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.

Arkansas Childrens Hospital (NPI 1598773079)

Arkansas Childrens Hospital is a pediatrics physician provider located in Little Rock, Arkansas. This profile covers 0 Medicare and 101 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	Arkansas Childrens Hospital
Address	1 Childrens Way # 664
City	Little Rock
State	AR
ZIP	72202
Taxonomy	Pediatrics Physician
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

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

101 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	107,540	$30	$2.7M
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.	20,240	$40	$870.4K
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.	10,400	$60	$655.4K
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…	4,960	$50	$243K
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.	2,700	$80	$205.2K
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.	1,310	$130	$174.2K
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…	3,180	$50	$168.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,080	$50	$144.7K
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…	1,660	$80	$134.5K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	3,830	$30	$118.8K

Showing 1–10 of 101

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

Arkansas Childrens Hospital — 2 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

101 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	45	530	4,960	$70	$2.6M
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…	5	10	2,950	$110	$730.6K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	3	10	1,440	$350	$449.1K
36512	Apheresis (also known as pheresis or therapeutic pheresis) is a medical procedure utilizing specialized equipment to remove selected blood constituents (plasma, leukocytes, platelets, or cells) from…	3	10	1,630	$250	$367.3K
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.	7	40	160	$280	$278.1K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	6	10	410	$60	$257.4K
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…	18	40	360	$300	$254.1K
72146	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the thoracic spinal canal and contents without using contrast.	6	10	180	$370	$252.8K
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.	20	190	1,780	$50	$231.9K
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.	59	150	1,240	$50	$208.4K

Showing 1–10 of 101

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Childrens Hospital	AR	Children's Hospital	$0	$154.7M
University Of Arkansas For Medical Sciences	AR	General Practice Physician	$0	$55M
University Of Arkansas For Medical Sciences	AR	Pediatrics Physician	$0	$27.6M
Angel One Arkansas Children's Hospital	AR	Ambulance	$0	$20.1M
Noha Mohamed	AR	Rheumatology Physician	$3.8M	$0
Arkansas Childrens Hospital	AR	Dental Clinic/Center	$0	$1.3M
Donna Graham	AR	Allergy & Immunology Physician	$16.2K	$1.1M
Matthew Lindberg	AR	Anatomic Pathology Physician	$507.9K	$0
Terry Fletcher	AR	Pain Medicine (Anesthesiology) Physician	$419.5K	$0
Melissa Magill	GA	Pediatrics Physician	$0	$377.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Children's Medical Group PLLC	AR	Pediatrics Physician	$0	$16M
Above And Beyond Home Care Of Central Arkansas	AR	In Home Supportive Care Agency	$0	$13M
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$7.9M
Twin Rivers Respiratory Care, Inc.	AR	Oxygen Equipment & Supplies (DME)	$0	$2.1M
University Of Arkansas For Medical Sciences	AR	Child & Adolescent Psychiatry Physician	$0	$1.4M
Sc Pharmacy Group Opco LLC	AR	Community/Retail Pharmacy	$296.2K	$0
Joseph Jansen	AR	Anesthesiology Physician	$202.3K	$0
Theresa Wyrick	AR	Orthopaedic Hand Surgery Physician	$168.7K	$0
Candace Brown	AR	Nurse Practitioner	$94.7K	$0
Garrett Andrews	AR	Clinical Neuropsychologist	$55.2K	$0

Arkansas Childrens Hospital — Billing Profile & Reimbursement Data

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Arkansas Childrens Hospital — 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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