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.

Tri-town Economic Opportunity Council (NPI 1346441045)

Field	Value
Entity Type	Organization
Organization	Tri-town Economic Opportunity Council
Address	1126 Hartford Ave
City	Johnston
State	RI
ZIP	02919
Taxonomy	Case Management Agency
NPI Enumerated	May 30, 2007

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	27,880	$40	$1.2M
T1017	Targeted case management, each 15 minutes	14,480	$50	$709.7K
G9012	Other specified case management service not elsewhere classified	30	$0	$0
T2022	Case management, per month	510	$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

Tri-town Economic Opportunity Council — 1 of 2 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	37	40	5,460	$150	$1.2M
T1017	Targeted case management, each 15 minutes	1	20	170	$80	$259.8K
T1016	Case management, each 15 minutes	20	180	400	$20	$230.7K
G9012	Other specified case management service not elsewhere classified	9	10	700	$100	$103.3K

Nearby Providers

Other providers in the same ZIP code as Tri-town Economic Opportunity Council, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comfort LLC	RI	Home Health Agency	$0	$18.7M
The Journey To Hope, Health & Healing, Inc	RI	Methadone Clinic	$0	$16.8M
Tri-county Community Action Agency	RI	Federally Qualified Health Center (FQHC)	$0	$7.4M
Absolute Respiratory Care LLC	RI	Oxygen Equipment & Supplies (DME)	$0	$6.4M
Ocean State Behavioral Health, LLC	RI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.6M
Fredrick Mcmillen	RI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.9M
Svetlo Inc	RI	Adult Day Care Clinic/Center	$0	$4.8M
Maulik Kotdawala	RI	General Practice Dentistry	$0	$4.6M
Barrett Nordstrom	RI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.9M
Atmed Treatment Center, Inc.	RI	Internal Medicine Physician	$0	$3.1M

Tri-town Economic Opportunity Council — Billing Profile & Reimbursement Data

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Tri-town Economic Opportunity Council — Billing Profile & Reimbursement Data

Sign up for Tri-town Economic Opportunity Council — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References