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 Health Group (NPI 1649219577)

Arkansas Health Group is a family medicine physician provider located in Sherwood, Arkansas. This profile covers 0 Medicare and 27 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 Health Group
Address	1308 E Kiehl Ave
City	Sherwood
State	AR
ZIP	72120
Taxonomy	Family Medicine Physician
NPI Enumerated	June 6, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	13,150	$60	$762.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	10,970	$30	$340.1K
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…	770	$50	$38.3K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	2,460	$10	$29.5K
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…	450	$60	$24.6K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	830	$20	$15.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	220	$50	$11.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	130	$60	$7.1K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	560	$10	$6.2K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	310	$10	$3.1K

Showing 1–10 of 27

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 Health Group — 1 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	64	1,520	550	$40	$128.7K
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…	113	210	500	$50	$106.5K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	149	150	510	$50	$90.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	109	1,740	550	$30	$88.8K
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…	98	250	460	$50	$86.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	131	280	190	$50	$48.9K
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…	259	330	680	$10	$48.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	131	270	110	$50	$28.9K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	92	160	470	$10	$21.5K
90698	This code represents a combination vaccine product administered into the muscle to protect against five diseases: diphtheria, tetanus, pertussis, Haemophilus influenzae type b (Hib), and polio.	35	60	330	$10	$18K

Showing 1–10 of 27

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health Medical Group Inc	KY	Internal Medicine Physician	$0	$27.9M
Baptist Health Services	AR	Family Medicine Physician	$0	$9.9M
Baptist Medcare, Inc	AR	Emergency Medicine Physician	$0	$8M
Arkansas Health Group	AR	Rural Health Clinic/Center	$0	$2.5M
Paul Wylie	AR	Psychiatry Physician	$0	$2.4M
All For Kids Pediatric Clinic, P.A.	AR	Pediatrics Physician	$0	$2.3M
Arkansas Health Group	AR	Internal Medicine Physician	$0	$2M
Arkansas Health Group	AR	Psychiatry Physician	$0	$1.9M
Arkansas Health Group	AR	Pulmonary Disease Physician	$0	$1.7M
Naveen Yarlagadda	AR	Hematology & Oncology Physician	$1.6M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Pediatric Clinic Of Nlr, P.A.	AR	Medical Specialty Clinic/Center	$0	$4.9M
Shiloh Emergency Group PLLC	AR	Emergency Medicine Physician	$0	$4.4M
Jana Barfield Dmd PLLC	AR	Dental Clinic/Center	$0	$3.6M
St. Vincent Infirmary Medical Center	AR	General Acute Care Hospital	$0	$3M
Asm, LLC	AR	Customized Equipment (DME)	$0	$2M
Exacta Laboratory Systems, LLC	AR	Clinical Medical Laboratory	$1.2M	$546K
Armo Diagnostics LLC	AR	Clinical Medical Laboratory	$210.6K	$1.5M
Susan Delap	AR	Specialist	$380.2K	$578.4K
North River Surgery Center, LLC	AR	Ambulatory Surgical Clinic/Center	$820.4K	$11.3K
Kathryn Chenault	AR	Neurology Physician	$766.9K	$6.1K

Arkansas Health Group — Billing Profile & Reimbursement Data

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Arkansas Health Group — 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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