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.

Comprehensive Community Action, Inc. (NPI 1366441719)

Key Findings

Field	Value
Entity Type	Organization
Organization	Comprehensive Community Action, Inc.
Address	1090 Cranston St
City	Cranston
State	RI
ZIP	02920
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicaid	$17.7M
Medicare	$0

This provider is effectively single-payer in scope: there is no Medicare billing on file and the provider reports $17.7M in lifetime Medicaid revenue, indicating Medicaid is the dominant and effectively sole public payer driving its billed activity. The absence of Medicare activity implies comparisons and competitive positioning should be assessed primarily within Rhode Island Medicaid datasets rather than dual‑payer mixes.

Revenue is extremely concentrated in a single bundled clinic visit code: T1015 generates $13.4M in revenue (75.5% of this provider's total Medicaid revenue) from 108.7K claims and is identified as an extreme outlier, far above typical state volume for this code (ranks #2 of 124 providers in-state, 99th percentile). Moreover, the precomputed top three codes together account for 93.4% of this provider's total Medicaid revenue, underscoring heavy dependence on a small set of visit-based codes.

The operational footprint reads like a high-volume FQHC primary care clinic: large volumes of T1015 (all‑inclusive clinic encounter) combined with high counts for 99213 (38.8K claims, $1.6M, 9.0%) and 99214 (28.6K claims, $1.6M, 8.9%) indicate routine management of established patients in outpatient encounters. Those E/M codes rank as extreme outliers in the state (99213 ranks #7 of 2046, 100th percentile; 99214 ranks #8 of 1731, 100th percentile), consistent with high-frequency primary care visits and chronic disease follow-up at an FQHC.

Behavioral health and preventive services appear to be meaningful secondary service lines: psychotherapy 90834 generated $558.9K (3.2% of Medicaid revenue) and multiple psychiatric evaluation and psychotherapy codes (90791, 90792, 90832, 90837) appear in the top code list, indicating integrated mental health services on site. While 90834 is labeled a typical, unremarkable volume in state rankings (18 of 751 providers, 98th percentile), the absolute counts (7.8K claims) show a nontrivial behavioral-health panel supporting the primary care operations.

Preventive care and immunizations are present but not revenue-driving: well visits 99396 and 99395 together contribute roughly $166.7K ($103.3K and $63.4K respectively) and 90471/90472 vaccine administration codes appear with several thousand claims. Notably, 99396 is an extreme outlier in state volume (ranks #1 of 122 providers, 100th percentile) and 90471 is also an extreme outlier (ranks #7 of 496 providers, 99th percentile), which suggests the clinic performs unusually high volumes of age‑specific preventive services and immunizations relative to peers even if those codes are small portions of total revenue.

Lab and chronic disease monitoring activity supports a primary‑care model: A1C testing 83036 (3.9K claims, $47.1K) and point‑of‑care glucose 82962 (2.3K claims, $20.7K) appear in the top code list and rank in the mid–high percentiles for the state (83036 at the 95th percentile, 82962 at the 91st percentile). These volumes corroborate an ongoing panel of patients with chronic metabolic conditions managed in the clinic setting rather than episodic specialty care.

The provider’s FQHC taxonomy is reflected in a small number of FQHC‑specific and telehealth codes: G0467 (FQHC visit) shows modest activity ($32.7K; ranks #16 of 55, 72nd percentile) and G2025 (telehealth for FQHC/RHC) appears with limited revenue ($3.5K; ranks #6 of 9, 38th percentile). This suggests the entity bills FQHC encounter and telehealth mechanisms at low to moderate rates relative to other FQHCs in-state, while relying primarily on the bundled T1015 mechanism.

This organization has long tenure in the NPI file (enumerated 2005-07-19, ~21 years ago), which combined with its statewide extreme outlier rankings on core visit codes (T1015, 99213, 99214) indicates an established, high-volume FQHC presence in Rhode Island. For payers and competitors, the profile signals a mature primary‑care safety‑net operator whose Medicaid revenue is highly concentrated in visit-based bundled billing and who ranks among the top providers statewide on several utilization measures.

Medicaid: Complete Services Breakdown

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

74 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	108,680	$120	$13.4M
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…	38,770	$40	$1.6M
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…	28,570	$60	$1.6M
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…	7,760	$70	$558.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,720	$60	$103.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,110	$60	$63.4K
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…	520	$110	$59.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	8,090	$10	$56.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,650	$30	$51.2K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	3,930	$10	$47.1K

Showing 1–10 of 74

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

Comprehensive Community Action, Inc. — 8 of 25 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

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	2	120	400	$130	$896.9K
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…	18	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.	80	240	150	$80	$91.9K
D1120	Prophylaxis–child	15	160	710	$30	$91.2K
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…	171	360	280	$90	$86.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15	150	800	$30	$81.3K
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	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…	7	2,050	300	$50	$72.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8	100	510	$50	$65.4K
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…	18	160	50	$150	$59.2K

Showing 1–10 of 74

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comprehensive Community Action, Inc	RI	Early Intervention Provider Agency	$0	$847K
Iliana Saavedra	RI	General Practice Dentistry	$0	$537.1K
Jason Villa	RI	Physician Assistant	$11.1K	$402.4K
Angela Langley	RI	Family Nurse Practitioner	$0	$408K
Cameron Biller	RI	Medical Physician Assistant	$360	$372.8K
Megan Vebber	RI	Physician Assistant	$350	$328.2K
Rodrigo Nardi	RI	Psychiatry Physician	$173.5K	$31.1K
Kimberly Stokinger	RI	Physician Assistant	$460	$117.8K

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
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
X-ray Associates, Inc	RI	Diagnostic Radiology Physician	$0	$2.6M

Comprehensive Community Action, Inc. — Billing Profile & Reimbursement Data

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Comprehensive Community Action, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References