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.

South Arkansas Developmental Center For Children And Families (NPI 1477679041)

Field	Value
Entity Type	Organization
Organization	South Arkansas Developmental Center For Children And Families
Address	714 W Grove St
City	El Dorado
State	AR
ZIP	71730
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicaid	$20.4M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: Total Medicare revenue: none (no Medicare billing on file) while Total Medicaid revenue: $20.4M, indicating operations are almost entirely Medicaid-funded rather than split across Medicare and Medicaid payers. Analysts should treat Medicaid patterns here as the primary business signal rather than looking for Medicare utilization trends.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 91.3% of this provider's total Medicaid revenue, with T1015 alone representing $15.2M (74.4% of Medicaid revenue). This concentration implies that changes to T1015 reimbursement, eligibility, or program design would materially impact the provider’s overall revenue.

The coding mix points to a clinic-centered developmental-disability and day-program model: T1015 (Clinic visit/encounter, all-inclusive) dominance plus material volumes in therapy codes 92507 (speech/communication services), 97530 (functional therapeutic activities), and 97110 (therapeutic exercise) suggest recurring, bundled clinic encounters and on-site therapy as core services. This aligns with the provider’s taxonomy as a Developmentally Disabled Services Day Training Agency and suggests throughput of frequent encounters rather than episodic, high-cost inpatient care.

T1015 is a statewide outlier by scale: T1015 ranks #14 of 532 providers in-state (98th percentile; notably above typical state volume for this code), signaling that the provider is a major regional player for all-inclusive clinic/day-encounter services. That high rank implies above-average operational capacity or a large enrolled client base relative to most Arkansas peers for this specific service.

Other high-revenue codes show substantial operational activity but are characterized as typical in volume: A0120 (Non-emergency transportation) generated $1.9M (9.4% of Medicaid revenue) and ranks #12 of 103 in-state (89th percentile; typical, unremarkable volume), while 92507 generated $1.5M (7.6% of Medicaid revenue) and ranks #50 of 567 (91th percentile; typical, unremarkable volume). These positions indicate meaningful scale in transportation and speech services, but they are not flagged as extreme outliers relative to statewide peers.

The provider operates a significant transportation/logistics component: 44.5K claims for A0120 with $43 avg paid/claim and $1.9M revenue point to a high-volume non-emergency transport function consistent with day-programs that bring participants to clinic or training sites. That operational footprint may create cost centers and coordination needs distinct from purely clinical therapy delivery.

Long tenure in the Medicaid market bolsters the interpretation of scale: the NPI was enumerated 2007-03-22 (~19 years ago), indicating long-standing participation and likely established referral and operational relationships within the state Medicaid system. Analysts should consider historical stability when benchmarking utilization and enrollment dynamics.

Assessment and ancillary codes represent a negligible share of revenue, reinforcing the encounter/therapy focus: T1023 ($19.2K), 96112 ($2.3K), 96113 ($612), and T1027 ($190) are all effectively immaterial to total Medicaid revenue, which suggests limited revenue from standalone screening, cognitive testing, or family-training billing relative to routine clinic encounters. This pattern implies the provider’s business model emphasizes recurring billed encounters over episodic assessment services.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	249,440	$60	$15.2M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	44,450	$40	$1.9M
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…	34,350	$50	$1.5M
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.	25,470	$40	$1.1M
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…	14,250	$40	$626.8K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	240	$80	$19.2K
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…	70	$30	$2.3K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	40	$20	$610
T1027	Family training and counseling for child development, per 15 minutes	100	$1	$190

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

South Arkansas Developmental Center For Children And Families — 1 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	14	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…	50	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	12	100	10,500	$40	$791K
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.	75	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…	95	500	3,410	$60	$523.5K
T1027	Family training and counseling for child development, per 15 minutes	64	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…	51	90	90	$80	$36.8K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	28	40	150	$60	$31.9K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	21	70	90	$40	$30.1K

Nearby Providers

Other providers in the same ZIP code as South Arkansas Developmental Center For Children And Families, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Hanry, Dds, PA	AR	Pediatric Dentistry	$0	$7M
Promed Ambulance,inc.	AR	Land Ambulance	$1.8M	$4.5M
Mcsa LLC	AR	General Acute Care Hospital	$0	$4.3M
South Arkansas Regional Health Center	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Sama Healthcare Services, PA	AR	Primary Care Clinic/Center	$0	$3M
Odyssey Healthcare Operating A, LP	AR	Home Health Agency	$0	$2.6M
Hope Landing, Inc.	AR	Speech-Language Pathologist	$0	$2.3M
Renal Treatment Centers-southeast, LP.	AR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M
Dr Albert Obiozo Pediatrics Inc	AR	Pediatrics Physician	$0	$1.6M
City Of El Dorado Office Of City Clerk	AR	Land Ambulance	$361.6K	$1.1M

South Arkansas Developmental Center For Children And Families — Billing Profile & Reimbursement Data

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South Arkansas Developmental Center For Children And Families — 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