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.

Easter Seals Rhode Island (NPI 1417142761)

Field	Value
Entity Type	Organization
Organization	Easter Seals Rhode Island
Address	320 Phillips St
City	North Kingtown
State	RI
ZIP	02852
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	September 10, 2007

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1027	Family training and counseling for child development, per 15 minutes	15,770	$120	$1.9M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	10,460	$140	$1.5M
H2000	Comprehensive multidisciplinary evaluation	1,420	$660	$945.5K
T1016	Case management, each 15 minutes	11,930	$50	$596.3K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	2,550	$90	$237.2K

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

Easter Seals Rhode Island — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	20	90	510	$160	$975K
H2000	Comprehensive multidisciplinary evaluation	4	20	540	$690	$525.2K
T1027	Family training and counseling for child development, per 15 minutes	5	90	350	$100	$363.8K
T1016	Case management, each 15 minutes	36	180	400	$20	$230.7K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	5	40	110	$140	$109.8K

Nearby Providers

Other providers in the same ZIP code as Easter Seals Rhode Island, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dominion Diagnostics, LLC	RI	Clinical Medical Laboratory	$4.8M	$249.1M
Perspectives Corporation	RI	Developmentally Disabled Services Day Training Agency	$0	$182.9M
Perspectives Corporation	RI	Developmentally Disabled Services Day Training Agency	$0	$18.1M
Perspectives Corporation	RI	Mental Health Counselor	$0	$13.3M
Perspectives Corporation	RI	Community/Behavioral Health Agency	$0	$13.2M
Perspectives Corporation	RI	Behavior Analyst	$0	$6.6M
The Sensational Child, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$5.4M
Community Care Nurses, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$1.8M
James Simon	RI	Clinical Social Worker	$0	$1.7M
South County Psychiatry LLC	RI	Psychiatry Physician	$0	$1.6M

Easter Seals Rhode Island — Billing Profile & Reimbursement Data

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Easter Seals Rhode Island — 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