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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKathryn Fallavollita
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    Kathryn Fallavollita — Billing Profile & Reimbursement Data

    NPI 1275918286 · Riverside, RI · Physician Assistant

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    Kathryn Fallavollita is a physician assistant provider located in Riverside, Rhode Island. This profile covers 25 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKathryn Fallavollita
    Address375 Wampanoag Trl
    CityRiverside
    StateRI
    ZIP02915
    TaxonomyPhysician Assistant
    NPI EnumeratedJuly 21, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$71K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…420$80$32K
    99213The 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…300$50$14.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit80$110$8.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.270$10$2.2K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…120$20$1.8K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.170$10$1.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…200$10$1.6K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.110$10$1.4K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.50$30$1.1K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.60$10$800

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    84443920130$20$21.8K
    80053920180$10$17.2K
    8502542080$10$16.5K
    8006182050$10$15K
    8388041090$40$14.2K
    800481110100$10$13.7K
    8260741060$10$13.5K
    992141191,950100$80$11.7K
    36415105060$10$9.8K
    G043917745060$100$7.7K

    Showing 1–10 of 25

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emma Pendleton Bradley HospitalRIPsychiatric Hospital$0$37.6M
    East Bay Community Action ProgramRIMental Health Clinic/Center (Including Community Mental Health Center)$0$20.5M
    Emma Pendleton Bradley HospitalRIPsychiatric Hospital$0$5M
    Health Care Connections Nursing Services, IncRIHome Health Agency$0$3.6M
    City Of East ProvidenceRILocal Education Agency (LEA)$0$2.2M
    East Bay Community Action ProgramRICommunity/Behavioral Health Agency$0$2.2M
    East Bay Community Action ProgramRICommunity Health Clinic/Center$0$1.5M
    Amerita IncRIHome Infusion Therapy Pharmacy$0$1.1M
    Care Resource, LLCRIHome Health Agency$0$1.1M
    Susie HuRINephrology Physician$30.9K$911.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Rhode Island Distribution
    Kathryn Fallavollita — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island