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.

Northwest Arkansas Hospitals, LLC (NPI 1699726695)

Northwest Arkansas Hospitals, LLC is a general acute care hospital provider located in Springdale, Arkansas. This profile covers 0 Medicare and 276 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	Northwest Arkansas Hospitals, LLC
Address	609 W Maple Ave
City	Springdale
State	AR
ZIP	72764
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 14, 2006

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

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

276 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7,770	$120	$932.8K
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…	24,920	$30	$847.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	53,600	$10	$750.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	6,780	$80	$569.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	13,160	$30	$381.6K
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…	62,840	$10	$377K
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.	13,040	$20	$260.7K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	5,060	$50	$237.9K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	14,750	$20	$236K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	6,650	$30	$219.5K

Showing 1–10 of 276

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

Northwest Arkansas Hospitals, LLC — 11 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

276 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	313	530	4,960	$70	$2.6M
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.	562	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…	53	500	3,410	$60	$523.5K
0241U	N/A	36	40	1,640	$120	$370.5K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	20	30	80	$600	$290.7K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	31	40	160	$280	$278.1K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	34	40	360	$300	$254.1K
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	9	10	1,710	$30	$233K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	28	190	1,780	$50	$231.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	27	80	1,090	$70	$210.4K

Showing 1–10 of 276

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Siloam Springs Arkansas Hospital Company LLC	AR	General Acute Care Hospital	$0	$5M
Benjamin Citrin	AL	Interventional Cardiology Physician	$442.8K	$0
Jon Banwart	AR	Adult Reconstructive Orthopaedic Surgery Physician	$379.9K	$0
Ron Schechter	AR	Orthopaedic Surgery Physician	$270K	$0
Madhu Kalyan	AR	Pulmonary Disease Physician	$267.6K	$0
Ahmad Elesber	AR	Interventional Cardiology Physician	$264K	$0
Pahul Singh	AR	Interventional Cardiology Physician	$237.9K	$0
Timothy Mcdermott	KY	Interventional Cardiology Physician	$221.7K	$0
Michael Green	AR	Interventional Cardiology Physician	$220.9K	$0
Scott Musick	AR	Family Medicine Physician	$198.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Elizabeth Richardson Ctr.	AR	Developmentally Disabled Services Day Training Agency	$0	$30.4M
Kids Unlimited Learning Academy Of Springdale	AR	Rehabilitation Clinic/Center	$0	$13.1M
St. Francis House Nwa, Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$11.5M
Kids Spot LLC	AR	Physical Therapy Clinic/Center	$0	$11.2M
Thera-play Pediatrics	AR	Clinic/Center	$0	$8.1M
St. Francis House, Nwa, Inc.	AR	Dental Clinic/Center	$0	$7.1M
City Of Springdale	AR	Land Ambulance	$496.6K	$1.9M
Outcomes Incorporated	AR	Developmentally Disabled Services Day Training Agency	$0	$2.3M
Physician's Therapy Group, LLC	AR	Speech-Language Pathologist	$0	$2.2M
Ahr Springdale Trs Sub, LLC	AR	Assisted Living Facility	$0	$2M

Northwest Arkansas Hospitals, LLC — Billing Profile & Reimbursement Data

Sign up for Northwest Arkansas Hospitals, LLC — Billing Profile & Reimbursement Data policy alerts

Northwest Arkansas Hospitals, LLC — Billing Profile & Reimbursement Data

Sign up for Northwest Arkansas Hospitals, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References