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.

University Of Arkansas For Medical Sciences (NPI 1467528026)

University Of Arkansas For Medical Sciences is a child & adolescent psychiatry physician provider located in Little Rock, Arkansas. This profile covers 0 Medicare and 10 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	University Of Arkansas For Medical Sciences
Address	1210 Wolfe St
City	Little Rock
State	AR
ZIP	72202
Taxonomy	Child & Adolescent Psychiatry Physician
NPI Enumerated	November 27, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	8,710	$60	$557.4K
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…	3,950	$90	$355.9K
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…	4,120	$70	$288.1K
90885	The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.	1,200	$60	$70.5K
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…	600	$110	$66K
H0004	Behavioral health counseling and therapy, per 15 minutes	550	$70	$39.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	170	$80	$13.5K
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…	100	$80	$7.7K
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…	90	$40	$3.1K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	40	$10	$230

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

University Of Arkansas For Medical Sciences — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	112	430	760	$80	$675.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	107	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…	105	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…	172	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…	58	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…	11	170	390	$70	$94.3K
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…	1,324	1,740	550	$30	$88.8K
90885	The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.	44	160	430	$60	$56.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	79	250	80	$90	$31.1K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	27	60	30	$10	$710

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Childrens Hospital	AR	Children's Hospital	$0	$154.7M
University Of Arkansas For Medical Sciences	AR	General Practice Physician	$0	$55M
Angel One Arkansas Children's Hospital	AR	Ambulance	$0	$20.1M
Arkansas Children's Medical Group PLLC	AR	Pediatrics Physician	$0	$16M
Above And Beyond Home Care Of Central Arkansas	AR	In Home Supportive Care Agency	$0	$13M
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$7.9M
Arkansas Childrens Hospital	AR	Pediatrics Physician	$0	$6.9M
Twin Rivers Respiratory Care, Inc.	AR	Oxygen Equipment & Supplies (DME)	$0	$2.1M
Arkansas Childrens Hospital	AR	Dental Clinic/Center	$0	$1.3M
Sc Pharmacy Group Opco LLC	AR	Community/Retail Pharmacy	$296.2K	$0

University Of Arkansas For Medical Sciences — 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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References