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.

Theresa Graves (NPI 1124025663)

Field	Value
Entity Type	Individual
Organization	Theresa Graves
Address	2 Dudley St
City	Providence
State	RI
ZIP	02905
Taxonomy	Surgery Physician
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicare	$57K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
14301	The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.	40	$620	$21.8K
19301	The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.	40	$270	$11.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	70	$100	$7.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$130	$6.8K
14302	At the same session that the provider repairs lesions of 30.1 cm2 to 60.0 cm2, with the healthy tissues from an adjacent site, he extends the repair up to an additional 30.0 cm2. The repair may be in…	30	$170	$5.5K
38525	The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…	20	$160	$2.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$160	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Theresa Graves — 1 of 7 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. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
14301	3	10	30	$790	$22.1K
99214	1,162	1,950	100	$80	$11.7K
19301	1	10	20	$450	$10.7K
99215	133	460	30	$110	$5.7K
14302	1	10	30	$170	$4.6K
99205	173	200	20	$150	$4.2K
38525	1	10	10	$190	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Todd Stafford	RI	Surgery Physician	$31.7K	$211.9K
Jeffrey Slaiby	RI	Vascular Surgery Physician	$190.7K	$460
Paul Morrissey	RI	Surgery Physician	$89K	$75K
Kathryn Cambron	NE	Diagnostic Radiology Physician	$126.4K	$0
Peter Soden	RI	Vascular Surgery Physician	$73.6K	$720
Marcoandrea Giorgi	RI	Surgery Physician	$10.9K	$58.1K
Eric Benoit	RI	Surgical Critical Care Physician	$68K	$0
Carla Moreira	RI	Vascular Surgery Physician	$66.6K	$0
Travis Cotton	RI	Surgery Physician	$62.5K	$720
Peter Mazzaglia	RI	Surgery Physician	$62.4K	$610

Theresa Graves — Billing Profile & Reimbursement Data

Sign up for Theresa Graves — Billing Profile & Reimbursement Data policy alerts

Theresa Graves — Billing Profile & Reimbursement Data

Sign up for Theresa Graves — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References