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.

White River Health System, Inc. (NPI 1710943881)

Key Findings

Field	Value
Entity Type	Organization
Organization	White River Health System, Inc.
Address	1710 Harrison St
City	Batesville
State	AR
ZIP	72501
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$22.3M
Medicare	$0

This provider effectively operates as a Medicaid-focused hospital: there is no Medicare billing on file and total Medicaid revenue is $22.3M, so its entire billed scale in the dataset is concentrated under Medicaid. That payer mix makes WHITE RIVER HEALTH SYSTEM, INC. functionally a single-payer (Medicaid) institution for the claims captured here, which should shape network and reimbursement analyses.

Medicaid revenue is materially concentrated in a small set of high-volume services: the top three Medicaid codes account for 22.5% of the provider’s total Medicaid revenue. Those top three codes are 87502 ($1.1M revenue, 11.1K claims, $98 avg paid/claim, 8.8% of total Medicaid revenue), 74177 ($865.1K revenue, 6.9K claims, $125 avg paid/claim, 7.0% of total), and 70450 ($822.9K revenue, 8.9K claims, $92 avg paid/claim, 6.7% of total), indicating a meaningful dependency on a few high-volume diagnostics.

The code mix points to a laboratory- and diagnostic-heavy operation: multiple high-revenue lab codes for respiratory and infectious testing appear near the top of the list (87502, 87631, 87428, U0004, 87632, 87651). For example, 87502 shows 11.1K claims and $1.1M revenue and is flagged as an extreme outlier, 87428 has 8.5K claims and $502.4K revenue (ranked as an extreme outlier), and U0004 has 5.1K claims and $368.9K revenue, consistent with on-site, high-throughput molecular and immunoassay capacity supporting acute respiratory testing.

WHITE RIVER also reports high imaging volumes and associated revenue, indicating a full-service acute care radiology footprint: 74177 (CT abdomen/pelvis with contrast) has 6.9K claims and $865.1K revenue (95th percentile; notably above typical state volume), 70450 (CT head without contrast) has 8.9K claims and $822.9K revenue (94th percentile; notably above typical state volume), and 72148 (lumbar MRI) contributes $466.1K. Those figures support an operational profile that includes substantial CT and MRI throughput beyond routine outpatient imaging.

There is significant activity in infusion, procedural, and therapy services that points to robust outpatient and procedural throughput: 96365 (initial IV infusion) has 10K claims and $728K revenue, 96374 (rapid IV push) records 18.4K claims and $257.4K revenue and is an extreme outlier, and 96413 (chemotherapy) accounts for $305K. Coupled with 97110 (therapeutic exercise) at 17.4K claims and $591.3K revenue, these codes indicate recurring, high-volume therapeutic and infusion encounters in the hospital’s outpatient or infusion clinic settings.

On competitive standing within Arkansas, WHITE RIVER is a clear leader for several lab-related codes and a high-volume participant in imaging and procedural codes: 87502 ranks #1 of 114 providers in-state (100th percentile; extreme outlier), 87428 ranks #2 of 206 (100th percentile; extreme outlier), 87631 ranks #2 of 70 (99th percentile; extreme outlier), and 96374 ranks #2 of 81 (99th percentile; extreme outlier). At the same time it is also notably above typical state volume for key imaging codes such as 74177 (rank #11 of 183, 95th percentile) and 70450 (rank #14 of 209, 94th percentile), showing both dominance in certain lab tests and strong competitive presence in diagnostics.

The provider’s longevity supports operational stability: the NPI was enumerated on 2006-04-26 (~20 years ago), indicating a long-standing presence in the market. Combined with $22.3M in Medicaid revenue and repeated high-volume code occurrences, that tenure suggests established lab, imaging, infusion, and therapy service lines rather than a recent or transient billing pattern.

Medicaid: Complete Services Breakdown

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

392 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	11,080	$100	$1.1M
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.	6,920	$130	$865.1K
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.	8,950	$90	$822.9K
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.	54,240	$10	$759.4K
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.	9,970	$70	$728K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	6,900	$100	$696.8K
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…	17,390	$30	$591.3K
T1015	Clinic visit/encounter, all-inclusive	43,540	$10	$522.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	3,500	$150	$511.6K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	8,520	$60	$502.4K

Showing 1–10 of 392

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

White River Health System, Inc. — 10 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

392 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	95	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…	11	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.	304	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…	78	500	3,410	$60	$523.5K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	7	30	180	$40	$420.6K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	5	30	1,080	$360	$415.6K
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…	6	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.	19	40	160	$280	$278.1K
64636	In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	4	30	380	$340	$264.7K
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…	11	40	360	$300	$254.1K

Showing 1–10 of 392

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
White River Health System, Inc.	AR	Critical Access Hospital	$0	$3.3M
White River Health System, Inc.	AR	Rural Health Clinic/Center	$0	$3.1M
White River Health System, Inc	AR	Anesthesiology Physician	$0	$2.6M
Jasen Chi	AR	Rheumatology Physician	$1.5M	$0
Lakshman Gollapalli	AZ	Interventional Pain Medicine Physician	$483K	$0
Terry Fletcher	AR	Pain Medicine (Anesthesiology) Physician	$419.5K	$0
Todd Besselievre	AR	Interventional Pain Medicine Physician	$330.2K	$0
Mahesh Anantha Narayanan	AR	Interventional Cardiology Physician	$217.3K	$0
Hunter Brown	AR	Urology Physician	$190.1K	$0
Dylan Carpenter	AR	Orthopaedic Surgery Physician	$182.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myers Davis Life Coaching, Inc	AR	In Home Supportive Care Agency	$0	$37M
Survival Flight Inc.	AR	Air Ambulance	$8.5M	$23.5M
Mkjd, LLC	AR	Rehabilitation Clinic/Center	$0	$23.3M
The Communtiy School, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Bhc Pinnacle Pointe Hospital, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$7M
Vital Link, Inc.	AR	Ambulance	$1.5M	$4.4M
White River Area Agency On Aging,inc.	AR	Durable Medical Equipment & Medical Supplies	$0	$5.5M
Tooth Be Told Pediatric Dentistry	AR	Pediatric Dentistry	$0	$4.1M
Pediatric Therapy, Inc.	AR	Occupational Therapist	$0	$3.7M
Preferred Family Healthcare Inc	AR	Community/Behavioral Health Agency	$0	$2.8M

White River Health System, 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