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.

Mercy Clinic Fort Smith Communities (NPI 1699070649)

Mercy Clinic Fort Smith Communities is a orthopaedic surgery physician provider located in Fort Smith, Arkansas. This profile covers 0 Medicare and 26 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	Mercy Clinic Fort Smith Communities
Address	3501 We Knight Dr
City	Fort Smith
State	AR
ZIP	72903
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	January 24, 2011

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	13,610	$30	$408.3K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	3,740	$90	$317.9K
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…	5,350	$40	$224.7K
99203	The provider sees a new 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 provider…	4,310	$50	$224.3K
99204	The provider sees a new 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 provider…	2,570	$70	$177.1K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	4,510	$20	$85.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,240	$20	$51.5K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	1,630	$30	$47.4K
62321	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…	390	$90	$36.5K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	630	$20	$12.6K

Showing 1–10 of 26

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

Mercy Clinic Fort Smith Communities — 5 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	36	40	190	$120	$138.6K
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…	191	1,520	550	$40	$128.7K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	9	10	110	$280	$102.1K
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…	85	1,740	550	$30	$88.8K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	1	40	170	$130	$70.5K
62321	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…	3	10	160	$150	$49.5K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	24	30	60	$140	$33.9K
64494	In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…	26	30	290	$20	$23.4K
64495	In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,…	19	20	180	$30	$23K
99204	The provider sees a new 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 provider…	14	380	80	$50	$19.9K

Showing 1–10 of 26

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Clinic Fort Smith Communities	AR	Multi-Specialty Clinic/Center	$0	$24.1M
Mercy Clinic Fort Smith Communities	AR	Medical Specialty Clinic/Center	$0	$2.3M
Harvinder Dod	AR	Cardiovascular Disease Physician	$1.4M	$0
Julio Schwarz	AR	Cardiovascular Disease Physician	$739.6K	$0
Roscoe Chan	AZ	Radiation Oncology Physician	$738.6K	$0
Benton Loggains	AR	Physician Assistant	$640.9K	$0
Van Woo	OK	Radiation Oncology Physician	$630.4K	$0
Wesley Lane	AR	Cardiovascular Disease Physician	$478.7K	$0
Paul Henry	AR	Ophthalmology Physician	$462.3K	$0
Halim Abou-faycal	LA	Infectious Disease Physician	$436.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Gregory Kistler Treatment Center, Inc.	AR	Voluntary or Charitable Agency	$0	$28.3M
Bost, Inc.	AR	Counselor	$0	$25.9M
Mercy Hospital Fort Smith	AR	General Acute Care Hospital	$0	$22.5M
Western Arkansas Counseling & Guidance Center, Inc	AR	Community/Behavioral Health Agency	$0	$21.3M
Arkansas Family Supports, Inc.	AR	In Home Supportive Care Agency	$0	$15.6M
Kids Unlimited Learning Academy Of Ft. Smith	AR	Rehabilitation Clinic/Center	$0	$10.5M
1 Of A Kind In Home Care And Medical Services LLC	AR	In Home Supportive Care Agency	$0	$7M
The Gregory Kistler Treatment Center, Inc.	AR	Voluntary or Charitable Agency	$0	$6.5M
Little Hands At Play Therapy, LLC	AR	Pediatric Occupational Therapist	$0	$4.9M
The Guidance Center - Crisis Stabilization Unit	AR	Community/Behavioral Health Agency	$0	$4.5M

Mercy Clinic Fort Smith Communities — 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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