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.

Orthoarkansas, PA (NPI 1952336869)

Orthoarkansas, PA is a specialist provider located in Little Rock, Arkansas. This profile covers 0 Medicare and 33 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	Orthoarkansas, PA
Address	800 Fair Park Blvd
City	Little Rock
State	AR
ZIP	72204
Taxonomy	Specialist
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

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

33 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…	13,630	$30	$340.8K
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…	8,290	$40	$331.6K
99203	The provider sees a new 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 provider…	6,150	$40	$233.7K
99204	The provider sees a new 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 provider…	3,830	$60	$214.4K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	2,320	$10	$32.5K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	1,450	$20	$31.8K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	1,730	$10	$20.7K
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…	2,210	$10	$19.9K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	920	$20	$16.5K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	160	$100	$15.3K

Showing 1–10 of 33

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

Orthoarkansas, PA — 3 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

33 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…	286	500	3,410	$60	$523.5K
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…	116	1,520	550	$40	$128.7K
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…	84	1,740	550	$30	$88.8K
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	5	10	190	$40	$72.8K
29075	The provider applies a cast encasing the lower arm. A short arm cast treats fractures of the bones in the lower arm and corrects deformities of the hand and wrist.	2	10	350	$140	$47.5K
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…	112	190	90	$70	$45.7K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	8	20	80	$120	$29.1K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	52	70	120	$50	$26K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	5	10	190	$40	$22.5K
99204	The provider sees a new 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 provider…	7	380	80	$50	$19.9K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Debra Brent	AR	Acute Care Nurse Practitioner	$842.7K	$0
Stephen Paulus	AR	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$731K	$2.3K
Morgan Bittengle	AR	Family Nurse Practitioner	$400.6K	$0
Alicia Bell	AR	Family Nurse Practitioner	$386.4K	$0
Adam Smith	AR	Adult Reconstructive Orthopaedic Surgery Physician	$300.7K	$0
Kyle Schuller	AL	Diagnostic Radiology Physician	$298K	$0
David Newbern	AR	Adult Reconstructive Orthopaedic Surgery Physician	$269.5K	$0
Rodrigo Cayme	AR	Physical Medicine & Rehabilitation Physician	$260K	$4.3K
Gary Frankowski	AR	Interventional Pain Medicine Physician	$262K	$1.7K
Henry Wallace	AR	Orthopaedic Surgery Physician	$221.5K	$23.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jlm Ventures, Inc.	AR	Developmental Disabilities Clinic/Center	$0	$34.2M
Diversified Children Youth & Families Development Program	AR	Speech-Language Pathologist	$0	$14.4M
Centers For Youth And Families, Inc.	AR	Psychiatric Residential Treatment Facility	$0	$11.2M
A American Medical Rentals,inc	AR	Durable Medical Equipment & Medical Supplies	$0	$10.9M
Archild, Inc	AR	Mental Illness Community Based Residential Treatment Facility	$0	$9.8M
Arkansas Pediatric Dentistry	AR	Pediatric Dentistry	$0	$5.6M
Integrity, Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$5.1M
Ocean Dental Of Arkansas, PC	AR	General Practice Dentistry	$0	$3.1M
Interventional Surgery Institute Of Little Rock, LLC	AR	Ambulatory Surgical Clinic/Center	$846.9K	$2.3M
United Methodist Children's Home, Inc.	AR	Psychiatric Residential Treatment Facility	$0	$2.9M

Orthoarkansas, PA — Billing Profile & Reimbursement Data

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Orthoarkansas, PA — 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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