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.

Lincoln Paden Medical Group PLLC (NPI 1538112081)

Lincoln Paden Medical Group PLLC is a family medicine physician provider located in Mountain Home, Arkansas. This profile covers 0 Medicare and 91 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	Lincoln Paden Medical Group PLLC
Address	405 Buttercup Dr
City	Mountain Home
State	AR
ZIP	72653
Taxonomy	Family Medicine Physician
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

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

91 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	22,720	$30	$727.1K
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…	6,120	$50	$293.7K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	2,060	$110	$226.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,460	$60	$135.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,870	$50	$98.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	1,550	$50	$72.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	2,540	$20	$40.7K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	680	$50	$32.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	650	$50	$31.7K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	1,960	$10	$19.6K

Showing 1–10 of 91

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

Lincoln Paden Medical Group PLLC — 1 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

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	154	200	1,600	$20	$129.3K
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…	163	1,520	550	$40	$128.7K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	21	110	360	$100	$106.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	52	210	500	$50	$106.5K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	39	110	600	$40	$95.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	238	260	430	$30	$93.3K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	95	150	510	$50	$90.1K
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…	43	1,740	550	$30	$88.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	60	250	460	$50	$86.1K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	117	130	1,710	$10	$78.2K

Showing 1–10 of 91

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lance Lincoln	AR	Internal Medicine Physician	$271.2K	$62.8K
Shelley Warr	AR	Internal Medicine Physician	$164.7K	$66.1K
James Warr	AR	Family Medicine Physician	$191.8K	$0
Tim Paden	AR	Family Medicine Physician	$155.9K	$0
John Baltz	AR	Family Medicine Physician	$117.7K	$0
Deborah Stepp	AR	Family Nurse Practitioner	$45.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gracon, Inc.	AR	Home Health Agency	$0	$23.1M
Kidspiration Pediatric Therapy Services, Inc.	AR	Primary Care Clinic/Center	$0	$16.5M
Baxter County Regional Hospital, Inc	AR	General Acute Care Hospital	$0	$15.2M
Developmental Discoveries, Inc.	AR	In Home Supportive Care Agency	$0	$8M
River Lodge Assisted Living LLC	AR	Assisted Living Facility	$0	$5.1M
Bradley Wayne Coleman,d.d.s.	AR	Dentist	$0	$3.6M
Hometown Behavioral Health Services Of Ak Inc.	AR	Mental Health Counselor	$0	$3.5M
Baxter Day Service Center, Inc.	AR	Preferred Provider Organization	$0	$3.4M
Baxter County Regional Hospital Inc	AR	General Acute Care Hospital	$0	$3M
Twin River Community Living Facility	AR	In Home Supportive Care Agency	$0	$2.5M

Lincoln Paden Medical Group PLLC — Billing Profile & Reimbursement Data

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Lincoln Paden Medical Group PLLC — 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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