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.

Carroll County Learning Center (NPI 1669690830)

Field	Value
Entity Type	Organization
Organization	Carroll County Learning Center
Address	705 W College Ave
City	Berryville
State	AR
ZIP	72616
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 23, 2007

Payer Source	Total Paid
Medicaid	$27.3M
Medicare	$0

Key Findings

CARROLL COUNTY LEARNING CENTER is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and reports $27.3M in lifetime Medicaid revenue, indicating its operations and revenue stream are concentrated in the Medicaid program rather than split across Medicare and Medicaid. This payer concentration suggests performance and risk exposure are tied closely to state Medicaid policy and reimbursement trends.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 codes account for 87.3% of the provider's total Medicaid revenue, led by T1015 ($19.7M, 72.2% of Medicaid revenue), followed by 97110 ($2.1M, 7.6%) and 97530 ($2.1M, 7.5%). Those three codes together drive the bulk of dollars, meaning shifts in coverage or rates for these services would materially affect the provider's financial profile.

The code mix and descriptions point to a day‑training/clinic model with embedded therapy services: T1015 (Clinic visit/encounter, all‑inclusive) dominance plus large volumes of 97110 (therapeutic exercise) and 97530 (therapeutic activities) indicate routine, ongoing therapy and supervised day programming as the core service lines. Substantial use of A0120 (non‑emergency transportation) and therapy evaluation codes further supports a community‑based day program that provides both treatment and client transport.

Despite T1015 producing the single largest revenue pool (110.7K claims, $178 avg paid/claim, $19.7M), the provider is not an extreme statewide outlier for that code: it ranks #42 of 532 providers in‑state (92th percentile; typical, unremarkable volume for this code). In other words, T1015 is the engine of revenue here, but the provider’s volume on that code is high in absolute terms without being uniquely dominant in the state.

Therapy CPTs show sizable activity but generally sit at typical state volumes: 97110 (32.8K claims, $63 avg paid/claim, $2.1M; ranks #34 of 499, 93th percentile; typical, unremarkable volume) and 97530 (34.2K claims, $60 avg paid/claim, $2.1M; ranks #50 of 581, 92th percentile; typical, unremarkable volume) indicate steady PT/therapy throughput consistent with a day‑training provider rather than intensive specialty therapy centers. These ranks imply competitive parity with many in‑state peers rather than market dominance for those therapy services.

Several evaluation and re‑evaluation codes are statistical highs relative to peers, signaling a concentration in higher‑complexity assessments despite their small revenue share: 97166 (358 claims, $143 avg paid/claim, $51.2K; ranks #3 of 35, 94th percentile; notably above typical state volume) and 97168 (62 claims, $97 avg paid/claim, $6K; ranks #1 of 11, 100th percentile; notably above typical state volume). This pattern suggests the provider performs relatively more moderate‑ to high‑complexity occupational therapy evaluations per client than many comparable in‑state providers.

Non‑treatment supports are a meaningful operational component: A0120 (non‑emergency transportation) appears as a top revenue code with 41.6K claims, $33 avg paid/claim, $1.4M revenue (5.0% of Medicaid revenue) and ranks #14 of 103 providers in‑state (87th percentile; typical, unremarkable volume). High transportation claim counts are consistent with a provider that manages client logistics for day programs or community participation, and they represent a persistent cost/revenue anchor to the business model.

The provider shows long tenure in the market, with an NPI enumerated on 2007-04-23 (~19 years ago), which together with $27.3M in Medicaid revenue indicates an established presence and operational continuity in Arkansas’ developmental disability day services marketplace. Longevity combined with concentrated Medicaid revenue suggests the center is a stable, Medicaid‑dependent operator rather than a new entrant or a multi‑payer facility.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	110,680	$180	$19.7M
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…	32,840	$60	$2.1M
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.	34,170	$60	$2.1M
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…	24,860	$70	$1.7M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	41,620	$30	$1.4M
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	540	$140	$76.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	560	$110	$63.5K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	360	$140	$51.2K
97003	N/A	310	$150	$46K
T1027	Family training and counseling for child development, per 15 minutes	2,630	$10	$26.3K

Showing 1–10 of 16

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

Carroll County Learning Center — 1 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	42	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…	86	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	14	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.	50	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…	34	500	3,410	$60	$523.5K
T1027	Family training and counseling for child development, per 15 minutes	9	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…	31	90	90	$80	$36.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	7	110	40	$100	$32.6K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	13	60	100	$80	$31.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	27	70	90	$40	$30.1K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Carroll County Learning Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Therapy Services Of Northwest Arkansas, LLC	AR	Speech-Language Pathologist	$0	$2.9M
Mercy Hospital Berryville	AR	Critical Access Hospital	$0	$2.8M
Allison Hudgens	AR	Physical Therapist	$127K	$0
Victoria Jones	AR	Family Nurse Practitioner	$75.5K	$0

Carroll County Learning Center — Billing Profile & Reimbursement Data

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Carroll County Learning 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