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.

Mercy Clinic Fort Smith Communities (NPI 1902073620)

Field	Value
Entity Type	Organization
Organization	Mercy Clinic Fort Smith Communities
Address	2901 S 74th St
City	Fort Smith
State	AR
ZIP	72903
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 12, 2008

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-centric operation: there is no Medicare billing on file and all reported lifetime public-payer revenue is Medicaid at $24.1M. The absence of Medicare activity indicates payer mix is heavily weighted toward Medicaid beneficiaries rather than a balanced Medicare/Medicaid practice footprint.

Revenue is highly concentrated in a few outpatient E/M codes: the top three Medicaid codes (99214, 99213, 99285) together account for 54.0% of the provider's total Medicaid revenue, with 99214 generating $6.4M (28.7%), 99213 generating $3.5M (15.7%), and 99285 generating $2.1M (9.6%). This concentration signals that a small set of service lines drives the majority of billed Medicaid dollars.

The code mix points to a large ambulatory primary care and established-patient practice: 99214 ($6.4M) and 99213 ($3.5M) are the top two revenue drivers and both are listed as extreme outliers in-state (99214 ranks #1 of 1523, 99213 ranks #5 of 1735). High volumes of moderate-to-high complexity established outpatient visits suggest sustained primary care throughput and longer encounter times.

The provider also shows a major emergency and acute-care footprint: 99285 ($2.1M, ranks #4 of 151, extreme outlier), 99284 ($1.7M), 99283 ($539.6K), and 99291 ($736.9K) together indicate substantial ED and critical-care billing. These volumes and high in-state percentiles imply the organization operates emergency services at scale and handles higher-acuity presentations frequently.

Hospital-based care and observation are material parts of the mix: 99232 ($988K, ranks #6 of 260, extreme outlier), 99233 ($241.9K), 99223 ($294.8K), and 99238 ($194.1K) show meaningful billing for subsequent and initial inpatient/observation E/M and discharge management. This pattern suggests the provider maintains an inpatient/observation practice component in addition to outpatient and ED services.

Preventive, pediatric, and perinatal services are notable contributors: 99391 ($1.4M, ranks #2 of 214, extreme outlier), 99392 ($902K), 99393 ($330.4K), and newborn/maternal codes like 99460 ($302K, rank #1) and 59400 ($119K) indicate high volumes of well-child and obstetric/newborn care. These lines, combined with high ranks, point to integrated family and perinatal care activity across the site(s).

High-volume point-of-care testing and vaccination activity is evident: 87428 ($740.1K, rank #1, extreme outlier), 87804 ($202.4K, rank #3), 87880 ($199.2K, rank #1), and vaccine codes 90670 ($130.2K) and 90680 ($100.6K, rank #1) demonstrate heavy laboratory/diagnostic throughput and immunization administration. These figures suggest substantial on-site testing and preventive services throughput that support both ambulatory and acute workflows.

Competitive standing in-state is dominant for several core services: multiple top codes are labeled “extreme outlier” or in the 100th percentile (for example 99214 at #1 of 1523, 99391 at #2 of 214, and 87428 at #1 of 206), indicating this provider is a major statewide player for ambulatory E/M, preventive pediatrics, and diagnostic testing. The NPI has been enumerated since 2008-05-12 (~18 years ago), supporting that these volumes represent an established provider presence rather than a short-lived spike.

Medicaid: Complete Services Breakdown

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

150 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…	138,600	$50	$6.4M
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…	116,630	$30	$3.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	28,730	$70	$2.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	26,210	$70	$1.7M
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…	24,900	$60	$1.4M
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…	34,070	$30	$988K
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…	17,020	$50	$902K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	13,710	$50	$740.1K
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…	7,760	$100	$736.9K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	11,990	$50	$539.6K

Showing 1–10 of 150

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

Mercy Clinic Fort Smith Communities — 19 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

150 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	400	530	4,960	$70	$2.6M
0241U	N/A	27	40	1,640	$120	$370.5K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	8	30	80	$600	$290.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	6	190	1,780	$50	$231.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	4	150	1,240	$50	$208.4K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	12	60	180	$190	$207.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	11	190	2,020	$40	$191.2K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	15	60	590	$80	$146.8K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	51	50	260	$90	$137.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	26	80	300	$190	$134K

Showing 1–10 of 150

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mercy Clinic Fort Smith Communities, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Clinic Fort Smith Communities	AR	Medical Specialty Clinic/Center	$0	$2.3M
Mercy Clinic Fort Smith Communities	AR	Orthopaedic Surgery Physician	$0	$1.6M
Harvinder Dod	AR	Cardiovascular Disease Physician	$1.4M	$0
Mercy Hospital Booneville	AR	Critical Access Hospital	$0	$1.3M
Julio Schwarz	AR	Cardiovascular Disease Physician	$739.6K	$0
Roscoe Chan	AZ	Radiation Oncology Physician	$738.6K	$0
Benton Loggains	AR	Physician Assistant	$640.9K	$0
Van Woo	OK	Radiation Oncology Physician	$630.4K	$0
Wesley Lane	AR	Cardiovascular Disease Physician	$478.7K	$0
Paul Henry	AR	Ophthalmology Physician	$462.3K	$0

Nearby Providers

Other providers in the same ZIP code as Mercy Clinic Fort Smith Communities, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Gregory Kistler Treatment Center, Inc.	AR	Voluntary or Charitable Agency	$0	$28.3M
Bost, Inc.	AR	Counselor	$0	$25.9M
Mercy Hospital Fort Smith	AR	General Acute Care Hospital	$0	$22.5M
Western Arkansas Counseling & Guidance Center, Inc	AR	Community/Behavioral Health Agency	$0	$21.3M
Arkansas Family Supports, Inc.	AR	In Home Supportive Care Agency	$0	$15.6M
Kids Unlimited Learning Academy Of Ft. Smith	AR	Rehabilitation Clinic/Center	$0	$10.5M
1 Of A Kind In Home Care And Medical Services LLC	AR	In Home Supportive Care Agency	$0	$7M
The Gregory Kistler Treatment Center, Inc.	AR	Voluntary or Charitable Agency	$0	$6.5M
Little Hands At Play Therapy, LLC	AR	Pediatric Occupational Therapist	$0	$4.9M
The Guidance Center - Crisis Stabilization Unit	AR	Community/Behavioral Health Agency	$0	$4.5M

Mercy Clinic Fort Smith Communities — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References