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.

Five Rivers Medical Center Inc. (NPI 1528360989)

Field	Value
Entity Type	Organization
Organization	Five Rivers Medical Center Inc.
Address	2801 Medical Center Dr
City	Pocahontas
State	AR
ZIP	72455
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 17, 2010

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	12,110	$40	$460K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1,370	$110	$149.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	800	$160	$126.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1,720	$50	$90.9K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1,450	$60	$89.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	6,590	$10	$85.6K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	5,600	$10	$78.4K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	860	$80	$69.1K
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…	9,130	$10	$63.9K
83880	The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…	3,580	$20	$60.8K

Showing 1–10 of 85

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

Five Rivers Medical Center Inc. — 0 of 25 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

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	108	500	3,410	$60	$523.5K
0241U	N/A	33	40	1,640	$120	$370.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	95	190	1,780	$50	$231.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	45	80	1,090	$70	$210.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	75	150	1,240	$50	$208.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	80	100	1,230	$80	$201.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	110	190	2,020	$40	$191.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	67	180	260	$110	$170.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	81	100	900	$40	$168.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	69	210	350	$80	$161.1K

Showing 1–10 of 85

Related Providers

Other providers that share a Tax Identification Number (TIN) with Five Rivers Medical Center Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adena Medical Group LLC	OH	Family Medicine Physician	$0	$39.9M
Natasha Wantulok	AR	Family Medicine Physician	$245.3K	$0
William Bailey	AR	Cardiovascular Disease Physician	$159K	$0
Michelle Schofield	AL	Psychiatry Physician	$17.9K	$123.6K
John Thompson	AR	Pulmonary Disease Physician	$115.8K	$0
James Fletcher	AR	Emergency Medicine Physician	$103.8K	$2.1K
Xiaolong Liu	AR	Hospitalist Physician	$69K	$0
Leah Young	AR	Family Nurse Practitioner	$51.5K	$0
Roger Mcmillan	AR	Certified Registered Nurse Anesthetist	$45.2K	$0
Kelvin Santos	MN	Hospitalist Physician	$43.8K	$0

Nearby Providers

Other providers in the same ZIP code as Five Rivers Medical Center Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$6.2M
Harwell Therapy Services	AR	Occupational Therapist	$0	$5.4M
Families, Inc. Of Arkansas	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.4M
Northeast Arkansas Community Mental Health Center	AR	Community/Behavioral Health Agency	$0	$3.8M
Higginbotham Therapy Providers LLC	AR	Speech-Language Pathologist	$0	$3.2M
Pocahontas Medical Clinic PA	AR	Family Medicine Physician	$0	$2.4M
The Doni Martin Center For Developmental Services, Inc.	AR	Developmental Disabilities Clinic/Center	$0	$1.6M
Robert Glen Enterprises Inc	AR	Oxygen Equipment & Supplies (DME)	$0	$1.5M
The Doni Martin Center For Developmental Services, Inc.	AR	Early Intervention Provider Agency	$0	$1.5M
Above & Beyond Home Care LLC	AR	In Home Supportive Care Agency	$0	$1.3M

Five Rivers Medical Center Inc. — Billing Profile & Reimbursement Data

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Five Rivers Medical Center Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References