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.

Teresa Roney (NPI 1336303908)

Field	Value
Entity Type	Individual
Organization	Teresa Roney
Address	127 Johnny Cake Hill Rd
City	Middletown
State	RI
ZIP	02842
Taxonomy	Psychiatric/Mental Health Registered Nurse
NPI Enumerated	July 14, 2008

Payer Source	Total Paid
Medicaid	$401.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0037	Community psychiatric supportive treatment program, per diem	1,300	$300	$395.1K
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…	50	$70	$3.9K
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…	30	$70	$1.8K
H0046	Mental health services, not otherwise specified	910	$1	$910
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1,860	$0	$0
T1016	Case management, each 15 minutes	2,250	$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

Teresa Roney — 0 of 4 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0037	Community psychiatric supportive treatment program, per diem	18	70	190	$380	$3.2M
H0046	Mental health services, not otherwise specified	44	70	2,310	$70	$698K
T1016	Case management, each 15 minutes	60	180	400	$20	$230.7K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	35	90	510	$10	$187.5K
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…	704	750	330	$70	$92.5K
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…	1,295	1,730	220	$70	$75.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newport County Community Mental Health Center, Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.9M
Child And Family Services Of Newport County	RI	Clinic/Center	$0	$4.3M
Royal Middletown Nursing Center LLC	RI	Skilled Nursing Facility	$0	$4.2M
Aquidneck Pediatrics LLC	RI	Pediatrics Physician	$0	$2.4M
Newport County Community Mental Health Center	RI	Community/Behavioral Health Agency	$0	$1.9M
Sarah Mcneill	RI	Occupational Therapist	$0	$1.6M
Visiting Nurse Services Of Newport And Bristol Counties	RI	Nursing Care Agency	$0	$1.1M
Jason Michaels	RI	MOHS-Micrographic Surgery Physician	$982.9K	$59.5K
Kenneth Kehew	RI	Dentist	$0	$709.5K
Town Of Middletown	RI	Land Ambulance	$324K	$162.5K

Teresa Roney — Billing Profile & Reimbursement Data

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Teresa Roney — 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