Single-test outliers in Arkansas Medicaid data. These are individual statistical flags β most are informational.
Important context: These findings identify statistically unusual billing patterns, not determinations of wrongdoing. Cost-per-claim comparisons may flag hospital outpatient departments whose reimbursements include facility fees, bundled services, or all-inclusive rates. High claims-per-beneficiary ratios may reflect legitimate care patterns at behavioral health facilities, pediatric specialty centers, or residential care programs. Additional investigation and clinical context are required before drawing any conclusions.
For provider level analytics using multiple independent tests, see the Watchlist β which flags providers only when 2+ different detection methods agree. These single-test outliers below are primarily informational; only Cost Outliers and Overutilization are flagged as critical/warning.
critical
194
warning
269
info
4,147
Total
4,610
CHARLES TODD (1275619876) bills $507.99/claim for 99214 (Office o/p est mod 30 min) vs avg $40.65 (+19.3Ο). $28,447 across 56 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
SGOH ACQUISITION INC (1568643005) bills $117.27/claim for 87880 (Strep a assay w/optic) vs avg $8.24 (+16.0Ο). $157,734 across 1,345 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
A-LIST HOME CARE, LLC (1265909303): 45.5 claims/beneficiary (avg 2.3). 14,514 claims, 319 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
CHARLES TODD, PA (1033295639) bills $393.25/claim for 99214 (Office o/p est mod 30 min) vs avg $40.65 (+14.5Ο). $13,371 across 34 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
THE GREGORY KISTLER TREATMENT CENTER, INC. (1841823200): 36.3 claims/beneficiary (avg 2.3). 116,549 claims, 3,213 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
SGOH ACQUISITION INC (1568643005) bills $120.57/claim for 87804 (Influenza assay w/optic) vs avg $11.07 (+12.1Ο). $36,775 across 305 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
CHARLES TODD (1275619876) bills $251.87/claim for 92014 (Compre oph exam est pt 1/>) vs avg $46.03 (+11.3Ο). $27,958 across 111 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
CHICOT MEMORIAL MEDICAL CENTER (1235453192) bills $216.00/claim for 90853 (Group psychotherapy) vs avg $38.95 (+9.6Ο). $41,255 across 191 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
INDEPENDENT CASE MANAGEMENT, INC. (1962547745): 28.0 claims/beneficiary (avg 2.3). 299,732 claims, 10,692 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC (1447581673) bills $210.54/claim for 80053 (Comprehen metabolic panel) vs avg $12.95 (+9.1Ο). $129,482 across 615 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
ARKANSAS FAMILY SUPPORTS, INC. (1124489695): 26.8 claims/beneficiary (avg 2.3). 52,194 claims, 1,945 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
PALCO, INC. (1801276738) bills $234.30/claim for H2015 (Comp comm supp svc, 15 min) vs avg $70.50 (+8.4Ο). $906,493 across 3,869 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
NEW LIFE POME LIVING INC (1497408074): 24.4 claims/beneficiary (avg 2.3). 3,495 claims, 143 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BRYAN DARLING (1679788426) bills $45.57/claim for D1206 (Topical fluoride varnish) vs avg $18.36 (+8.0Ο). $14,765 across 324 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
ST BERNARDS HOSPITAL, INC. (1538197389) bills $122.72/claim for Q5001 (Hospice or home hlth in home) vs avg $3.20 (+7.9Ο). $165,913 across 1,352 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
BIRCH TREE COMMUNITIES, INC. (1306416128): 23.4 claims/beneficiary (avg 2.3). 11,589 claims, 495 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
WEST HAVEN VILLAGE, LLC (1811697782): 23.4 claims/beneficiary (avg 2.3). 1,169 claims, 50 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
UNITED CEREBRAL PALSY OF ARKANSAS (1427616119): 23.0 claims/beneficiary (avg 2.3). 428,254 claims, 18,598 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
HOLIDAY ISLAND OPERATIONS, LLC (1497481832): 22.8 claims/beneficiary (avg 2.3). 1,776 claims, 78 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BIRCH TREE COMMUNITIES, INC. (1578133294): 22.7 claims/beneficiary (avg 2.3). 36,520 claims, 1,606 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
MCT, INC. (1245015841): 22.6 claims/beneficiary (avg 2.3). 27,494 claims, 1,214 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
PALCO, INC. (1972369346): 22.4 claims/beneficiary (avg 2.3). 8,766 claims, 392 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
TERRI EUBANKS (1306960737) bills $48.02/claim for D0120 (Periodic oral evaluation) vs avg $24.54 (+7.2Ο). $86,633 across 1,804 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
MYERS DAVIS LIFE COACHING, INC (1477144103): 22.1 claims/beneficiary (avg 2.3). 158,972 claims, 7,192 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. (1033491519) bills $164.57/claim for 80053 (Comprehen metabolic panel) vs avg $12.95 (+7.0Ο). $97,753 across 594 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
BIRCH TREE COMMUNITIES, INC. (1487224101): 21.5 claims/beneficiary (avg 2.3). 13,775 claims, 642 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BIRCH TREE COMMUNITIES, INC. (1386214187): 21.3 claims/beneficiary (avg 2.3). 35,171 claims, 1,653 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BIRCH TREE COMMUNITIES, INC. (1558931360): 21.2 claims/beneficiary (avg 2.3). 13,366 claims, 629 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BIRCH TREE COMMUNITIES, INC. (1619547429): 21.2 claims/beneficiary (avg 2.3). 39,931 claims, 1,884 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BIRCH TREE COMMUNITIES, INC. (1730759457): 21.0 claims/beneficiary (avg 2.3). 13,689 claims, 653 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BIRCH TREE COMMUNITIES, INC. (1063082873): 20.9 claims/beneficiary (avg 2.3). 31,907 claims, 1,529 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BIRCH TREE COMMUNITIES, INC (1124896600): 20.8 claims/beneficiary (avg 2.3). 2,292 claims, 110 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
CROSSETT HEALTH FOUNDATION (1952308215) bills $110.55/claim for 96372 (Ther/proph/diag inj sc/im) vs avg $7.96 (+6.7Ο). $52,513 across 475 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
THE CENTER FOR PEDIATRICS AND ADOLESCENT MEDICINE (1043225709) bills $187.44/claim for 99233 (Sbsq hosp ip/obs high 50) vs avg $38.70 (+6.6Ο). $125,394 across 669 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
1972577104 (1972577104) bills $107.46/claim for 99213 (Office o/p est low 20 min) vs avg $24.10 (+6.6Ο). $37,287 across 347 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
BIRCH TREE COMMUNITIES, INC. (1538102223): 20.6 claims/beneficiary (avg 2.3). 50,605 claims, 2,461 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
VAN BUREN HMA LLC (1386687036) bills $19.47/claim for 36415 (Coll venous bld venipuncture) vs avg $1.98 (+6.6Ο). $14,405 across 740 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
BIRCH TREE COMMUNITIES, INC (1962652941): 20.4 claims/beneficiary (avg 2.3). 16,841 claims, 824 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
INIS BARDELLA (1124084926) bills $106.53/claim for 99213 (Office o/p est low 20 min) vs avg $24.10 (+6.6Ο). $18,216 across 171 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
BIRCH TREE COMMUNITIES INC (1750531745): 20.3 claims/beneficiary (avg 2.3). 38,930 claims, 1,916 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
1629041546 (1629041546) bills $106.15/claim for 99213 (Office o/p est low 20 min) vs avg $24.10 (+6.5Ο). $19,000 across 179 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
PATHFINDER, INC. (1326004466) bills $83.47/claim for 97532 (Code 97532) vs avg $27.35 (+6.5Ο). $110,596 across 1,325 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
BIRCH TREE COMMUNITIES, INC. (1528638335): 20.1 claims/beneficiary (avg 2.3). 282 claims, 14 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
DEVELOPMENTAL MILESTONES CENTER, LLC (1063076594): 20.1 claims/beneficiary (avg 2.3). 70,479 claims, 3,506 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BIRCH TREE COMMUNITIES, INC (1285884239): 20.0 claims/beneficiary (avg 2.3). 14,902 claims, 746 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BIRCH TREE COMMUNITIES, INC. (1467022277): 19.9 claims/beneficiary (avg 2.3). 18,314 claims, 922 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.
BAPTIST MEMORIAL HOSPITAL - CRITTENDEN INC (1437634524) bills $68.81/claim for J7030 (Normal saline solution infus) vs avg $2.99 (+6.3Ο). $33,440 across 486 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
DIVERSIFIED CHILDREN YOUTH & FAMILIES DEVELOPMENT PROGRAM (1851654909) bills $15,826.77/claim for H2016 (Comp comm supp svc, per diem) vs avg $1,269.82 (+6.3Ο). $14,354,879 across 907 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
HARRISON DIALYSIS LLC (1659522076) bills $26.43/claim for 85027 (Complete cbc automated) vs avg $5.20 (+6.3Ο). $10,574 across 400 claims.
This provider charges significantly more (or less) per claim for a specific procedure code compared to peers in the same state. This can indicate upcoding, incorrect billing, or specialty services.
BIRCH TREE COMMUNITIES, INC. (1376113183): 19.6 claims/beneficiary (avg 2.3). 18,667 claims, 953 beneficiaries.
The ratio of claims to unique patients is unusually high, suggesting each patient receives many more services than average. May indicate overutilization or inappropriate repeat billing.