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.

Families, Inc Of Arkansas (NPI 1770535569)

Field	Value
Entity Type	Organization
Organization	Families, Inc Of Arkansas
Address	1815 Pleasant Grove Rd
City	Jonesboro
State	AR
ZIP	72405
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$19M
Medicare	$0

Key Findings

This provider is effectively single‑payer Medicaid: there is no Medicare billing on file and lifetime Medicaid revenue is $19M, which means all documented public reimbursement activity is concentrated in Medicaid rather than split across Medicare and Medicaid. Analysts should treat the entity as a Medicaid-focused mental health clinic when assessing payer mix and network leverage.

Revenue concentration is heavily top‑loaded: the precomputed top three Medicaid codes account for 65.8% of this provider’s total Medicaid revenue, driven primarily by 90837 ($7.6M, 39.8%), H2019 ($3.9M, 20.5%), and H0004 ($1.1M, 5.6%). This level of concentration indicates that a small set of service lines (long psychotherapy sessions and intensive behavioral supports) dominate the clinic’s reimbursement footprint.

The service mix signals an outpatient behavioral‑health and community‑support model: the largest single revenue line is 90837 (in‑session psychotherapy >=53 minutes, 103.7K claims, $73 avg paid/claim), supported by high volumes of H2019 (therapeutic behavioral services, per 15 minutes) and H0004 (behavioral health counseling, per 15 minutes). Together with codes for comprehensive community support (H2015), psychosocial rehabilitation (H2017), and day habilitation (T2020), the pattern is consistent with a provider delivering both psychotherapy and time‑based community behavioral supports rather than predominantly physician E/M or inpatient care.

The provider is a dominating statewide performer on several specific codes: 90837 ranks #4 of 434 providers in‑state (99th percentile, extreme outlier, far above typical state volume for this code), 90792 ranks #1 of 167 providers (100th percentile, extreme outlier), and 96131 ranks #1 of 19 providers (100th percentile, extreme outlier). These rank/percentile positions indicate market leadership for long psychotherapy, psychiatric evaluation with adjunct medical services, and extended psychological testing within Arkansas.

At the same time, some high‑volume behavioral support codes are less exceptional in the state context: H2019 (52.8K claims, $3.9M revenue) ranks #10 of 170 providers (95th percentile) and is described as typical/unremarkable volume for the code, while H2015 and H2017 fall into more moderate percentile bands. This suggests the clinic pairs market‑leading psychotherapy and evaluation capacity with a more common level of therapeutic behavioral services relative to state peers.

Operational implications arise from the combination of large time‑based billing and per‑diem habilitation services: high counts for 90837, 90834, 90832, and T2020 (e.g., T2020 is $524.5K and ranks #2 of 112 providers, 99th percentile, extreme outlier) point to a business model that bills many lengthy psychotherapy encounters and day habilitation slots, which has staffing and scheduling implications distinct from brief E/M‑focused practices. Payors evaluating network adequacy or utilization should expect a steady demand for long psychotherapy appointments and community habilitation capacity from this entity.

There is a notable emphasis on assessment and testing work alongside therapy: 96131 ($342.7K, 1.8%) and 96130/96131 volumes (96131 ranks #1 of 19 providers, 100th percentile) show the provider performs substantial standardized psychological testing and reporting in addition to therapy visits. This mix increases the provider’s clinical breadth and may reflect an integrated diagnostic and treatment pathway that generates both evaluation and ongoing psychotherapy revenue.

The provider has long tenure in the NPI registry (enumerated 2006-05-17, ~20 years ago), which combined with the concentrated Medicaid footprint and multiple extreme‑outlier code ranks, suggests an established community mental health operation that has developed high volumes in specific service lines over many years. For payors and competitors, the clinic should be viewed as an entrenched Medicaid mental‑health provider with demonstrable leadership in long psychotherapy, psychiatric evaluation, and psychological testing within Arkansas.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	103,720	$70	$7.6M
H2019	Therapeutic behavioral services, per 15 minutes	52,770	$70	$3.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	11,260	$90	$1.1M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	8,820	$110	$934.7K
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…	17,930	$50	$860.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	13,260	$50	$716.3K
H2015	Comprehensive community support services, per 15 minutes	8,800	$70	$616K
T2020	Day habilitation, waiver; per diem	13,450	$40	$524.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	10,740	$40	$419K
H2017	Psychosocial rehabilitation services, per 15 minutes	8,990	$40	$395.6K

Showing 1–10 of 24

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

Families, Inc Of Arkansas — 11 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	10	170	2,430	$80	$1.1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4	430	760	$80	$675.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	35	130	2,210	$40	$529K
H2015	Comprehensive community support services, per 15 minutes	22	150	1,770	$70	$390.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	49	180	1,430	$40	$263.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	5	140	1,180	$90	$238.7K
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…	45	1,520	550	$40	$128.7K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	20	120	390	$70	$97.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3	230	480	$60	$94.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1	170	300	$100	$94.6K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Families, Inc Of Arkansas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Roth	AR	Hospitalist Physician	$267.5K	$0
Benjamin Mills	AR	Internal Medicine Physician	$202K	$0
Zachary Nahmias	AR	Dermatology Physician	$199.1K	$0
Vijay Reddy	AR	Pulmonary Disease Physician	$158.3K	$0
Michael Tedder	AR	Family Medicine Physician	$157.3K	$0
Ryan Anderson	AR	Clinical Nurse Specialist	$132.9K	$0
Mark Wright	AR	Vascular Surgery Physician	$126.8K	$0
Donovan Stockdale	AR	Gastroenterology Physician	$101.7K	$0
Hilltop Family Pharmacy	AR	Pharmacy	$93.6K	$3.8K
Ruth Griffith	AR	Family Nurse Practitioner	$48.5K	$0

Families, Inc Of Arkansas — Billing Profile & Reimbursement Data

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Families, Inc Of Arkansas — 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