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    OpenPayerNPI Medicare & MedicaidBoston Mountain Rural Health Center Inc
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    Boston Mountain Rural Health Center Inc — Billing Profile & Reimbursement Data

    NPI 1487909107 · Yellville, AR · Federally Qualified Health Center (FQHC)

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    Boston Mountain Rural Health Center Inc is a federally qualified health center (fqhc) provider located in Yellville, 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.

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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBoston Mountain Rural Health Center Inc
    Address319 Highway 14 S
    CityYellville
    StateAR
    ZIP72687
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJuly 18, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive8,230$200$1.6M
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…570$60$34.8K
    G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only490$60$29.1K
    G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…840$20$17.7K
    G0511Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…910$10$10.9K
    99214The 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…290$10$2.6K
    99213The 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…190$10$1.5K
    G2012Brief 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…20$10$180
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.20$0$0
    T1014Telehealth transmission, per minute, professional services bill separately120$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arkansas median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive2265304,960$70$2.6M
    99214The 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…9301,520550$40$128.7K
    99213The 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…1,1591,740550$30$88.8K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…66210250$50$39.8K
    G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…55120740$20$29K
    G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only34110170$40$22K
    G0511Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…2580310$10$13.7K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.424460280$10$12.4K
    G2012Brief 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…526030$10$710
    T1014Telehealth transmission, per minute, professional services bill separately43030$1$170

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Boston Mountain Rural Health Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Boston Mountain Rural Health Center IncARFederally Qualified Health Center (FQHC)$0$5.3M
    Boston Mountain Rural Health Center IncARFederally Qualified Health Center (FQHC)$0$4.5M
    Boston Mountain Rural Health Center, IncARFederally Qualified Health Center (FQHC)$0$1.9M
    Boston Mountain Rural Health Center Inc.ARFederally Qualified Health Center (FQHC)$0$1.7M
    Boston Mountain Rural Health Center, IncARFederally Qualified Health Center (FQHC)$0$1.2M
    Sabrina DanielARFamily Nurse Practitioner$80.4K$0
    Victoria JonesARFamily Nurse Practitioner$75.5K$0
    Andrew ColeARObstetrics & Gynecology Physician$16.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Boston Mountain Rural Health Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kidspiration Of Marion CountyARPrimary Care Clinic/Center$0$3.7M
    Derainey SmithARPsychiatric/Mental Health Nurse Practitioner$40.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arkansas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Boston Mountain Rural Health Center Inc — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas