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.

Civitan Center (NPI 1508917295)

Field	Value
Entity Type	Organization
Organization	Civitan Center
Address	121 South Cox Street
City	Benton
State	AR
ZIP	72018
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$32.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and lifetime Medicaid revenue totals $32.6M, so Medicaid accounts for the entirety of recorded claims-based revenue activity. Analysts should treat CIVITAN CENTER as a Medicaid-focused operation rather than a mixed Medicare/Medicaid provider when modeling payer risk or contract negotiations.

Revenue is highly concentrated in a very small number of procedures: the precomputed top three Medicaid codes account for 76.1% of this provider's total Medicaid revenue, and a single code, T1015, alone represents 53.0% ($17.3M) of Medicaid revenue. That degree of concentration indicates that changes to reimbursement or utilization policy for those codes would have outsized impact on the provider's financials.

The code mix points to core day‑habilitation and therapy services consistent with a Developmentally Disabled Services Day Training Agency: T1015 (clinic visit/encounter, all‑inclusive) is the dominant revenue driver, while 92507 (speech/communication therapy) and 97530 (therapeutic activities) are the other leading services. Supplementary codes such as H2016 (comprehensive community support services, per diem) and A0120 (non‑emergency transportation, mini‑bus) indicate the organization also delivers community support and group transport as part of its service model.

CIVITAN CENTER is a high‑volume in‑state provider for clinic encounters: T1015 shows 314K claims and ranks #9 of 532 providers in-state at the 98th percentile and is described as notably above typical state volume for this code. This ranking positions the provider as a major supplier of all‑inclusive clinic encounters within Arkansas and suggests substantial scale in encounter‑based day services.

The provider is also a significant in‑state participant in therapy services: 92507 has 57.5K claims ($4M) and ranks #27 of 567 providers (95th percentile, notably above typical), while 97530 has 55.2K claims ($3.6M) and ranks #21 of 581 providers (97th percentile, notably above typical). Together these ranks indicate CIVITAN CENTER is a leading Medicaid provider for speech and therapeutic activity services in the state rather than a marginal operator.

Operational footprint includes large transport and therapy volumes: A0120 shows 71.5K claims and $2.4M revenue while ranking #5 of 103 providers in-state (96th percentile, notably above typical), implying an established mini‑bus/non‑emergency group transport capability supporting its day programs. In contrast, H2016 (26K claims, $3.1M) ranks #20 of 62 (69th percentile) and appears to be a typical, less differentiated offering in the community‑support per diem category.

CIVITAN CENTER’s claim volumes are substantial in absolute terms for a single facility: examples include 314K claims for T1015, 57.5K claims for 92507, and 55.2K claims for 97530, which reflects a high‑throughput, encounter‑driven service delivery model rather than low‑volume specialty care. Analysts should consider operational capacity, staffing mix, and transportation logistics when benchmarking productivity or forecasting utilization trends.

The provider is established in the marketplace: NPI was enumerated 2007-01-16 (~19 years ago), indicating a long tenure that likely supports sustained payer relationships and operational continuity. That tenure plus strong in‑state rankings for multiple high‑volume codes suggests CIVITAN CENTER is a stable, prominent Medicaid day‑services provider in Arkansas rather than a new entrant or occasional biller.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	313,960	$60	$17.3M
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…	57,480	$70	$4M
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.	55,190	$70	$3.6M
H2016	Comprehensive community support services, per diem	26,010	$120	$3.1M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	71,490	$30	$2.4M
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…	34,560	$70	$2.2M
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…	320	$80	$26.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	300	$90	$25.7K
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…	260	$60	$15.9K
97001	N/A	60	$160	$10.1K

Showing 1–10 of 17

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

Civitan Center — 4 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	20	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	9	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…	27	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	5	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.	21	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…	30	500	3,410	$60	$523.5K
T1027	Family training and counseling for child development, per 15 minutes	15	90	250	$40	$51.2K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	12	20	50	$170	$46.7K
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…	26	90	90	$80	$36.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	92	110	40	$100	$32.6K

Showing 1–10 of 17

Civitan Center — Billing Profile & Reimbursement Data

Sign up for Civitan Center — Billing Profile & Reimbursement Data policy alerts

Civitan Center — Billing Profile & Reimbursement Data

Sign up for Civitan Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References