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.

Arcare (NPI 1760443469)

Field	Value
Entity Type	Organization
Organization	Arcare
Address	1530 N Church St
City	Jonesboro
State	AR
ZIP	72401
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	17,810	$160	$2.8M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	4,600	$20	$101.1K
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…	950	$60	$52.1K
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,…	400	$40	$15.6K
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…	2,580	$1	$7.7K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	490	$10	$4.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	110	$40	$4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	90	$40	$3.6K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	60	$50	$2.8K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	800	$1	$2.4K

Showing 1–10 of 38

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

Arcare — 0 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	158	530	4,960	$70	$2.6M
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…	491	1,520	550	$40	$128.7K
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…	387	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…	202	250	460	$50	$86.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	175	280	190	$50	$48.9K
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…	46	210	250	$50	$39.8K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	317	330	300	$10	$29.8K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	7	120	740	$20	$29K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	136	270	110	$50	$28.9K
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,…	134	360	240	$30	$27.7K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Arcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$7M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$6.6M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$5.1M
Arcare	KY	Federally Qualified Health Center (FQHC)	$0	$4.4M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$3.9M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$3.9M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$3.6M
Russell Branum	AR	Rheumatology Physician	$3.1M	$0
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$3M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$3M

Nearby Providers

Other providers in the same ZIP code as Arcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Focus, Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$41.3M
St Bernards Hospital Inc	AR	General Acute Care Hospital	$0	$35.4M
Nea Therapy Providers, LLC	AR	Physical Therapist	$0	$26.9M
First Step Arkansas, LLC	AR	Early Intervention Provider Agency	$0	$23.8M
Communication Made Easy Inc	AR	Speech-Language Pathologist	$0	$17.8M
Baptist Memorial Hospital-jonesboro Inc	AR	General Acute Care Hospital	$0	$17M
The Logan Centers, Inc.	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.5M
Arisa Health, Inc.	AR	Community/Behavioral Health Agency	$0	$15.6M
Kidsplace Learning Center Dba Kidspot	AR	Speech-Language Pathologist	$0	$14.1M
Miracle Kids Success Academy North	AR	Rehabilitation Clinic/Center	$0	$14M

Arcare — Billing Profile & Reimbursement Data

Sign up for Arcare — Billing Profile & Reimbursement Data policy alerts

Arcare — Billing Profile & Reimbursement Data

Sign up for Arcare — 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