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.

Community School Of Cleburne County (NPI 1750596268)

Field	Value
Entity Type	Organization
Organization	Community School Of Cleburne County
Address	74 Cleburne Park Road
City	Heber Springs
State	AR
ZIP	72543
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 10, 2007

Payer Source	Total Paid
Medicaid	$19.3M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports $19.3M in lifetime Medicaid revenue, making it effectively a Medicaid-centric provider rather than a dual-payer operation. The absence of Medicare activity concentrates the provider’s reimbursement exposure entirely in the Medicaid program and associated state-level payment policies.

Revenue is highly concentrated in a small set of Medicaid codes: the top three codes (T1015, H2016, A0120) together account for 81.9% of total Medicaid revenue. Specifically, T1015 generated $11.1M (57.4% of Medicaid revenue), H2016 generated $3.2M (16.3%), and A0120 generated $1.6M (8.2%), indicating a narrow set of revenue drivers.

The code mix points to a day-training/clinic model with embedded community supports and transportation: T1015 (clinic visit/encounter, all-inclusive) is the dominant service line, H2016 (comprehensive community support services, per diem) reflects per-diem community support operations, and A0120 (non-emergency transportation: mini-bus, mountain area transports, or other transportation systems) shows a substantial role in providing client transport. Supplementary therapy codes such as 92507 ($1.4M, 7.1%), 97530 ($1.3M, 7.0%), and 97110 ($672.7K, 3.5%) indicate on-site speech and rehabilitation services supporting the core day-program model.

Competitive standing varies by code: for T1015 the provider ranks #32 of 532 in-state (94th percentile), signifying a relatively strong statewide position for the clinic/encounter service; A0120 ranks #13 of 103 (88th percentile), showing above-average activity in non-emergency transportation. By contrast, H2016 ranks #42 of 62 (33rd percentile), which suggests a more modest presence among providers billing comprehensive community support services.

State-level comparisons characterize the provider’s volumes for many high-revenue codes as "typical, unremarkable volume for this code," a label that appears alongside high percentile ranks for certain codes (for example, T1015 and 92507 are described as typical despite high percentiles). This suggests that while the provider is a significant biller for some services, state distributions for those codes may be broad and the activity is not flagged as unusual in the dataset’s plain-English descriptors.

The provider’s NPI was enumerated on 2007-05-10 (approximately 19 years ago), indicating a long-tenured presence in the state market. That tenure supports the interpretation that the current service mix and referral relationships are likely established rather than nascent.

Heavy dependence on T1015 (57.4% of Medicaid revenue) creates concentration risk: changes to clinic/encounter reimbursement or utilization patterns could materially affect total revenue given that the top three codes account for 81.9% of Medicaid income. Coupled with no Medicare revenue, this concentration implies limited diversification of payer risk.

Smaller evaluation and testing codes generate negligible revenue relative to the top services, consistent with a day-program rather than a diagnostic center: examples include 96112 ($33.8K, 0.2%), T1023 ($23.8K, 0.1%), and 96113 ($19.3K, 0.1%). These lines appear ancillary to the provider’s primary clinic, community support, transportation, and therapy services rather than as material revenue drivers.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	140,520	$80	$11.1M
H2016	Comprehensive community support services, per diem	1,670	$1,890	$3.2M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	41,800	$40	$1.6M
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…	29,820	$50	$1.4M
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.	25,450	$50	$1.3M
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…	12,010	$60	$672.7K
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…	350	$100	$33.8K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	460	$50	$23.8K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	210	$90	$19.3K
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…	150	$70	$10.7K

Showing 1–10 of 15

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

Community School Of Cleburne County — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	42	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	32	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…	62	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	13	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.	77	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…	109	500	3,410	$60	$523.5K
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…	24	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.	31	110	40	$100	$32.6K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	16	40	150	$60	$31.9K
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…	25	60	100	$80	$31.2K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Community School Of Cleburne County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Survival Flight Ems LLC	AR	Land Ambulance	$2.1M	$3.1M
Baptist Health	AR	Critical Access Hospital	$0	$3.7M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$3.6M
Eldercare Of Arkansas Iv, Inc.	AR	Assisted Living Facility	$0	$3M
Sarah Jewell	AR	Hematology & Oncology Physician	$2.7M	$0
United Methodist Children's Home, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$1.7M
Aimee Widner	AR	Physical Medicine & Rehabilitation Physician	$210.3K	$45.1K
Jan Sharp	AR	Family Medicine Physician	$175.3K	$0
Granville Vaughan	AR	Family Medicine Physician	$134.9K	$0
Richard Matthews	AR	Physical Therapist	$133.5K	$0

Community School Of Cleburne County — Billing Profile & Reimbursement Data

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Community School Of Cleburne County — 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