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.

Ozark Guidance Center, Inc (NPI 1609875186)

Field	Value
Entity Type	Organization
Organization	Ozark Guidance Center, Inc
Address	2400 S. 48th Street
City	Springdale
State	AR
ZIP	72762
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 18, 2005

Payer Source	Total Paid
Medicaid	$74.5M
Medicare	$0

Key Findings

OZARK GUIDANCE CENTER, INC is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $74.5M in lifetime Medicaid revenue. This concentration makes Medicaid the dominant revenue source for the organization and suggests its operations are oriented primarily toward publicly insured behavioral health services rather than Medicare-aged or dual-eligible populations.

Revenue concentration is high: the top three Medicaid codes account for 72.2% of the provider's total Medicaid revenue, driven principally by 90837 ($29.3M, 39.3% of Medicaid revenue), H2019 ($20.4M, 27.4%), and 90853 ($4M, 5.4%). This indicates that a small set of psychotherapy and therapeutic behavioral-service codes are the primary financial drivers for the organization.

The code mix points to a large-scale outpatient behavioral health and community-support operation: very high volumes of long psychotherapy sessions (90837: 357.1K claims, $82 avg paid/claim) together with per-15-minute therapeutic behavioral services (H2019: 215.1K claims, $95 avg paid/claim) and substantial group psychotherapy (90853: 90K claims, $45 avg paid/claim) indicate sustained individual and group treatment capacity and a business model built around frequent, time-based encounters.

Competitive standing in-state is dominant for multiple core codes: OZARK GUIDANCE ranks #1 of 434 providers for 90837 (100th percentile; extreme outlier) and #1 of 170 for H2019 (100th percentile; extreme outlier), showing it far exceeds typical state volume for these high-revenue services. Multiple additional codes (e.g., 90834, 90847, H0004, 90885, H0011 entries) also rank in the 99th–100th percentiles, reinforcing its role as a major statewide service provider rather than a niche or modest participant.

Operational profile is oriented to time-based and team-based interventions: high use of per-15-minute codes such as H2019, H0004, H2015 and H2017 alongside conference and psychoeducational codes (S0220, H2027) suggests the provider delivers intensive, often multi-disciplinary or community-based supports rather than isolated brief procedural encounters. The presence of S0220 (6.2K claims, $72 avg paid/claim; rank #1, 100th percentile; extreme outlier) signals frequent interdisciplinary coordination billed as part of care.

The provider shows breadth and depth across psychotherapy modalities: it bills high volumes for long individual psychotherapy (90837), mid-length individual psychotherapy (90834), family sessions with and without the patient present (90847 and 90846), and brief psychotherapy (90832), indicating a full continuum of outpatient psychotherapeutic services. These patterns imply infrastructure for scheduling diverse session lengths and for supporting both individual and family-focused care.

Several codes show notable but varied statistical characterizations: many top codes are labeled “extreme outlier” in-state (e.g., 90837, H2019, 90853, H0004), some are characterized as “notably above typical” (e.g., H2015, Q3014) and a few are “typical, unremarkable” in percentile (e.g., H2017, 99213). This mix suggests exceptional dominance in core behavioral-health delivery while maintaining some routine volumes in ancillary or medical-evaluation codes.

Tenure and stability: the organization’s NPI was enumerated on 2005-07-18 (~21 years ago), indicating long-standing enrollment in federal provider files and likely established operational relationships with Arkansas Medicaid. Combined with sustained high-volume billing patterns across many behavioral health CPT/HCPCS codes, this tenure supports the interpretation of OZARK GUIDANCE as an entrenched, high-capacity Medicaid behavioral health provider in-state.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	357,050	$80	$29.3M
H2019	Therapeutic behavioral services, per 15 minutes	215,060	$100	$20.4M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	89,990	$50	$4M
H0004	Behavioral health counseling and therapy, per 15 minutes	36,300	$90	$3.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	45,650	$60	$2.8M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	34,000	$80	$2.6M
H2015	Comprehensive community support services, per 15 minutes	30,070	$70	$2.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	44,130	$50	$2M
H2017	Psychosocial rehabilitation services, per 15 minutes	33,780	$30	$1.1M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	12,650	$80	$961.2K

Showing 1–10 of 30

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

Ozark Guidance Center, Inc — 20 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	1	170	2,430	$80	$1.1M
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…	1	430	760	$80	$675.9K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	3	10	310	$270	$598.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	14	130	2,210	$40	$529K
H2015	Comprehensive community support services, per 15 minutes	6	150	1,770	$70	$390.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	2	180	1,430	$40	$263.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	1	140	1,180	$90	$238.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	12	1,520	550	$40	$128.7K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	3	120	390	$70	$97.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1	230	480	$60	$94.8K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ozark Guidance Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tammy Berke	AR	Clinical Psychologist	$105.7K	$0
Mark Baltz	AR	Psychiatry Physician	$47.7K	$0
Donna Rocha	AR	Psychiatry Physician	$41.1K	$0
Whitney Reed	AR	Psychiatric/Mental Health Nurse Practitioner	$21K	$0
Michael West	AR	Psychiatric/Mental Health Nurse Practitioner	$11.3K	$0

Nearby Providers

Other providers in the same ZIP code as Ozark Guidance Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Childrens Northwest, Inc.	AR	Children's Hospital	$0	$48M
Arisa Health, Inc.	AR	Community/Behavioral Health Agency	$0	$14.9M
Jarvis Pediatric Therapy, Inc.	AR	Specialist	$0	$10.6M
Wendy Cassady Speech Pathology, Inc	AR	Speech-Language Pathologist	$0	$9.2M
Preferred Family Healthcare Inc	AR	Community/Behavioral Health Agency	$0	$8.1M
Kidscorp Of Fayetteville, Inc	AR	Developmental Disabilities Clinic/Center	$0	$6.9M
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$5.8M
Northwest Physicians LLC	AR	Obstetrics Physician	$0	$5.8M
Highlands Oncology Group PA	AR	Hematology & Oncology Physician	$0	$5.7M
All Aboard Pediatric Therapy	AR	Pediatric Occupational Therapist	$0	$5.3M

Ozark Guidance Center, Inc — Billing Profile & Reimbursement Data

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Ozark Guidance Center, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References