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.

University Of Arkansas For Medical Sciences (NPI 1588654016)

Key Findings

Field	Value
Entity Type	Organization
Organization	University Of Arkansas For Medical Sciences
Address	4301 W Markham St 783
City	Little Rock
State	AR
ZIP	72205
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 26, 2005

Payer Source	Total Paid
Medicaid	$28.6M
Medicare	$0

This provider is effectively single‑payer in scope: there is no Medicare billing on file while total Medicaid revenue is $28.6M, indicating the practice’s reimbursement activity is concentrated entirely in Medicaid. The NPI was enumerated on 2005-10-26 (~21 years ago), so the entity has an established billing history despite the Medicaid-only footprint.

Revenue is materially concentrated in a small number of evaluation-and-management and clinic encounter codes: the top 3 Medicaid codes (99213, 99285, T1015) account for 23.5% of the provider’s Medicaid revenue. Individually those three codes each contribute material shares (99213: $1.7M / 7.9%; 99285: $1.7M / 7.9%; T1015: $1.6M / 7.6%), signaling reliance on outpatient/ED visits and all‑inclusive clinic encounters for a substantial portion of topline.

The code mix points to a multi‑service health system footprint rather than a narrow primary‑care practice: high‑revenue entries include emergency department E/M (99285, 99284, 99283), hospital inpatient subsequent and discharge care (99231, 99232, 99233, 99238), neonatal critical care (99469, 99479, 99480), and OB imaging (76811, 76816, ). These patterns suggest integrated ED, inpatient/NICU, obstetrics, and ambulatory clinic operations feeding Medicaid volume.

Competitive standing within Arkansas is strong and concentrated: the provider ranks at or near the top statewide for multiple high‑volume services — for example 76811 is #1 of 18 (100th percentile, extreme outlier), 76816 is #1 of 30 (100th percentile, extreme outlier), 93010 is #1 of 100 (100th percentile, extreme outlier), and 99231 is #1 of 108 (100th percentile, extreme outlier). These rankings indicate the provider is a dominant in‑state provider for several specialist and diagnostic service lines.

Several code volumes are statistical outliers relative to in‑state peers, emphasizing concentration in particular modalities: 99213 (50K claims, $1.7M, ranks #13 of 1735, 99th percentile; extreme outlier) and 74177 (12.8K claims, $1M, ranks #3 of 183, 99th percentile; extreme outlier) are prominent examples. Other codes such as 99232, 99233, 99284 and 99291 appear at high percentiles (notably above typical state volume), which together point to unusually high throughput in both acute care and imaging services.

The provider’s diagnostics and imaging footprint is substantial within the Medicaid population: high‑revenue imaging and testing codes include 76811 ($1.5M), 74177 ($1M), 70450 ($641.9K), 70553 ($394.9K), and 71260 ($387.7K), many of which rank in the top deciles statewide. For payers this indicates concentrated downstream utilization of CT, MRI, ultrasound, and cardiac testing that will drive claim spend beyond simple E/M visits.

Operationally, the concurrent prominence of ED E/M, inpatient subsequent care, critical care (99291, $702.3K), and neonatal critical care codes (99469, $1.5M; 99479, $1.1M) implies substantial inpatient and acute‑care capacity linked to newborn and high‑acuity adult care. This combination suggests the provider is managing both routine ambulatory volume and high‑intensity inpatient caseloads within the Medicaid population, which has implications for resource use and case‑mix for contracting and utilization management.

From a payer‑negotiation and network design perspective, absence of Medicare billing means the entity’s contracting leverage and utilization profile must be assessed primarily on Medicaid experience ($28.6M) and the high percentile/state leadership on multiple codes. Payers considering network inclusion or rate setting should weigh the provider’s outsized role in state volumes for specific services (multiple 100th and high percentile ranks) and the revenue concentration in a handful of codes that together drive nearly a quarter of Medicaid revenue (top 3 = 23.5%).

Medicaid: Complete Services Breakdown

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

232 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…	50,030	$30	$1.7M
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.	26,900	$60	$1.7M
T1015	Clinic visit/encounter, all-inclusive	62,750	$30	$1.6M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	11,430	$130	$1.5M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4,730	$310	$1.5M
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.	21,670	$60	$1.2M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	9,590	$110	$1.1M
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.	12,840	$80	$1M
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…	27,200	$40	$1M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	21,430	$40	$921.4K

Showing 1–10 of 232

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

University Of Arkansas For Medical Sciences — 18 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

232 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	76	530	4,960	$70	$2.6M
J0585	Injection, onabotulinumtoxina, 1 unit	4	10	280	$1,420	$2.1M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	2	10	1,970	$320	$1.4M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3	10	730	$320	$858.8K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	7	10	2,950	$110	$730.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	348	430	760	$80	$675.9K
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	2	10	860	$620	$532K
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…	498	500	3,410	$60	$523.5K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	3	10	1,610	$100	$486.1K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	2	10	890	$110	$463.4K

Showing 1–10 of 232

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Arkansas For Medical Sciences	AR	General Acute Care Hospital	$0	$87.2M
University Of Arkansas For Medical Sciences	AR	General Practice Physician	$0	$55M
University Of Arkansas For Medical Sciences	AR	Pediatrics Physician	$0	$27.6M
Pain Treatment Centers Of America, PLLC	AR	Multi-Specialty Clinic/Center	$0	$19.5M
Johns Hopkins University	MD	Body Imaging Physician	$0	$15.3M
University Of Arkansas For Medical Sciences	AR	Family Medicine Physician	$0	$3M
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$3M
University Of Arkansas For Medical Sciences	AR	Primary Care Clinic/Center	$0	$2M
Sridhar Chatrathi	MD	Cardiovascular Disease Physician	$2M	$1.7K
Arkansas Health Group	AR	Psychiatry Physician	$0	$1.9M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Department Of Health Immunizations	AR	Public Health or Welfare Agency	$0	$19.3M
Baptist Health	AR	General Acute Care Hospital	$0	$16.4M
Arkansas Department Of Health Family Planning Clinic	AR	Public Health or Welfare Agency	$0	$15.6M
Pediatrix Medical Group Of Arkansas PA	AR	Neonatal-Perinatal Medicine Physician	$0	$14.6M
Chenal Family Therapy, Plc	AR	Mental Health Counselor	$0	$12.2M
Francis A. Allen School For Exceptional Children, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$11.9M
Central Arkansas Radiation Therapy Institute Inc	AR	Hematology & Oncology Physician	$0	$11M
Central Arkansas Radiation Therapy Institute Inc	AR	Radiation Oncology Physician	$6.7M	$3.6M
Arkansas Department Of Health Std	AR	Public Health or Welfare Agency	$0	$8.4M
St Vincent Infirmary Medical Center	AR	General Acute Care Hospital	$0	$8.3M

University Of Arkansas For Medical Sciences — 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