Arcare
Arcare was paid $4.42M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
PADUCAH, KY 42001
Next to other Federally Qualified Health Center (FQHC) providers in Kentucky
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,615 | $434K | |
| 2019 | 20,508 | $443K | |
| 2020 | 16,129 | $408K | |
| 2021 | 24,128 | $537K | |
| 2022 | 33,443 | $827K | |
| 2023 | 39,986 | $1.01M | |
| 2024incomplete | 41,809 | $759K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 60,321 | 48,727 | $1.67M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 23% | 23,260 | 19,778 | $1.03M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.7% | 4,776 | 2,698 | $342K |
| 99490 | Ccm add 20min | 4.9% | 9,853 | 9,361 | $218K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 3,925 | 3,381 | $191K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.8% | 3,583 | 2,304 | $125K |
| 87428 | 2.6% | 3,195 | 2,928 | $116K | |
| 80050 | General health panel | 2.0% | 2,306 | 2,064 | $88K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.3% | 6,731 | 3,080 | $58K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 2,549 | 2,189 | $55K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 669 | 570 | $54K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.1% | 7,612 | 6,886 | $48K |
80 more codes
| 80061 | Lipid panel | 1.0% | 3,803 | $46K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,211 | $42K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,521 | $39K |
| 80305 | <1% | 3,417 | $33K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,701 | $32K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 653 | $30K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 800 | $27K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,539 | $26K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,683 | $17K |
| 82607 | <1% | 1,099 | $15K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 190 | $14K |
| 80053 | Comprehensive metabolic panel | <1% | 916 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 146 | $8K |
| 84439 | <1% | 957 | $8K | |
| 83525 | <1% | 742 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 437 | $8K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 164 | $8K |
| 83735 | <1% | 1,245 | $8K | |
| 87430 | <1% | 435 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 348 | $6K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 670 | $6K |
| 90686 | <1% | 340 | $5K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 275 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 312 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 55 | $3K |
| 0031A | <1% | 75 | $3K | |
| 90674 | <1% | 91 | $2K | |
| 82044 | <1% | 451 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 283 | $2K |
| 90656 | <1% | 146 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 122 | $1K |
| 87806 | <1% | 77 | $1K | |
| 82043 | <1% | 250 | $1K | |
| 82570 | <1% | 270 | $1K | |
| 99443 | <1% | 17 | $1K | |
| 81003 | <1% | 2,179 | $1K | |
| 98967 | <1% | 53 | $745.56 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 16 | $689.33 |
| 99442 | <1% | 14 | $582.36 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $572.40 |
| 90661 | <1% | 25 | $548.98 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 67 | $413.77 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 46 | $398.23 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 12 | $264.88 |
| 84153 | <1% | 12 | $252.94 | |
| 95251 | <1% | 16 | $193.87 | |
| 80354 | <1% | 345 | $181.44 | |
| 86803 | <1% | 13 | $171.24 | |
| 87081 | <1% | 27 | $149.10 | |
| 81001 | <1% | 82 | $124.43 | |
| 90694 | <1% | 33 | $64.20 | |
| 84550 | <1% | 13 | $54.24 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 83 | $52.83 |
| 85652 | <1% | 12 | $32.50 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16 | $28.68 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 16 | $19.66 |
| 85610 | <1% | 19 | $18.71 | |
| 3074F | <1% | 3,447 | $11.61 | |
| 81002 | <1% | 16 | $8.70 | |
| 3078F | <1% | 2,737 | $8.69 | |
| 85018 | <1% | 18 | $8.59 | |
| 3079F | <1% | 2,312 | $8.49 | |
| 3046F | <1% | 1,286 | $5.21 | |
| 3077F | <1% | 1,449 | $4.89 | |
| 3075F | <1% | 1,059 | $3.79 | |
| 3080F | <1% | 854 | $2.92 | |
| 3044F | <1% | 304 | $1.18 | |
| 1159F | <1% | 1,358 | $0.71 | |
| 1101F | <1% | 1,050 | $0.37 | |
| 1160F | <1% | 763 | $0.23 | |
| 3048F | <1% | 81 | $0.05 | |
| 4013F | 0% | 78 | $0.00 | |
| 1034F | 0% | 2,312 | $0.00 | |
| 4000F | 0% | 833 | $0.00 | |
| 1036F | 0% | 1,886 | $0.00 | |
| 1000F | 0% | 3,505 | $0.00 | |
| 1220F | 0% | 2,588 | $0.00 | |
| 4010F | 0% | 89 | $0.00 | |
| 3008F | 0% | 220 | $0.00 | |
| 97802 | 0% | 39 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Arcare | Jonesboro, AR | $6.97M |
| Arcare | Jonesboro, AR | $6.61M |
| Arcare | Springdale, AR | $5.09M |
| Arcare | Cabot, AR | $3.90M |
| Arcare | Conway, AR | $3.87M |
| Arcare | Heber Springs, AR | $3.58M |
| Arcare | Jonesboro, AR | $3.05M |
| Arcare | Cabot, AR | $3.00M |
| Arcare | Searcy, AR | $2.99M |
| Arcare | Little Rock, AR | $2.65M |
| Arcare | Augusta, AR | $2.52M |
| Arcare | Jacksonville, AR | $2.48M |
| Arcare | Wynne, AR | $2.21M |
| Arcare | Cabot, AR | $2.16M |
| Arcare | Kensett, AR | $1.96M |
| Arcare | Searcy, AR | $1.96M |
| Arcare | Melbourne, AR | $1.89M |
| Arcare | Lonoke, AR | $1.82M |
| Arcare | Batesville, AR | $1.69M |
| Arcare | Benton, AR | $1.56M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.