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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

The Arc Of The St Johns, Inc. (NPI 1568536274)

Field	Value
Entity Type	Organization
Organization	The Arc Of The St Johns, Inc.
Address	2101 Arc Dr
City	St Augustine
State	FL
ZIP	32084
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 17, 2006

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	104,010	$60	$6.3M
H2019	Therapeutic behavioral services, per 15 minutes	15,610	$50	$717.9K
H2014	Skills training and development, per 15 minutes	16,110	$40	$692.6K
H0032	Mental health service plan development by non-physician	3,000	$50	$135K
T1015	Clinic visit/encounter, all-inclusive	1,640	$50	$73.7K
H0031	Mental health assessment, by non-physician	3,080	$20	$61.6K
H2012	Behavioral health day treatment, per hour	70	$60	$4.2K
T2003	Non-emergency transportation; encounter/trip	10	$0	$0
T2021	Day habilitation, waiver; per 15 minutes	190	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

The Arc Of The St Johns, Inc. — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	9	980	4,890	$100	$1.3M
H2014	Skills training and development, per 15 minutes	51	360	3,270	$140	$1.1M
H2019	Therapeutic behavioral services, per 15 minutes	195	1,880	1,010	$70	$544.5K
T2003	Non-emergency transportation; encounter/trip	64	60	4,470	$30	$534.3K
T1015	Clinic visit/encounter, all-inclusive	245	680	680	$50	$308.4K
T2021	Day habilitation, waiver; per 15 minutes	12	20	1,000	$70	$155.4K
H2012	Behavioral health day treatment, per hour	154	180	450	$90	$123.7K
H0032	Mental health service plan development by non-physician	120	1,130	110	$60	$91.7K
H0031	Mental health assessment, by non-physician	153	1,160	210	$40	$87.3K

Nearby Providers

Other providers in the same ZIP code as The Arc Of The St Johns, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of St Johns Board Of County Commissioners	FL	Land Ambulance	$2.7M	$1.3M
Eye Surgery Center Of Saint Augustine Inc	FL	Ambulatory Surgical Clinic/Center	$806.5K	$0
Russell Nelligan	FL	Ophthalmology Physician	$569.4K	$0
David Gross	FL	Dermatology Physician	$374.4K	$0
Bruce Paley	FL	Dermatology Physician	$219.1K	$4.5K
Peter Stan	FL	Optometrist	$123.9K	$0

The Arc Of The St Johns, Inc. — Billing Profile & Reimbursement Data

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The Arc Of The St Johns, 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

Nearby Providers

Frequently Asked Questions

References