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.

Baptist Health (NPI 1609804822)

Baptist Health is a critical access hospital provider located in Heber Springs, Arkansas. This profile covers 0 Medicare and 158 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	Baptist Health
Address	1800 Bypass Road
City	Heber Springs
State	AR
ZIP	72543
Taxonomy	Critical Access Hospital
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

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

158 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	11,860	$50	$545.3K
0241U	N/A	2,940	$130	$388.1K
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.	2,280	$140	$316.2K
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…	7,240	$30	$246.1K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	5,030	$50	$236.3K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	2,350	$90	$221K
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.	1,320	$150	$197.4K
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…	15,320	$10	$107.2K
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.	1,640	$50	$73.9K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	1,590	$50	$73.3K

Showing 1–10 of 158

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

Baptist Health — 0 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

158 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	168	500	3,410	$60	$523.5K
0241U	N/A	14	40	1,640	$120	$370.5K
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…	28	30	160	$70	$259.6K
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.	105	190	1,780	$50	$231.9K
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.	33	80	1,090	$70	$210.4K
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.	132	150	1,240	$50	$208.4K
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.	123	190	2,020	$40	$191.2K
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.	53	180	260	$110	$170.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	59	100	900	$40	$168.5K
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.	52	210	350	$80	$161.1K

Showing 1–10 of 158

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community School Of Cleburne County	AR	Developmentally Disabled Services Day Training Agency	$0	$19.3M
Survival Flight Ems LLC	AR	Land Ambulance	$2.1M	$3.1M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$3.6M
Eldercare Of Arkansas Iv, Inc.	AR	Assisted Living Facility	$0	$3M
United Methodist Children's Home, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$1.7M
Aimee Widner	AR	Physical Medicine & Rehabilitation Physician	$210.3K	$45.1K
Jan Sharp	AR	Family Medicine Physician	$175.3K	$0
Granville Vaughan	AR	Family Medicine Physician	$134.9K	$0
Richard Matthews	AR	Physical Therapist	$133.5K	$0
Danny Lister	AR	Surgery Physician	$63.6K	$0

Baptist Health — Billing Profile & Reimbursement Data

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Baptist Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health	AR	General Acute Care Hospital	$0	$16.4M
Baptist Health	AR	General Acute Care Hospital	$0	$14M
Baptist Health	AR	Critical Access Hospital	$0	$4.8M
Mcsa LLC	AR	General Acute Care Hospital	$0	$4.3M
Baptist Health	AR	Rehabilitation Hospital	$0	$2.9M
Sarah Jewell	AR	Hematology & Oncology Physician	$2.7M	$0
Baptist Health	AR	General Acute Care Hospital	$0	$2.7M
Baptist Health	AR	Land Ambulance	$396K	$1.5M
Baptist Health	AR	Home Health Agency	$0	$1.8M
Arkansas Health Group	AR	Pulmonary Disease Physician	$0	$1.7M