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.

Jefferson Hospital Association Inc (NPI 1710931985)

Key Findings

Field	Value
Entity Type	Organization
Organization	Jefferson Hospital Association Inc
Address	1600 W. 40th Avenue
City	Pine Bluff
State	AR
ZIP	71603
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$18.4M
Medicare	$0

This provider is effectively single-payer: there is no Medicare billing on file while total Medicaid revenue is $18.4M. The absence of any Medicare activity combined with a multi-million dollar Medicaid footprint indicates operations and revenue are concentrated on Medicaid patients and payment policies. This profile increases sensitivity to Medicaid rate changes and state-level contracting dynamics.

Revenue concentration is significant within a small set of diagnostic services: the top three Medicaid codes (80307, 87651, 70450) together account for 23.9% of the provider's total Medicaid revenue. Individually those codes generated $970.4K (80307, 9.0%), $909K (87651, 8.4%), and $705.3K (70450, 6.5%), making them primary revenue drivers for the hospital's Medicaid business. These figures identify lab-based screening and head CT as the leading single-code revenue contributors.

The facility’s code mix points to a high-throughput laboratory and outpatient diagnostic operation. Large-volume lab and infectious-disease testing codes such as 80053 (58.9K claims, $648.2K, 6.0%), 85025 (57.1K claims, $399.9K, 3.7%), 87804 (32K claims, $383.9K, 3.6%), and the high-ranking 87651 (22.2K claims, $909K, 8.4%) show reliance on many low-average-paid, high-frequency tests. That pattern is consistent with a hospital supporting substantial outpatient testing, emergency-department screening, or a regional lab hub.

The provider also shows substantial infusion and procedure throughput in outpatient or ED settings. High volumes are reflected in 96374 (24.1K claims, $409.7K, 3.8%) which ranks #1 in-state (100th percentile, labeled an extreme outlier), 96372 (17.7K claims, $247.7K, 2.3%) which ranks #2 (100th percentile, extreme outlier), and 96365 (5K claims, $403.8K, 3.7%). These counts and ranks indicate a meaningful service line for IV/infusion administrations and same-day procedural care tied to Medicaid patients.

Imaging and cardiac diagnostics are meaningful but less dominant relative to labs: 70450 (7.3K claims, $705.3K, 6.5%) and 74177 (5.2K claims, $690.9K, 6.4%) both sit in the 90th percentile statewide and 71260 (2.5K claims, $339.3K, 3.1%) is at the 93rd percentile, indicating robust CT capacity. Echocardiography (93306, 3.6K claims, $344.7K, 3.2%) ranks at the 75th percentile, suggesting imaging is an important but more typical hospital service line compared with the exceptional lab/testing volumes.

Competitive standing is mixed by service line: the hospital is a statewide leader on multiple lab/test and outpatient-procedural codes—examples include 87651 (rank #2 of 114, 99th percentile, extreme outlier), 87426 (rank #2 of 360, 100th percentile, extreme outlier), 96374 (rank #1 of 81, 100th percentile, extreme outlier), and 87804 (rank #2 of 502, 100th percentile, extreme outlier). By contrast, for several imaging and specialty codes the provider is a solid but not dominant participant (e.g., 70450 at the 90th percentile, 93306 at the 75th percentile).

Operational risk and margin dynamics are implied by a high-volume, low-unit-payment mix: several top lab codes have low average paid/claim (for example 80053 at $11 avg paid/claim and 85025 at $7 avg paid/claim) while still generating sizable aggregate revenue due to claim volume. Reliance on high throughput to generate revenue suggests margins will be sensitive to test reimbursement rates, lab supply costs, and any changes in state Medicaid coverage or utilization management.

The provider has longstanding presence: its NPI was enumerated 2006-05-20 (~20 years ago), indicating two decades of operation under this identifier. Combined with the statewide leadership positions on multiple codes, tenure supports an established role in the region’s Medicaid delivery network and suggests built-out clinical and lab infrastructure aligned to its service mix.

Medicaid: Complete Services Breakdown

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

341 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	15,650	$60	$970.4K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	22,170	$40	$909K
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.	7,350	$100	$705.3K
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.	5,160	$130	$690.9K
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.	58,930	$10	$648.2K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	2,410	$210	$506.1K
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…	24,180	$20	$483.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	11,470	$40	$470.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	11,450	$40	$469.6K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	10,950	$40	$438K

Showing 1–10 of 341

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

Jefferson Hospital Association Inc — 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

341 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	155	530	4,960	$70	$2.6M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	4	30	290	$240	$857.7K
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.	506	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…	54	500	3,410	$60	$523.5K
D2930	N/A	68	110	570	$130	$481.4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	9	30	530	$150	$342.5K
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.	25	40	160	$280	$278.1K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	6	30	160	$70	$259.6K
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…	30	40	360	$300	$254.1K
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.	107	190	1,780	$50	$231.9K

Showing 1–10 of 341

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tamer Alsebai	AR	Rheumatology Physician	$2.2M	$0
Jefferson Hospital Association, Inc	AR	Pulmonary Disease Physician	$0	$1.5M
Abdul Ezeldin	FL	Interventional Cardiology Physician	$568.7K	$51.3K
Timothy Simon	AR	Family Medicine Physician	$416.8K	$0
Nicholas Willis	AR	Cardiovascular Disease Physician	$332.8K	$0
Shoaib Ahmad	OK	Pulmonary Disease Physician	$276.1K	$0
Adil Imran	AR	Pulmonary Disease Physician	$265.7K	$0
Joseph Fakouri	AR	Family Medicine Physician	$262.5K	$0
James Campbell	AR	Nephrology Physician	$255.9K	$0
Ayman Alshami	AR	Specialist	$251.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jenkins Memorial Center & Jenkins Industries, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$17.2M
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$10M
Small Bites	AR	Pediatric Dentistry	$0	$9.6M
Southeast Arkansas Behavioral Healthcare System Inc	AR	Community/Behavioral Health Agency	$0	$4.8M
Southeast Arkansas Emergency Physicians LLP	AR	Emergency Medicine Physician	$0	$3.6M
Southeast Arkansas Emergency Physicians LLP	AR	Emergency Medicine Physician	$0	$2.7M
Physicians Day Surgery Center	AR	Ambulatory Surgical Clinic/Center	$2.2M	$266.5K
Home Care Network LLC	AR	Personal Care Attendant	$0	$2.4M
Modern Dental Professionals-smith PA	AR	General Practice Dentistry	$0	$2.3M
True Home Care LLC	AR	Durable Medical Equipment & Medical Supplies	$0	$1.8M

Jefferson Hospital Association Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References