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.

St. Francis Area Developmental Center (NPI 1649391756)

Field	Value
Entity Type	Organization
Organization	St. Francis Area Developmental Center
Address	448 N Rosser St
City	Forrest City
State	AR
ZIP	72335
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 3, 2007

Payer Source	Total Paid
Medicaid	$19.4M
Medicare	$0

Key Findings

This provider is effectively a single-payer operation: there is no Medicare billing on file and total Medicaid revenue is $19.4M, indicating that Medicaid entirely dominates its public-payer receipts. The absence of Medicare activity means analysis of its financial exposure should focus on state Medicaid policy and reimbursement dynamics rather than dual-payer interactions.

Revenue is highly concentrated in three procedure lines: H2016 ($10.7M, 55.0%), T1015 ($6.6M, 34.1%), and A0120 ($1.6M, 8.3%), and the precomputed top-3 codes together account for 97.3% of the provider’s total Medicaid revenue. This concentration implies that changes to reimbursement or utilization for any of these three codes would materially affect overall revenue.

The code mix aligns with a day-training and community support model: heavy billing for H2016 (Comprehensive community support services, per diem) and high volume of T1015 (Clinic visit/encounter, all-inclusive) plus substantial A0120 (non-emergency transportation) suggests the organization operates large per-diem community support programs with integrated clinic encounters and organized transportation for participants. These patterns are consistent with the registered taxonomy of Developmentally Disabled Services Day Training Agency.

Competitive standing by code is solid but described as typical: H2016 registers 63.9K claims and $10.7M revenue, ranking #11 of 62 providers in-state (84th percentile) and is noted as "typical, unremarkable volume for this code"; T1015 records 75.1K claims and $6.6M revenue, ranking #62 of 532 (89th percentile) and likewise described as "typical, unremarkable volume for this code"; A0120 shows 48.9K claims and $1.6M revenue, ranking #11 of 103 (90th percentile) and also characterized as "typical, unremarkable volume for this code."

Beyond the three revenue drivers, therapy and assessment codes are present but represent small, supplemental streams: 97530 has 6.1K claims and $318.8K revenue (1.6%), 92507 has 2.4K claims and $160.4K revenue (0.8%), and 97110, 96112 and other listed codes produce de minimis shares. These volumes suggest the provider offers ancillary rehabilitative and assessment services in support of its core day/community programs rather than relying on them as primary revenue sources.

Operational intensity is reflected in high claim counts for encounter and transport services: 75.1K T1015 claims, 63.9K H2016 claims, and 48.9K A0120 claims indicate substantial ongoing client throughput and logistical complexity (scheduling, per-diem delivery, and coordinated transportation). The combination of large per-diem service counts and frequent clinic encounters points to sizeable day-program operations serving many participants on a recurring basis.

The provider has an established operating history, with its NPI enumerated on 2007-04-03 (~19 years ago), which suggests enduring presence in the state Medicaid market and likely operational relationships with state case management and care coordination systems. Longevity combined with the concentrated Medicaid footprint means any operational or policy changes affecting the top codes could have outsized impact on a long-standing revenue stream.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	63,920	$170	$10.7M
T1015	Clinic visit/encounter, all-inclusive	75,150	$90	$6.6M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	48,880	$30	$1.6M
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.	6,130	$50	$318.8K
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…	2,360	$70	$160.4K
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…	550	$50	$28.1K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	60	$100	$5.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	10	$110	$1.3K
T1027	Family training and counseling for child development, per 15 minutes	90	$10	$740

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

St. Francis Area Developmental Center — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	11	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	62	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…	291	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	11	100	10,500	$40	$791K
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.	224	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…	395	500	3,410	$60	$523.5K
T1027	Family training and counseling for child development, per 15 minutes	65	90	250	$40	$51.2K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	61	90	90	$80	$36.8K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	68	70	90	$40	$30.1K

Nearby Providers

Other providers in the same ZIP code as St. Francis Area Developmental Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids For The Future Of Forrest City, Inc.	AR	Early Intervention Provider Agency	$0	$23M
Silver Lining Senior Care LLC	AR	In Home Supportive Care Agency	$0	$21.6M
Forrest City Home Medical Equipment, LLC	AR	Home Health Agency	$0	$13.7M
Pediatric Dentistry Of Eastern Arkansas	AR	Pediatric Dentistry	$0	$11.5M
Kids For The Future, Inc.	AR	Clinical Child & Adolescent Psychologist	$0	$11.5M
Elite Home Care, LLC	AR	Home Health Agency	$0	$8.6M
Forrest City Arkansas Hospital Company LLC	AR	General Acute Care Hospital	$0	$7.4M
East Arkansas Childrens Clinic	AR	Primary Care Clinic/Center	$0	$4.4M
Ambulance Services Of Forrest City LLC	AR	Ambulance	$366.7K	$3.5M
Boeckmann And Sons	AR	Adult Care Home Facility	$0	$2.9M

St. Francis Area Developmental Center — Billing Profile & Reimbursement Data

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St. Francis Area Developmental Center — 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