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.

Mercy Hospital Fort Smith (NPI 1568433480)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mercy Hospital Fort Smith
Address	7301 Rogers Ave
City	Fort Smith
State	AR
ZIP	72903
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 30, 2006

Payer Source	Total Paid
Medicaid	$22.5M
Medicare	$0

This provider is effectively single‑payer in the available claims data: there is no Medicare billing on file and all recorded government reimbursement is Medicaid-based, totaling $22.5M. That concentration means Medicaid policies and reimbursement trends will disproportionately affect the provider’s revenue and payer negotiations. The NPI was enumerated on 2006-01-30 (~20 years ago), indicating a long-standing operating presence in the market.

Revenue concentration within Medicaid is material but not narrowly monocultural: the precomputed top three Medicaid codes (97110, 74177, D9999) together account for 21.5% of the provider’s total Medicaid revenue. Individually these top drivers are 97110 ($1M, 8.2%), 74177 ($853.3K, 6.9%), and D9999 ($797.8K, 6.4%), so while a small group of services produces a meaningful share, nearly 80% of Medicaid revenue is distributed across many other service lines.

The code mix signals a full-service acute care operation with particular strength in diagnostic imaging, laboratory work, emergency care, ambulatory therapy, and infusion services. High-revenue imaging and lab lines include 74177 (CT abdomen/pelvis), 70450 (CT head), 70553 and 72148 (MRI studies), 80053 (CMP) and 85025 (CBC), and infusion/infusion-start codes such as 96365; together these lines reflect inpatient and outpatient diagnostics, ED throughput, and procedural support typical of a general acute care hospital.

The provider’s competitive standing in-state is strong on several high-volume diagnostic and ancillary services. Examples: 74177 ranks #10 of 183 providers (95th percentile, notably above typical state volume), 80053 ranks #6 of 195 (97th percentile, labeled an extreme outlier), 62323 ranks #2 of 43 (98th percentile, extreme outlier), and 85025 ranks #4 of 331 (99th percentile, extreme outlier). These ranks indicate the hospital is a major statewide player for key imaging, interventional pain, and laboratory services.

Emergency department activity appears meaningful and weighted toward higher-acuity visits: 99285 (high-level ED visit) shows 7.9K claims and $474.4K in Medicaid revenue, ranking #21 of 151 providers (87th percentile). Lower-acuity ED codes (99284, 99283) also appear in the top codes list, together supporting the interpretation of substantial ED volume with a mix of acuity levels that contribute consistently to Medicaid revenue.

Outpatient therapy and procedural services are also notable contributors. 97110 (therapeutic exercise) has 29.2K claims and $1M revenue (8.2%) and ranks #43 of 499 (92th percentile), reflecting significant ambulatory rehabilitation throughput. Similarly, procedural/operating room activity is visible through codes such as 42820 (tonsil/adenoid removal, $278.5K) and 11042 (debridement, $391.2K), showing ongoing surgical case mix beyond diagnostics and ED care.

Diagnostic testing volume, including infectious disease and toxicology testing, is elevated relative to peers. COVID PCR and related testing codes U0003 ($511.8K, rank #5 of 81, 95th percentile) and U0002 ($324.7K, rank #9 of 149, 95th percentile) are high, and drug-screening 80307 ($465.9K, rank #11 of 102, 90th percentile) also contributes materially, indicating substantial throughput in both acute infectious disease response and behavioral-health–related testing.

Although the top three codes make up 21.5% of Medicaid revenue, the provider’s revenue base remains diversified across many mid-sized contributors: for example, 80053 accounts for 6.1% of Medicaid revenue, 96365 for 5.7%, 70450 for 5.4%, 70553 for 5.2%, and 72148 for 4.6%. This spread suggests that the hospital’s financial exposure is tied to several clinical service lines (imaging, labs, infusions, ED) rather than dependence on a single procedure or narrow specialty.

Medicaid: Complete Services Breakdown

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

397 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…	29,180	$40	$1M
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.	6,940	$120	$853.3K
D9999	N/A	830	$970	$797.8K
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.	54,470	$10	$762.6K
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.	9,930	$70	$714.6K
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.	7,550	$90	$672.3K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	1,940	$340	$650.2K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	2,370	$240	$574.9K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	3,510	$150	$533.5K
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…	75,220	$10	$526.5K

Showing 1–10 of 397

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

Mercy Hospital Fort Smith — 7 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

397 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	288	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…	509	570	2,470	$70	$801.4K
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.	201	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…	43	500	3,410	$60	$523.5K
0241U	N/A	8	40	1,640	$120	$370.5K
D9999	N/A	1	10	210	$940	$344.7K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	8	30	530	$150	$342.5K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	6	30	80	$600	$290.7K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	13	40	160	$280	$278.1K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	26	30	160	$70	$259.6K

Showing 1–10 of 397

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Rogers	AR	General Acute Care Hospital	$0	$14.2M
Mercy Hospital Rogers	AR	Home Health Agency	$0	$1.8M
Varant Arzoumanian	AR	Hematology & Oncology Physician	$324.4K	$0
Daniel Mackey	AR	Hematology & Oncology Physician	$171.7K	$0
Eduardo Demondesert	AR	Gastroenterology Physician	$159.4K	$0
Christopher Cross	AR	Gastroenterology Physician	$145.4K	$0
Derrick Richardson	AR	Gastroenterology Physician	$138.6K	$0
Jacob Joseph	AR	Gastroenterology Physician	$125.7K	$0
Tonya Phillips	AR	Neurology Physician	$117.3K	$0
Aswanth Reddy	AR	Hematology & Oncology Physician	$111.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Gregory Kistler Treatment Center, Inc.	AR	Voluntary or Charitable Agency	$0	$28.3M
Bost, Inc.	AR	Counselor	$0	$25.9M
Mercy Clinic Fort Smith Communities	AR	Multi-Specialty Clinic/Center	$0	$24.1M
Western Arkansas Counseling & Guidance Center, Inc	AR	Community/Behavioral Health Agency	$0	$21.3M
Arkansas Family Supports, Inc.	AR	In Home Supportive Care Agency	$0	$15.6M
Kids Unlimited Learning Academy Of Ft. Smith	AR	Rehabilitation Clinic/Center	$0	$10.5M
1 Of A Kind In Home Care And Medical Services LLC	AR	In Home Supportive Care Agency	$0	$7M
The Gregory Kistler Treatment Center, Inc.	AR	Voluntary or Charitable Agency	$0	$6.5M
Little Hands At Play Therapy, LLC	AR	Pediatric Occupational Therapist	$0	$4.9M
The Guidance Center - Crisis Stabilization Unit	AR	Community/Behavioral Health Agency	$0	$4.5M

Mercy Hospital Fort Smith — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References