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.

Ara-providence Dialysis LLC (NPI 1376654921)

Field	Value
Entity Type	Organization
Organization	Ara-providence Dialysis LLC
Address	9 Plenty St
City	Providence
State	RI
ZIP	02907
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	11,610	$190	$2.2M
90937	Hemodialysis is a procedure that involves drawing blood via an intraarterial or intravenous catheter, then sieving it through a semipermeable membrane to remove the impurities and finally transfusing…	200	$330	$65.4K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	400	$140	$57.2K
84100	The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.	400	$140	$55.6K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	330	$160	$52.1K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	330	$160	$52.1K
84466	The lab analyst performs a test to measure the amount of transferrin in patient blood.	330	$160	$52.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	330	$160	$51.8K
A4657	Syringe, with or without needle, each	460	$110	$50.5K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	240	$140	$32.1K

Showing 1–10 of 13

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

Ara-providence Dialysis LLC — 0 of 12 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	6	20	4,970	$270	$1.8M
J7030	Infusion, normal saline solution , 1000 cc	11	10	720	$180	$426.8K
A4657	Syringe, with or without needle, each	5	10	460	$130	$238.2K
84100	The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.	13	30	340	$70	$140.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	47	140	140	$30	$99.7K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	12	20	190	$90	$73.1K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	15	40	320	$40	$65.8K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	54	70	80	$30	$63.1K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	22	70	160	$30	$54.5K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	4	10	240	$130	$49.4K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Ara-providence Dialysis LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independence Health Services, LLC	RI	Home Health Agency	$0	$40.4M
Haigh Ventures, Inc	RI	Home Health Agency	$0	$28.9M
Elmwood Adult Day Health Care Center	RI	Adult Day Care Clinic/Center	$0	$13.8M
Abraham Home Care Provider LLC	RI	In Home Supportive Care Agency	$0	$11.7M
Jammat Housing And Community Development Corporation	RI	Mental Illness Community Based Residential Treatment Facility	$0	$8.7M
Saint Elizabeth Assisted Living, L.P.	RI	Assisted Living Facility	$0	$5M
Raising Hope, Inc	RI	Home Health Agency	$0	$4.9M
Susan Hart	RI	Addiction Medicine (Internal Medicine) Physician	$0	$3.9M
Victa LLC	RI	Addiction Medicine (Internal Medicine) Physician	$57.6K	$3.7M
Providence Physical Therapy Associates, Inc.	RI	Physical Therapy Clinic/Center	$0	$3.4M

Ara-providence Dialysis LLC — Billing Profile & Reimbursement Data

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Ara-providence Dialysis 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

Nearby Providers

Frequently Asked Questions

References