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.

Paragould Pediatrics, PLLC (NPI 1881887255)

Paragould Pediatrics, PLLC is a pediatrics physician provider located in Paragould, Arkansas. This profile covers 0 Medicare and 45 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Paragould Pediatrics, PLLC
Address	4000 Linwood Dr
City	Paragould
State	AR
ZIP	72450
Taxonomy	Pediatrics Physician
NPI Enumerated	August 20, 2007

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	18,220	$30	$619.3K
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…	7,260	$70	$471.8K
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…	3,170	$50	$158.4K
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…	2,920	$50	$149K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,110	$50	$107.5K
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,…	2,880	$40	$106.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	3,340	$20	$70.2K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	5,510	$10	$60.6K
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	4,990	$10	$59.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	920	$50	$48K

Showing 1–10 of 45

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

Paragould Pediatrics, PLLC — 2 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	136	1,520	550	$40	$128.7K
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…	43	210	500	$50	$106.5K
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…	57	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…	36	250	460	$50	$86.1K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	15	50	60	$60	$74.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	38	280	190	$50	$48.9K
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…	84	140	200	$40	$38.6K
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…	73	110	70	$60	$35.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	41	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,…	27	360	240	$30	$27.7K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Step Arkansas, LLC	AR	Developmental Disabilities Clinic/Center	$0	$16.8M
Families, Inc. Of Arkansas	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.3M
1st Choice Home Care	AR	Home Health Agency	$0	$13M
Life Strategies Counseling, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$9.9M
Arkansas Methodist Hospital Corporation	AR	General Acute Care Hospital	$0	$9.3M
Nextstep Counseling Services, LLC	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.3M
Miracle Kids Success Academy Of Paragould	AR	Rehabilitation Clinic/Center	$0	$8.9M
Hands On Learning, LLC.	AR	Speech-Language Pathologist	$0	$6.3M
Arrows Behavior Therapy And Consulting	AR	Behavior Analyst	$0	$6.2M
Ryan Pediatric Therapies PA	AR	Speech-Language Pathologist	$0	$5.7M

Paragould Pediatrics, PLLC — Billing Profile & Reimbursement Data

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Paragould Pediatrics, 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

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