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.

Rachel Reichert (NPI 1164707634)

Field	Value
Entity Type	Individual
Organization	Rachel Reichert
Address	220 Old Snake Hill Road
City	Chepachet
State	RI
ZIP	02814
Taxonomy	Behavior Analyst
NPI Enumerated	October 17, 2011

Payer Source	Total Paid
Medicaid	$734.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	2,700	$90	$240.5K
H0046	Mental health services, not otherwise specified	2,430	$70	$177.1K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	1,660	$100	$170.6K
T1016	Case management, each 15 minutes	3,830	$20	$76.6K
T1027	Family training and counseling for child development, per 15 minutes	690	$50	$33K
H2016	Comprehensive community support services, per diem	6,310	$1	$25.3K
T1005	Respite care services, up to 15 minutes	60	$80	$4.8K
H2014	Skills training and development, per 15 minutes	50	$90	$4.2K
T2024	Service assessment/plan of care development, waiver	30	$100	$2.6K

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

Rachel Reichert — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	23	30	9,040	$150	$5.7M
T1005	Respite care services, up to 15 minutes	20	20	2,540	$190	$1.4M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	36	90	510	$160	$975K
H0046	Mental health services, not otherwise specified	35	70	2,310	$70	$698K
T1027	Family training and counseling for child development, per 15 minutes	35	90	350	$100	$363.8K
H2014	Skills training and development, per 15 minutes	30	30	1,420	$90	$300.3K
T1016	Case management, each 15 minutes	52	180	400	$20	$230.7K
H2016	Comprehensive community support services, per diem	21	40	10,150	$10	$230.4K
T2024	Service assessment/plan of care development, waiver	5	10	80	$160	$27.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harmony Hill School, Inc	RI	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$15.9M
Family Connections	RI	Adolescent and Children Mental Health Clinic/Center	$0	$1.7M
Jamie Pease	RI	Clinical Social Worker	$0	$338.3K
Rhode Island Cvs Pharmacy, L.L.C.	RI	Pharmacy	$98.8K	$0
Jessica Heaney	RI	Certified Registered Nurse Anesthetist	$12.1K	$0

Rachel Reichert — Billing Profile & Reimbursement Data

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Rachel Reichert — 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