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 Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Rebecca Carter (NPI 1033385828)

Field	Value
Entity Type	Individual
Organization	Rebecca Carter
Address	1643 Warwick Ave. Suite 200
City	Warwick
State	RI
ZIP	02889
Taxonomy	Mental Health Counselor
NPI Enumerated	May 1, 2008

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	12,510	$70	$850.7K
H0046	Mental health services, not otherwise specified	2,820	$50	$152K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,250	$90	$113.5K
H1011	Family assessment by licensed behavioral health professional for state defined purposes	1,090	$90	$101.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	330	$110	$37K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	200	$80	$16.2K
99242	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…	270	$50	$12.1K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	80	$60	$4.9K
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	70	$20	$1.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	40	$30	$1.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

Claims Volume vs. Rhode Island Distribution

Rebecca Carter — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0046	Mental health services, not otherwise specified	34	70	2,310	$70	$698K
H0004	Behavioral health counseling and therapy, per 15 minutes	69	80	340	$70	$223.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	10	750	330	$70	$92.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	59	360	280	$90	$86.4K
H1011	Family assessment by licensed behavioral health professional for state defined purposes	2	10	1,090	$70	$81.7K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	26	60	140	$70	$35.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	58	290	60	$110	$33.5K
99242	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…	2	10	270	$50	$10K
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	2	10	70	$20	$4.8K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	1	10	40	$70	$3K

Nearby Providers

Other providers in the same ZIP code as Rebecca Carter, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ocean State Home Health Care, Inc.	RI	Home Health Agency	$0	$7.9M
Lifespan Physician Group, Inc.	RI	Urgent Care Clinic/Center	$0	$6.5M
Cornerstone Adult Services, Inc.	RI	Adult Day Care Clinic/Center	$0	$3.8M
City Of Warwick Public Schools	RI	Local Education Agency (LEA)	$0	$2.3M
Halcyon At West Bay, LLC	RI	Assisted Living Facility	$0	$1.7M
Ocean State Center For Independent Living	RI	Durable Medical Equipment & Medical Supplies	$0	$1M
Jeremy Dibiasio	RI	Student in an Organized Health Care Education/Training Program	$9.8K	$737.4K
Child Inc.	RI	Community/Behavioral Health Agency	$0	$456.4K
Johnny Chavarria	RI	Pediatrics Physician	$0	$391.7K
Kristen Acciari	RI	Clinical Social Worker	$0	$361.4K

Rebecca Carter — Billing Profile & Reimbursement Data

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Rebecca Carter — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References