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.

Community Care Alliance (NPI 1043347602)

Field	Value
Entity Type	Organization
Organization	Community Care Alliance
Address	245 Main St
City	Woonsocket
State	RI
ZIP	02895
Taxonomy	Mental Health Counselor
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1027	Family training and counseling for child development, per 15 minutes	7,920	$120	$981.6K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	4,950	$130	$658.9K
T1016	Case management, each 15 minutes	3,080	$40	$135.4K
H2000	Comprehensive multidisciplinary evaluation	100	$730	$70.5K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	490	$100	$47.8K
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	30	$0	$0
X0377	N/A	80	$0	$0

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

Community Care Alliance — 0 of 5 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	27	90	510	$160	$975K
X0377	N/A	4	10	6,470	$50	$842.5K
H2000	Comprehensive multidisciplinary evaluation	13	20	540	$690	$525.2K
T1027	Family training and counseling for child development, per 15 minutes	13	90	350	$100	$363.8K
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	8	10	510	$110	$358.3K
T1016	Case management, each 15 minutes	55	180	400	$20	$230.7K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	11	40	110	$140	$109.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Alliance	RI	Community/Behavioral Health Agency	$0	$46.4M
Community Care Alliance	RI	Community/Behavioral Health Agency	$0	$2M
Richard Crino	RI	Registered Nurse	$0	$1.8M
Anna Flaherty	RI	Family Nurse Practitioner	$0	$493.1K
Omer Cermik	RI	Psychiatry Physician	$3.7K	$447.1K
Sripriya Srinivasan	RI	Psychiatry Physician	$4.6K	$400.8K
Benjamin Lederer	RI	Child & Adolescent Psychiatry Physician	$10.1K	$379.4K
Michael Coburn	RI	Addiction Medicine (Psychiatry & Neurology) Physician	$0	$339.2K
R Bhawani Prasad	IN	Psychiatry Physician	$24.1K	$52.3K

Nearby Providers

Other providers in the same ZIP code as Community Care Alliance, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prime Healthcare Services Landmark LLC	RI	General Acute Care Hospital	$0	$26.2M
R.i.s.a.t., LLC	RI	Methadone Clinic	$306K	$21.6M
Thundermist Health Center	RI	Dental Clinic/Center	$0	$18.6M
Thundermist Health Center	RI	Federally Qualified Health Center (FQHC)	$0	$15.8M
Action Based Enterprises	RI	Developmentally Disabled Services Day Training Agency	$0	$15.2M
Woonsocket Education Department	RI	Local Education Agency (LEA)	$0	$9.5M
Woonsocket Housing Authority	RI	Assisted Living Facility	$0	$7M
Beata Nelken	RI	Pediatrics Physician	$0	$4.2M
Tmed Holdings, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$3.8M
Maha Alamad	RI	General Practice Dentistry	$0	$3.5M

Community Care Alliance — Billing Profile & Reimbursement Data

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Community Care Alliance — 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