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.

Rhode Island Counseling Associates LLC (NPI 1336638303)

Rhode Island Counseling Associates LLC is a mental health counselor provider located in Cranston, Rhode Island. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Rhode Island Counseling Associates LLC
Address	1150 Reservoir Ave Ste 203
City	Cranston
State	RI
ZIP	02920
Taxonomy	Mental Health Counselor
NPI Enumerated	May 5, 2018

Payer Source	Total Paid
Medicaid	$928.4K
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3,960	$90	$359.9K
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…	4,130	$50	$206.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	3,670	$40	$146.7K
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…	1,890	$60	$116.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	590	$110	$63K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	280	$60	$15.9K
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…	120	$110	$12.7K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	710	$10	$3.5K
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…	40	$80	$3K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	320	$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

Rhode Island Counseling Associates LLC — 1 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	123	750	330	$70	$92.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	20	360	280	$90	$86.4K
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…	86	1,730	220	$70	$75.2K
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…	57	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…	102	160	90	$110	$54.6K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	11	200	340	$40	$35.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	36	290	60	$110	$33.5K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	8	30	140	$60	$15.4K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	41	190	70	$10	$2.6K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	9	50	170	$10	$2.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Ackerman	RI	Psychiatry Physician	$24.8K	$1.5M
Brook Zambarano	RI	Mental Health Counselor	$0	$723.6K
Eniayo Egberongbe	RI	Psychiatric/Mental Health Nurse Practitioner	$9.6K	$552.6K
Sara Mulvaney	RI	Mental Health Counselor	$0	$389.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justice Resource Institute, Inc	RI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$29M
Opportunities Unlimited For People With Differeing Abilities, Inc	RI	Developmentally Disabled Services Day Training Agency	$0	$22.6M
Comprehensive Community Action, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$17.7M
Option Care Enterprises, Inc,	RI	Home Infusion Therapy Pharmacy	$0	$11.1M
Naresh Dasari	RI	Internal Medicine Physician	$199.5K	$7M
Garden City Treatment Center, Inc.	RI	Emergency Medical Services (Emergency Medicine) Physician	$0	$6.4M
Phenix Home Care	RI	Home Health Agency	$0	$5.8M
Jun Parks	RI	Internal Medicine Physician	$74.6K	$5M
Juyoung An	RI	Pediatric Dentistry	$0	$3.9M
Heather Abrahams	RI	Psychiatry Physician	$0	$2.7M

Rhode Island Counseling Associates LLC — Billing Profile & Reimbursement Data

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Rhode Island Counseling Associates LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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