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.

Independent Case Management, Inc. (NPI 1962547745)

Field	Value
Entity Type	Organization
Organization	Independent Case Management, Inc.
Address	1525 Merrill Drive
City	Little Rock
State	AR
ZIP	72211
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 20, 2007

Payer Source	Total Paid
Medicaid	$58.7M
Medicare	$0

Key Findings

INDEPENDENT CASE MANAGEMENT, INC. is functionally a Medicaid-focused provider with $58.7M in lifetime Medicaid revenue and no Medicare billing on file; the absence of Medicare activity makes this entity effectively single-payer (Medicaid) for analysis and competitive comparisons. The provider’s taxonomy as a Developmentally Disabled Services Day Training Agency aligns with a concentrated Medicaid footprint rather than split payer operations.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes by revenue account for 99.9% of this provider's total Medicaid revenue, and H2016 alone represents $57.6M (98.0% of the provider’s Medicaid revenue). This indicates nearly all payable activity is tied to a single per-diem service line rather than a diversified mix of billable procedures.

The code mix points to a day/community-support operation: H2016 (Comprehensive community support services, per diem) dominates revenue, while T1015 (clinic visit/encounter, all-inclusive) and T2025 (waiver services NOS) contribute only small shares. This pattern suggests the organization primarily delivers ongoing, per‑diem community supports and some waiver-related services, with episodic clinic encounters representing a minor portion of payer receipts.

State-level competitive standing is strong for the primary service: H2016 ranks #4 of 62 providers in-state (95th percentile; notably above typical state volume for this code), which positions the organization as a leading provider of comprehensive community support services in Arkansas. By contrast, T1015 ranks #140 of 532 (74th percentile) and T2020 is near the state median (50th percentile), indicating modest or typical participation for those ancillary service lines.

T2025 (Waiver services NOS) shows a relatively high in-state rank (#2 of 13; 92th percentile) despite representing only $423.1K (0.7% of total Medicaid revenue), which signals a specialized but much smaller waiver-related revenue stream relative to H2016. The combination of a top-ranked niche waiver role and overwhelming dependence on a single per-diem service suggests limited diversification even within Medicaid-funded developmental services.

Several billed codes report $0 average paid/claim and $0 revenue (H2019 and T2024), which indicates recorded encounters or zero-dollar claim types in the dataset rather than material revenue contributions; these should be treated as non-revenue-bearing activity in financial comparisons and may reflect encounter reporting, authorizations, or administrative submissions.

The provider has an established operational history, with the NPI enumerated 2007-02-20 (~19 years ago), which supports the interpretation that the concentrated H2016-driven revenue stream is sustained rather than a short-term anomaly; longevity combined with high state percentile for H2016 suggests enduring market position in Arkansas for comprehensive community support services.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	275,370	$210	$57.6M
T1015	Clinic visit/encounter, all-inclusive	22,190	$30	$732.3K
T2025	Waiver services; not otherwise specified (nos)	1,100	$390	$423.1K
T2020	Day habilitation, waiver; per diem	720	$50	$34.3K
H2019	Therapeutic behavioral services, per 15 minutes	300	$0	$0
T2024	Service assessment/plan of care development, waiver	70	$0	$0

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

Independent Case Management, Inc. — 1 of 4 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	2	10	110	$150	$12.4M
H2016	Comprehensive community support services, per diem	4	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	140	530	4,960	$70	$2.6M
H2019	Therapeutic behavioral services, per 15 minutes	129	170	2,430	$80	$1.1M
T2024	Service assessment/plan of care development, waiver	2	10	70	$180	$112K
T2020	Day habilitation, waiver; per diem	57	110	740	$40	$82.1K

Nearby Providers

Other providers in the same ZIP code as Independent Case Management, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mct, Inc.	AR	Developmental Disabilities Clinic/Center	$0	$30.5M
Pain Treatment Centers Of America, PLLC	AR	Multi-Specialty Clinic/Center	$0	$19.5M
Inspiration Day Treatment, Inc.	AR	Community/Behavioral Health Agency	$0	$11.9M
Bhc Pinnacle Pointe Hospital, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$10.4M
Mct, Inc.	AR	Speech-Language Pathologist	$0	$9.2M
Turcios & Zarruk Dental, P.A.	AR	Dental Clinic/Center	$0	$5M
James Keane	AR	Procedural Dermatology Physician	$4.9M	$0
Odyssey Healthcare Operating A LP	AR	Home Health Agency	$0	$3.6M
Advanced Spine And Pain Centers, Inc.	AR	Pain Clinic/Center	$0	$3.6M
Ashcraft Orthodontics PLLC	AR	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.4M

Independent Case Management, Inc. — Billing Profile & Reimbursement Data

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Independent Case Management, Inc. — 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

Nearby Providers

Frequently Asked Questions

References