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…	1,090	$100	$107.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	560	$100	$58K
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…	1,630	$40	$57.2K
H2019	Therapeutic behavioral services, per 15 minutes	680	$80	$54.6K

Showing 1–10 of 16

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

Professional Counseling Associates Inc. — 0 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	110	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…	92	430	760	$80	$675.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	43	130	2,210	$40	$529K
H2015	Comprehensive community support services, per 15 minutes	128	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…	87	180	1,430	$40	$263.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	37	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…	119	1,520	550	$40	$128.7K
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…	28	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…	43	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…	84	170	390	$70	$94.3K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Professional Counseling Associates Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robin Stein	AR	Clinical Social Worker	$12.3K	$0
Michael West	AR	Psychiatric/Mental Health Nurse Practitioner	$11.3K	$0

Nearby Providers

Other providers in the same ZIP code as Professional Counseling Associates Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health	AR	General Acute Care Hospital	$0	$14M
Habibis Durable Medical Equipment	AR	Nursing Facility Supplies (DME)	$0	$6.5M
Springhill Surgery Center, LLC	AR	Ambulatory Surgical Clinic/Center	$2.2M	$389.7K
Arkansas Pain Centers, Ltd	AR	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$1.9M
Kevin Collins	AR	Physical Medicine & Rehabilitation Physician	$713.2K	$220.7K
Jeff Thomas	AR	Medical Physician Assistant	$870.2K	$0
Ronald Kuhn	AR	Urology Physician	$676.1K	$0
Butchaiah Garlapati	AR	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$603K	$54K
Andrew Perin	AR	Ophthalmology Physician	$378.8K	$0
John Burks	AR	Ophthalmology Physician	$321.4K	$0

Professional Counseling Associates Inc. — Billing Profile & Reimbursement Data

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Professional Counseling Associates Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References