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.

Arkadelphia Clinic For Children And Young Adults, PA (NPI 1467095133)

Arkadelphia Clinic For Children And Young Adults, PA is a rural health clinic/center provider located in Arkadelphia, Arkansas. This profile covers 0 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Arkadelphia Clinic For Children And Young Adults, PA
Address	2850 Twin Rivers Dr
City	Arkadelphia
State	AR
ZIP	71923
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 24, 2019

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,890	$80	$386.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,830	$80	$381.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,800	$80	$218.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,110	$80	$87.5K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	2,440	$10	$29.3K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	1,970	$10	$25.6K
90680	This code represents a live pentavalent rotavirus vaccine given by mouth in a three–dose schedule to protect against rotavirus infection.	1,680	$10	$20.2K
90698	This code represents a combination vaccine product administered into the muscle to protect against five diseases: diphtheria, tetanus, pertussis, Haemophilus influenzae type b (Hib), and polio.	1,410	$10	$18.3K
90697	This code represents a combination vaccine product administered into the muscle to protect against six diseases: diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type b (Hib), and…	890	$20	$13.4K
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	860	$10	$10.3K

Showing 1–10 of 31

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

Arkadelphia Clinic For Children And Young Adults, PA — 0 of 23 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,129	1,520	550	$40	$128.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	24	210	500	$50	$106.5K
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…	594	1,740	550	$30	$88.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	25	250	460	$50	$86.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	28	280	190	$50	$48.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	247	330	680	$10	$48.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	36	270	110	$50	$28.9K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	27	160	470	$10	$21.5K
90619	Report this code for meningococcal conjugate vaccine in a tetanus toxoid carrier for intramuscular administration that protects against four common forms of the virus and to prevent the patient from…	18	50	60	$20	$19.6K
90698	This code represents a combination vaccine product administered into the muscle to protect against five diseases: diphtheria, tetanus, pertussis, Haemophilus influenzae type b (Hib), and polio.	13	60	330	$10	$18K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Counseling And Psychodiagnostics, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$17.7M
Baptist Health	AR	Critical Access Hospital	$0	$4.8M
Group Living Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$4M
Baptist Health	AR	Land Ambulance	$396K	$1.5M
Valor Emergency Medical Services, LLC	AR	Ambulance	$214.8K	$98.4K
Frank Teed	AR	Specialist	$208.6K	$14.3K
Robert Dorman	AR	Internal Medicine Physician	$182.7K	$0
Raymond Carozza	AR	Optometrist	$147.8K	$0
Wp Malone Inc	AR	Long Term Care Pharmacy	$54.2K	$37.6K
Tamara Martin	AR	Physical Therapy Assistant	$16.1K	$0

Arkadelphia Clinic For Children And Young Adults, PA — Billing Profile & Reimbursement Data

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Arkadelphia Clinic For Children And Young Adults, PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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