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.

Jillian Clifford (NPI 1366937849)

Field	Value
Entity Type	Individual
Organization	Jillian Clifford
Address	1150 Reservoir Ave Ste 300
City	Cranston
State	RI
ZIP	02920
Taxonomy	Nurse Practitioner
NPI Enumerated	June 26, 2018

Payer Source	Total Paid
Medicaid	$408.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	1,170	$160	$186.3K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	1,100	$110	$117.4K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	390	$70	$27.1K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	130	$120	$14.8K
87480	The lab analyst performs a test for Candida species using direct nucleic acid probe technique.	190	$70	$13.5K
87660	The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.	170	$60	$9.9K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	450	$20	$7.7K
87510	The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…	140	$50	$7K
87086	Culture, bacterial; quantitative, colony count, urine.	190	$40	$6.7K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	70	$70	$5.1K

Showing 1–10 of 16

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

Jillian Clifford — 0 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	22	130	140	$70	$160.8K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	21	130	130	$70	$141.1K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	27	40	250	$80	$123K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	18	50	240	$60	$115.8K
86850	The lab analyst performs a screening test using patient blood to determine the presence of any antibodies to red blood cells, called RBCs, other than the A and B antigens.	26	40	220	$60	$92.7K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	42	80	100	$40	$90.7K
85025	A 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…	144	290	100	$30	$88K
86900	The lab analyst performs a test to determine the patient’s blood type within the ABO blood group system using serum plasma as the specimen.	27	40	210	$50	$78.9K
86901	The lab analyst performs a test to determine the patient’s blood type within the Rh blood group system using serum plasma as the specimen.	27	40	200	$50	$75.4K
87088	The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.	17	20	60	$30	$74.6K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jillian Clifford, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amr Abdel Kader	RI	Obstetrics & Gynecology Physician	$3.1K	$599.6K
Amir Alizadeh,md Inc.	RI	Internal Medicine Physician	$111.8K	$15.5K

Nearby Providers

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

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

Jillian Clifford — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References