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.

Arkansas Childrens Hospital (NPI 1770889552)

Field	Value
Entity Type	Organization
Organization	Arkansas Childrens Hospital
Address	1 Childrens Way
City	Little Rock
State	AR
ZIP	72202
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 27, 2011

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	13,660	$20	$245.9K
D1120	Prophylaxis–child	6,410	$30	$185.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,710	$30	$159.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11,810	$10	$153.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,760	$60	$107.6K
D0210	Intraoral - complete series of radiographic images	1,390	$70	$97.1K
D1351	Sealant - per tooth	5,220	$20	$78.3K
D0140	Limited oral evaluation – problem focused	4,400	$10	$57.2K
D2930	N/A	380	$120	$47.4K
D2140	Amalgam - one surface, primary or permanent	950	$50	$46.5K

Showing 1–10 of 31

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

Arkansas Childrens Hospital — 2 of 22 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	63	110	570	$130	$481.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	258	260	430	$30	$93.3K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	5	10	240	$250	$93.3K
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…	1,602	1,740	550	$30	$88.8K
D1120	Prophylaxis–child	39	470	230	$30	$85.3K
D0120	Periodic oral evaluation - established patient	36	770	540	$30	$75.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	38	680	340	$50	$72.5K
D2150	Amalgam - two surfaces, primary or permanent	93	250	180	$80	$71.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	31	230	200	$70	$69.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	18	330	270	$20	$61K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Childrens Hospital	AR	Children's Hospital	$0	$154.7M
University Of Arkansas For Medical Sciences	AR	General Practice Physician	$0	$55M
University Of Arkansas For Medical Sciences	AR	Pediatrics Physician	$0	$27.6M
Angel One Arkansas Children's Hospital	AR	Ambulance	$0	$20.1M
Arkansas Childrens Hospital	AR	Pediatrics Physician	$0	$6.9M
Noha Mohamed	AR	Rheumatology Physician	$3.8M	$0
Donna Graham	AR	Allergy & Immunology Physician	$16.2K	$1.1M
Matthew Lindberg	AR	Anatomic Pathology Physician	$507.9K	$0
Terry Fletcher	AR	Pain Medicine (Anesthesiology) Physician	$419.5K	$0
Melissa Magill	GA	Pediatrics Physician	$0	$377.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arkansas Children's Medical Group PLLC	AR	Pediatrics Physician	$0	$16M
Above And Beyond Home Care Of Central Arkansas	AR	In Home Supportive Care Agency	$0	$13M
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$7.9M
Twin Rivers Respiratory Care, Inc.	AR	Oxygen Equipment & Supplies (DME)	$0	$2.1M
University Of Arkansas For Medical Sciences	AR	Child & Adolescent Psychiatry Physician	$0	$1.4M
Sc Pharmacy Group Opco LLC	AR	Community/Retail Pharmacy	$296.2K	$0
Joseph Jansen	AR	Anesthesiology Physician	$202.3K	$0
Theresa Wyrick	AR	Orthopaedic Hand Surgery Physician	$168.7K	$0
Candace Brown	AR	Nurse Practitioner	$94.7K	$0
Garrett Andrews	AR	Clinical Neuropsychologist	$55.2K	$0

Arkansas Childrens Hospital — Billing Profile & Reimbursement Data

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Arkansas Childrens Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References