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.

Nicholas Barone (NPI 1043221476)

Field	Value
Entity Type	Individual
Organization	Nicholas Barone
Address	1804 Mineral Spring Avenue
City	N Providence
State	RI
ZIP	02904
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	August 10, 2006

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8080	N/A	1,030	$1,430	$1.5M
D8670	N/A	14,010	$80	$1.1M
D8660	N/A	4,660	$180	$816.2K
D8680	N/A	810	$150	$120.7K
D9450	N/A	1,290	$40	$55.3K
D8060	N/A	30	$1,000	$26K
D0330	N/A	410	$60	$24.7K
D0350	N/A	490	$50	$24.1K
D9110	N/A	60	$50	$2.9K
D1310	N/A	70	$30	$2.4K

Showing 1–10 of 11

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

Nicholas Barone — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	2	10	230	$1,770	$794K
D8670	N/A	2	20	5,260	$80	$516.3K
D8660	N/A	2	10	1,350	$170	$278.9K
D8680	N/A	2	10	380	$140	$68.2K
D8060	N/A	2	10	30	$780	$50.2K
D9450	N/A	3	10	540	$40	$33.1K
D0330	N/A	47	100	400	$40	$30.7K
D0350	N/A	4	10	490	$30	$17.5K
D9110	N/A	16	20	110	$40	$15.4K
D1310	N/A	28	30	410	$30	$15.2K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nicholas Barone, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Barone	RI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Providence Center Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$170.9M
Re-focus Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$102.5M
Hopehealth Hospice & Palliative Care	RI	Community Based Hospice Care Agency	$0	$33.3M
Mas Medical Staffing	RI	Home Health Agency	$0	$24.5M
Generations Adult Day Health Center	RI	Adult Day Care Clinic/Center	$0	$16.3M
Prospect Chartercare Sjhsri, LLC	RI	General Acute Care Hospital	$0	$10.9M
Global Homecare And Staffing Inc	RI	Home Health Agency	$0	$8.3M
Emergency Care Services Of New England PC	RI	Emergency Medicine Physician	$0	$6.9M
State Of Rhode Island	RI	Clinical Medical Laboratory	$570	$6.4M
The Providence Center	RI	Community/Behavioral Health Agency	$0	$5.9M

Nicholas Barone — Billing Profile & Reimbursement Data

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Nicholas Barone — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References