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    OpenPayerNPI Medicare & MedicaidTfs Of Gurdon Inc
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    Tfs Of Gurdon Inc — Billing Profile & Reimbursement Data

    NPI 1639180805 · Malvern, AR · Community/Behavioral Health Agency

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    Tfs Of Gurdon Inc is a community/behavioral health agency provider located in Malvern, Arkansas. This profile covers 0 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationTfs Of Gurdon Inc
    Address829 Halbert St
    CityMalvern
    StateAR
    ZIP72104
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedAugust 11, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$33.3M
    Medicare$0

    Key Findings

    TFS OF GURDON INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and reported lifetime Medicaid revenue is $33.3M. This concentration means the organization’s scale and cash flow are driven almost entirely by Medicaid program rules and reimbursement dynamics rather than a mixed Medicare/Medicaid payer mix.

    Revenue is highly concentrated in a few codes: the provider’s top three Medicaid codes (H2019, 90837, 90853) together account for 84.0% of total Medicaid revenue. Those three codes individually represent $13.2M (39.8%), $11.6M (34.8%), and $3.1M (9.4%) of Medicaid revenue, indicating a narrow set of service lines generate the bulk of billing.

    The code mix points to an operations model centered on intensive therapeutic and psychotherapy services. Very high volumes of H2019 (Therapeutic behavioral services, per 15 minutes), 90837 (long individual psychotherapy, 53+ minutes), and 90853 (group psychotherapy) suggest the provider delivers time-based, clinically intensive behavioral health interventions and both individual and group therapy as core services.

    On statewide competitiveness for those top lines, TFS OF GURDON is a dominant outlier: H2019 ranks #2 of 170 providers in-state (99th percentile; extreme outlier) and 90837 ranks #2 of 434 (100th percentile; extreme outlier), while 90853 ranks #4 of 181 (98th percentile; extreme outlier). These rank and percentile positions indicate unusually high market share/throughput for these specific service codes compared with in-state peers.

    Beyond the top three, the provider reports substantial activity in related support and assessment codes that broaden its clinical footprint. H2015 ($2.3M; 30.3K claims) ranks #5 of 153 (97th percentile; notably above typical), 90792 ($656.6K; 6.1K claims) ranks #7 of 167 (96th percentile; extreme outlier), and 90885 ($202.8K; 3.8K claims) ranks #5 of 155 (97th percentile; notably above typical), indicating capabilities in comprehensive community supports, psychiatric evaluation, and record-review services.

    Operational scale is reflected in claim volumes and unit payments: H2019 shows 165.5K claims at $80 avg paid/claim and 90837 shows 130.1K claims at $89 avg paid/claim. Those claim counts, paired with time-based billing units, imply high patient throughput and significant administrative capacity to manage frequent, recurring therapy encounters.

    The provider’s revenue concentration creates sensitivity to Medicaid policy or utilization shifts: with 84.0% of Medicaid revenue coming from three codes, changes to rate-setting, prior authorization, or program eligibility that affect H2019, 90837, or 90853 could materially impact overall revenue. This concentration also heightens the operational importance of maintaining referral pathways and authorization workflows for those services.

    TFS OF GURDON’s NPI has been enumerated since 2006-08-11 (~20 years ago), signaling a long-standing presence in its market. Combined with the outsized statewide rankings on core behavioral health codes, tenure suggests an established provider with sustained service capacity in Medicaid behavioral health delivery.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2019Therapeutic behavioral services, per 15 minutes165,490$80$13.2M
    90837In 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…130,110$90$11.6M
    90853Group 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…72,770$40$3.1M
    H2015Comprehensive community support services, per 15 minutes30,250$80$2.3M
    H0004Behavioral health counseling and therapy, per 15 minutes9,220$100$939.9K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…6,140$110$656.6K
    90846A 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.3,270$80$248.4K
    90847A 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…2,880$80$215.8K
    90885The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.3,760$50$202.8K
    90834In 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…2,950$60$179.9K

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arkansas median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2019Therapeutic behavioral services, per 15 minutes21702,430$80$1.1M
    90837In 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…2430760$80$675.9K
    H2017Psychosocial rehabilitation services, per 15 minutes951302,210$40$529K
    H2015Comprehensive community support services, per 15 minutes51501,770$70$390.2K
    90853Group 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…41801,430$40$263.8K
    H0004Behavioral health counseling and therapy, per 15 minutes91401,180$90$238.7K
    99214The 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…1,0951,520550$40$128.7K
    90846A 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.12120390$70$97.8K
    90834In 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…35230480$60$94.8K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…7170300$100$94.6K

    Showing 1–10 of 21

    Nearby Providers

    Other providers in the same ZIP code as Tfs Of Gurdon Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Birch Tree Communities, Inc.ARCommunity/Behavioral Health Agency$0$12M
    Birch Tree Communities, IncARCommunity/Behavioral Health Agency$0$6.9M
    The Crossing At MalvernARAssisted Living Facility$0$4.3M
    Healthy Connections IncARFederally Qualified Health Center (FQHC)$0$3M
    Baptist HealthARGeneral Acute Care Hospital$0$2.7M
    Malvern Public School DistrictARLocal Education Agency (LEA)$0$2.5M
    Michael HigginbothamARFamily Medicine Physician$354.3K$1.6M
    Dylan ThaxtonARFamily Medicine Physician$144.1K$0
    Courtney MckinneyARFamily Nurse Practitioner$142.6K$0
    Community Care Rx LLCARCommunity/Retail Pharmacy$120.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arkansas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Tfs Of Gurdon Inc — 8 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas