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.

Healthstar Physicians Of Hot Springs, PLLC (NPI 1821176934)

Field	Value
Entity Type	Organization
Organization	Healthstar Physicians Of Hot Springs, PLLC
Address	1629 Airport Rd
City	Hot Springs
State	AR
ZIP	71913
Taxonomy	Family Medicine Physician
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	20,110	$50	$1M
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…	10,420	$30	$302.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,590	$50	$165.3K
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…	2,640	$40	$108.3K
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…	1,040	$100	$107.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	650	$100	$64K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	710	$80	$56.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	900	$50	$45K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	1,010	$40	$44.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	1,340	$30	$38.8K

Showing 1–10 of 66

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

Healthstar Physicians Of Hot Springs, PLLC — 1 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	407	430	760	$80	$675.9K
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.	163	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…	33	1,520	550	$40	$128.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	32	180	320	$40	$121.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	21	40	200	$100	$118.8K
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…	35	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…	183	210	500	$50	$106.5K
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…	55	260	430	$30	$93.3K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	52	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…	115	1,740	550	$30	$88.8K

Showing 1–10 of 66

Related Providers

Other providers that share a Tax Identification Number (TIN) with Healthstar Physicians Of Hot Springs, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthstar Physicians Of Hot Springs	AR	Rural Health Clinic/Center	$0	$1.6M
Natalie Brown	AR	Nurse Practitioner	$578.8K	$0
Hunter Carrington	AR	Family Medicine Physician	$334K	$0
John Erwin	AR	Family Medicine Physician	$296K	$0
Matthew Hulsey	AR	Family Medicine Physician	$262.9K	$14.7K
Timothy Bowen	AR	Interventional Cardiology Physician	$271.4K	$0
James Humphreys	AR	Family Medicine Physician	$248.7K	$0
Anil Kopparapu	AR	Family Medicine Physician	$246.2K	$0
Kevin Hale	AR	Family Medicine Physician	$205.7K	$0
Robert Balentine	AR	Family Medicine Physician	$199.5K	$0

Nearby Providers

Other providers in the same ZIP code as Healthstar Physicians Of Hot Springs, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rock Dental Arkansas PLLC	AR	Dentist	$0	$128.8M
Superior Senior Care	AR	In Home Supportive Care Agency	$0	$22.5M
Ouachita Regional Counseling & Mental Health Center, Inc.	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22.4M
Chi St Vincent Hospital Hot Springs	AR	General Acute Care Hospital	$0	$16.4M
Chi St. Vincent Medical Group Hot Springs	AR	Specialist	$0	$13.8M
Tlc Home Care Of Arkansas	AR	In Home Supportive Care Agency	$0	$7M
Little Bitty City Therapeutic Services LLC	AR	Developmental Disabilities Clinic/Center	$0	$6.9M
Healthy Connections Incorporated	AR	Federally Qualified Health Center (FQHC)	$0	$5.5M
Abilities Unlimited Of Hot Springs Ar Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$4.9M
A-o-m-s, PLLC	AR	Oral and Maxillofacial Surgery (Dentist)	$0	$4.2M

Healthstar Physicians Of Hot Springs, PLLC — Billing Profile & Reimbursement Data

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Healthstar Physicians Of Hot Springs, PLLC — 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