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.

James Arnold (NPI 1437260106)

Field	Value
Entity Type	Individual
Organization	James Arnold
Address	300 Werner St.
City	Hot Springs
State	AR
ZIP	71913
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$171.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The 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.	1,080	$130	$139.1K
99284	The 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.	350	$90	$30.9K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$50	$1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	70	$10	$400

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

James Arnold — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	1	540	130	$130	$21.3K
99284	8	560	90	$80	$8.9K
93010	360	550	120	$10	$2.3K
99283	221	340	30	$50	$1.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with James Arnold, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chi St Vincent Hospital Hot Springs	AR	General Acute Care Hospital	$0	$16.4M
St Vincent Infirmary Medical Center	AR	General Acute Care Hospital	$0	$8.3M
Baptist Medcare, Inc	AR	Emergency Medicine Physician	$0	$8M
St. Vincent Infirmary Medical Center	AR	General Acute Care Hospital	$0	$3M
Mercy Hospital Rogers	AR	Home Health Agency	$0	$1.8M
Abdul Ezeldin	FL	Interventional Cardiology Physician	$568.7K	$51.3K
Thomas Wallace	AR	Clinical Cardiac Electrophysiology Physician	$450.8K	$0
Sadeem Mahmood	AR	Cardiovascular Disease Physician	$384.2K	$840
Vlatka Agnetta	TN	MOHS-Micrographic Surgery Physician	$382.1K	$0
Juan Roman	AR	Anesthesiology Physician	$255.3K	$22.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rock Dental Arkansas PLLC	AR	Dentist	$0	$128.8M
Superior Senior Care	AR	In Home Supportive Care Agency	$0	$22.5M
Ouachita Regional Counseling & Mental Health Center, Inc.	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22.4M
Chi St. Vincent Medical Group Hot Springs	AR	Specialist	$0	$13.8M
Tlc Home Care Of Arkansas	AR	In Home Supportive Care Agency	$0	$7M
Little Bitty City Therapeutic Services LLC	AR	Developmental Disabilities Clinic/Center	$0	$6.9M
Healthy Connections Incorporated	AR	Federally Qualified Health Center (FQHC)	$0	$5.5M
Abilities Unlimited Of Hot Springs Ar Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$4.9M
A-o-m-s, PLLC	AR	Oral and Maxillofacial Surgery (Dentist)	$0	$4.2M
Stephen Divers	AR	Hematology & Oncology Physician	$3.9M	$1.5K

James Arnold — Billing Profile & Reimbursement Data

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James Arnold — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References