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.

Integrated Community Clinics PA (NPI 1760440226)

Integrated Community Clinics PA is a family medicine physician provider located in Siloam Springs, Arkansas. This profile covers 0 Medicare and 118 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	Integrated Community Clinics PA
Address	1101-2 N Progress Avenue
City	Siloam Springs
State	AR
ZIP	72761
Taxonomy	Family Medicine Physician
NPI Enumerated	May 3, 2006

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

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

118 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…	70,750	$40	$3M
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…	28,140	$70	$1.9M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7,870	$60	$495.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7,070	$60	$445.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,180	$60	$246.3K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	4,140	$30	$132.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,050	$60	$129K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,950	$20	$111.2K
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.	2,920	$30	$99.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	5,800	$20	$87.1K

Showing 1–10 of 118

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

Integrated Community Clinics PA — 7 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

118 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	141	200	1,600	$20	$129.3K
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…	27	1,520	550	$40	$128.7K
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…	40	110	360	$100	$106.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14	210	500	$50	$106.5K
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.	21	110	600	$40	$95.8K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	38	150	510	$50	$90.1K
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…	8	1,740	550	$30	$88.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	15	250	460	$50	$86.1K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	60	150	600	$20	$60K
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…	47	90	310	$50	$50.7K

Showing 1–10 of 118

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jacob Hostetler	OK	Family Medicine Physician	$204.8K	$0
John Caswell	AR	Family Medicine Physician	$76.3K	$0
Scott Stinnett	AR	Family Medicine Physician	$73K	$0
Stacy Johnson	OK	Family Nurse Practitioner	$26.5K	$0
Christopher Martin	KS	Nurse Practitioner	$24.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Siloam Springs Arkansas Hospital Company LLC	AR	General Acute Care Hospital	$0	$5M
Alyp Therapy	AR	Hearing and Speech Clinic/Center	$0	$3.1M
Ozark Pediatric Dentistry	AR	Pediatric Dentistry	$0	$3.1M
St. Francis House Nwa, Inc	AR	Federally Qualified Health Center (FQHC)	$0	$1.7M
Siloam Springs School District	AR	Local Education Agency (LEA)	$0	$1.6M
City Of Siloam Springs	AR	Paramedic	$174K	$530.6K
Dillon Murray	AR	Physical Therapist	$77.4K	$0
Patrick Schiefelbein	AR	Surgery Physician	$45.7K	$0
Scott Babcock	AR	Certified Registered Nurse Anesthetist	$37.9K	$0
Jon Fuller	AR	Surgery Physician	$36.3K	$0

Integrated Community Clinics PA — Billing Profile & Reimbursement Data

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Integrated Community Clinics PA — 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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