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.

Baptist Health (NPI 1902868391)

Baptist Health is a general acute care hospital provider located in Malvern, Arkansas. This profile covers 0 Medicare and 123 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	Baptist Health
Address	1001 Schneider Dr
City	Malvern
State	AR
ZIP	72104
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 3, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

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

123 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0241U	N/A	2,900	$120	$341.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,670	$160	$269.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,650	$100	$259.5K
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.	10,650	$20	$245K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	5,550	$40	$238.5K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	1,690	$100	$164K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	10,900	$10	$76.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	1,520	$40	$62.2K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	4,610	$10	$55.3K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	730	$70	$54.2K

Showing 1–10 of 123

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

Baptist Health — 0 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

123 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	195	500	3,410	$60	$523.5K
0241U	N/A	15	40	1,640	$120	$370.5K
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.	133	190	1,780	$50	$231.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	36	80	1,090	$70	$210.4K
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.	126	190	2,020	$40	$191.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	47	180	260	$110	$170.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	80	100	900	$40	$168.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	47	210	350	$80	$161.1K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	27	80	470	$70	$139.2K
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.	48	200	1,600	$20	$129.3K

Showing 1–10 of 123

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tfs Of Gurdon Inc	AR	Community/Behavioral Health Agency	$0	$33.3M
Birch Tree Communities, Inc.	AR	Community/Behavioral Health Agency	$0	$12M
Birch Tree Communities, Inc	AR	Community/Behavioral Health Agency	$0	$6.9M
The Crossing At Malvern	AR	Assisted Living Facility	$0	$4.3M
Healthy Connections Inc	AR	Federally Qualified Health Center (FQHC)	$0	$3M
Malvern Public School District	AR	Local Education Agency (LEA)	$0	$2.5M
Michael Higginbotham	AR	Family Medicine Physician	$354.3K	$1.6M
Dylan Thaxton	AR	Family Medicine Physician	$144.1K	$0
Courtney Mckinney	AR	Family Nurse Practitioner	$142.6K	$0
Community Care Rx LLC	AR	Community/Retail Pharmacy	$120.9K	$0

Baptist Health — Billing Profile & Reimbursement Data

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Baptist Health — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health	AR	General Acute Care Hospital	$0	$16.4M
Baptist Health	AR	General Acute Care Hospital	$0	$14M
Baptist Health	AR	Critical Access Hospital	$0	$4.8M
Mcsa LLC	AR	General Acute Care Hospital	$0	$4.3M
Baptist Health	AR	Critical Access Hospital	$0	$3.7M
Baptist Health	AR	Rehabilitation Hospital	$0	$2.9M
Sarah Jewell	AR	Hematology & Oncology Physician	$2.7M	$0
Baptist Health	AR	Land Ambulance	$396K	$1.5M
Baptist Health	AR	Home Health Agency	$0	$1.8M
Arkansas Health Group	AR	Pulmonary Disease Physician	$0	$1.7M