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-county Community Action Agency (NPI 1396780086)

Field	Value
Entity Type	Organization
Organization	Tri-county Community Action Agency
Address	1126 Hartford Ave
City	Johnston
State	RI
ZIP	02919
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 18, 2006

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

76 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	27,380	$120	$3.3M
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…	21,660	$40	$953K
T2022	Case management, per month	7,030	$130	$878.9K
T1016	Case management, each 15 minutes	16,850	$50	$808.9K
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…	8,850	$60	$504.7K
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…	5,480	$70	$361.9K
90832	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…	2,920	$50	$134.2K
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,…	3,720	$30	$118.9K
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…	850	$90	$77.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	430	$120	$52.2K

Showing 1–10 of 76

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-county Community Action Agency — 6 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

76 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	15	40	5,460	$150	$1.2M
T1015	Clinic visit/encounter, all-inclusive	7	120	400	$130	$896.9K
T1017	Targeted case management, each 15 minutes	12	20	170	$80	$259.8K
T1016	Case management, each 15 minutes	28	180	400	$20	$230.7K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	15	30	350	$110	$158.2K
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…	30	750	330	$70	$92.5K
D1120	Prophylaxis–child	49	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…	90	360	280	$90	$86.4K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	5	20	60	$140	$82.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	38	150	800	$30	$81.3K

Showing 1–10 of 76

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tri-county Community Action Agency, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Downey	RI	Pediatric Dentistry	$0	$2.8M
Raj Pande	RI	Dentist	$0	$2.1M
Daniel Kane	RI	Pediatric Dentistry	$0	$1.2M
Yvonne Wolny	RI	Public Health Dentistry	$0	$1M
Rebecca Friedman	RI	Pediatrics Physician	$0	$1M
Amir Yavari	RI	Pediatric Dentistry	$0	$816.2K
Sarah Georgeson	ME	General Practice Dentistry	$0	$717.5K
Heidi Kurrus	RI	Family Nurse Practitioner	$160	$428.5K
Aaron Ercole	RI	Dentist	$0	$419.3K
Steven Busselen	CA	Family Medicine Physician	$28.5K	$0

Nearby Providers

Other providers in the same ZIP code as Tri-county Community Action Agency, 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
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
The Autism Project	RI	Voluntary or Charitable Agency	$0	$3.1M

Tri-county Community Action Agency — Billing Profile & Reimbursement Data

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Tri-county Community Action Agency — 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