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.

Newborn Regional Providers Plc (NPI 1811073273)

Field	Value
Entity Type	Organization
Organization	Newborn Regional Providers Plc
Address	10608 Inverness St
City	Fort Smith
State	AR
ZIP	72908
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	October 28, 2006

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	3,340	$350	$1.2M
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	500	$810	$403.8K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	1,670	$110	$183.2K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	740	$110	$82.5K
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	190	$370	$68.1K
36555	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient younger than 5 years of age.	30	$20	$740

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

Newborn Regional Providers Plc — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	3	10	1,970	$320	$1.4M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	4	10	730	$320	$858.8K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	5	10	1,610	$100	$486.1K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	6	10	890	$110	$463.4K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	1	10	150	$800	$158.3K
36555	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient younger than 5 years of age.	1	10	30	$20	$730

Nearby Providers

Other providers in the same ZIP code as Newborn Regional Providers Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fort Smith Emergency Medical Services	AR	Ambulance	$1.3M	$6.5M
Lincare Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$4.3M
Fort Smith Regional Dialysis Center LLC	AR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Brett Whatcott	AR	Interventional Pain Medicine Physician	$455.6K	$0
Bradley Short	AR	Physical Medicine & Rehabilitation Physician	$449.1K	$0
Hrair Simonian	AR	Gastroenterology Physician	$405.7K	$3.1K
William Hocott	AR	Diagnostic Radiology Physician	$182.2K	$149.8K
Laura Moore-farrell	AR	Diagnostic Radiology Physician	$224.9K	$80K
Richard Nelson	AR	Diagnostic Radiology Physician	$179.3K	$89.3K
Fianna Hills Surgery Center Inc	AR	Ambulatory Surgical Clinic/Center	$222.3K	$26.7K

Newborn Regional Providers Plc — Billing Profile & Reimbursement Data

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Newborn Regional Providers Plc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References