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.

Network Of Community Options Inc. (NPI 1598985863)

Field	Value
Entity Type	Organization
Organization	Network Of Community Options Inc.
Address	10 Martin Lane
City	Ash Flat
State	AR
ZIP	72513
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 27, 2007

Payer Source	Total Paid
Medicaid	$26.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all recorded lifetime revenue is Medicaid‑sourced, totaling $26.3M. The absence of Medicare activity indicates NETWORK OF COMMUNITY OPTIONS INC. operates primarily within state Medicaid programs and relies on Medicaid reimbursement streams for its entire reported revenue base.

Revenue is highly concentrated in a very small set of service lines: the precomputed top three Medicaid codes account for 99.7% of this provider’s total Medicaid revenue. That level of concentration means the organization’s financial performance is tightly tied to reimbursement and utilization patterns for a few specific codes, making it sensitive to policy or rate changes that affect those services.

H2016 is the dominant revenue driver and appears to define the business model: 114.1K claims at $196 avg paid/claim produced $22.4M in revenue, representing 84.9% of the provider’s Medicaid revenue. H2016 is a per‑diem Comprehensive community support services code, which aligns with the provider’s Developmentally Disabled Services Day Training Agency taxonomy and suggests an operational focus on daily community support and day‑training services for individuals with developmental disabilities.

T1015 is the secondary revenue stream and represents a clinic/encounter modality: 44.5K claims at $86 avg paid/claim yielded $3.8M, or 14.5% of Medicaid revenue. This mix — a high‑volume per‑diem community support code supplemented by clinic visits — implies the organization combines recurring daily support services with billed clinic encounters rather than relying on procedurally intensive therapy services.

Smaller therapy and rehabilitation codes (92507, 97530, 97110) together account for a negligible share of revenue (92507: $71.8K, 0.3%; 97530: $38.8K, 0.1%; 97110: $34.4K, 0.1%) and have low to mid state rank percentiles. These volumes indicate speech and therapeutic interventions are ancillary to the organization’s core community‑support/day‑training services rather than a primary line of business.

Competitive standing is mixed by service line: for H2016 the provider ranks #9 of 62 in‑state (87th percentile) but is labeled as having "typical, unremarkable volume" for that code, indicating it is an upper‑tier participant in the market for community support services without being a dominant statewide outlier. For T1015 the provider ranks #94 of 532 (82th percentile) and is likewise described as "typical, unremarkable volume," reflecting broad but not exceptional clinic encounter activity relative to in‑state peers.

The statistical labels attached to individual codes are consistently "typical, unremarkable volume," even where rank percentiles are relatively high; this suggests the provider’s patterns fall within expected state variation for these services rather than representing extreme outlier behavior. Analysts should read the percentile ranks alongside these labels: the provider is notable for serving high volumes of H2016, but that activity is still characterized as within the normal range for providers of this type.

The organization has an established presence: NPI enumerated on 2007-04-27 (~19 years ago). This tenure supports the interpretation of sustained Medicaid relationships and an operational model built around long‑running community support/day‑training services rather than a newly entered or transient billing pattern.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	114,150	$200	$22.4M
T1015	Clinic visit/encounter, all-inclusive	44,510	$90	$3.8M
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…	1,280	$60	$71.8K
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.	860	$50	$38.8K
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…	720	$50	$34.4K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	30	$50	$1.4K
T1027	Family training and counseling for child development, per 15 minutes	160	$10	$1.3K

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

Network Of Community Options Inc. — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	9	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	94	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…	345	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.	424	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…	381	500	3,410	$60	$523.5K
T1027	Family training and counseling for child development, per 15 minutes	53	90	250	$40	$51.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	55	70	90	$40	$30.1K

Nearby Providers

Other providers in the same ZIP code as Network Of Community Options Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
From The Beginning Chms Clinic	AR	Developmental Disabilities Clinic/Center	$0	$9.9M
Mcbryde Therapy Ops, Inc.	AR	Multi-Specialty Clinic/Center	$0	$2.4M
Families, Inc Of Arkansas	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.6M
Walmart Inc.	AR	Community/Retail Pharmacy	$107.6K	$1.4K
Alicia Mcbryde	AR	Pediatric Occupational Therapist	$49.5K	$0

Network Of Community Options Inc. — Billing Profile & Reimbursement Data

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Network Of Community Options Inc. — 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

Nearby Providers

Frequently Asked Questions

References