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.

Northwest Community Health Care (NPI 1245219070)

Field	Value
Entity Type	Organization
Organization	Northwest Community Health Care
Address	36 Bridge Way
City	Pascoag
State	RI
ZIP	02859
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 11, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	8,660	$60	$484.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	11,160	$40	$468.9K
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…	4,920	$70	$334.6K
T1015	Clinic visit/encounter, all-inclusive	3,290	$30	$98.8K
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…	170	$90	$14.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	100	$110	$11K
J1050	Injection, medroxyprogesterone acetate, 1 mg	130	$60	$8.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	220	$30	$6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	310	$10	$4.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	30	$100	$3.1K

Showing 1–10 of 21

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

Northwest Community Health Care — 3 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	36	120	400	$130	$896.9K
82948	The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.	12	20	120	$130	$209.8K
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…	33	750	330	$70	$92.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	103	240	150	$80	$91.9K
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…	38	1,730	220	$70	$75.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	32	2,050	300	$50	$72.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	33	100	90	$100	$70.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	103	160	50	$150	$59.2K
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…	57	160	90	$110	$54.6K
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…	42	60	140	$70	$35.3K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Dental	RI	Dental Clinic/Center	$0	$4.2M
Maryam Rayani	RI	Dentist	$0	$1.7M
Kanchan Pande	RI	Dentist	$0	$1.7M
Melissa Graswald	RI	General Practice Dentistry	$0	$1.5M
Teresa Jacob	RI	General Practice Dentistry	$0	$1.5M
Ashleigh Graley	RI	General Practice Dentistry	$0	$585.9K
Nicole Burns	RI	Family Nurse Practitioner	$0	$404.4K
Patricia Tweedie	MA	Family Medicine Physician	$115.5K	$0
Michelle Fox	RI	Gerontology Nurse Practitioner	$28.8K	$0
Katherine Caldwell	RI	Physician Assistant	$16.8K	$1.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pascoag Fire District Light Dept	RI	Land Ambulance	$68.6K	$18.5K
Patricia Russo-magno	RI	Critical Care Medicine (Internal Medicine) Physician	$68.2K	$2.2K
Rhode Island Cvs Pharmacy, L.L.C.	RI	Pharmacy	$66.3K	$0
John Charette	RI	Clinical Social Worker	$12.2K	$6.1K
Muriel Paterson	RI	Clinical Social Worker	$14.3K	$0

Northwest Community Health Care — Billing Profile & Reimbursement Data

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Northwest Community Health Care — 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