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.

Thundermist Health Center (NPI 1457522989)

Field	Value
Entity Type	Organization
Organization	Thundermist Health Center
Address	25 John A Cummings Way
City	Woonsocket
State	RI
ZIP	02895
Taxonomy	Dental Clinic/Center
NPI Enumerated	March 12, 2008

Payer Source	Total Paid
Medicaid	$18.6M
Medicare	$0

Key Findings

THUNDERMIST HEALTH CENTER is effectively a Medicaid-focused dental clinic: it has no Medicare billing on file and reports $18.6M in lifetime Medicaid revenue, making it a single‑payer (Medicaid) operation in the available data. The NPI shows the practice was enumerated on 2008-03-12 (~18 years ago), indicating long-standing participation in the Medicaid program.

Revenue is extremely concentrated in a single Medicaid billing line: T1015 (Clinic visit/encounter, all-inclusive) accounts for $18.6M in revenue and 116.4K claims, and the top three Medicaid codes by revenue together account for 100.0% of this provider’s total Medicaid revenue. This concentration means most dollars are captured under the all‑inclusive clinic visit code rather than itemized dental CPTs.

T1015 is an outlier in the state: the provider ranks #1 of 124 providers for T1015 (100th percentile; extreme outlier, far above typical state volume for this code), signaling THUNDERMIST is a dominant statewide provider for bundled clinic/encounter billing. That market position implies significant volume-based influence for Medicaid clinic-encounter payments within Rhode Island.

Operationally, the code mix indicates comprehensive dental clinic activity masked by bundled payment reporting: high-volume dental procedure codes appear in the claims mix (for example, D0140: 25.7K claims; D0220: 24.8K claims; D0120: 16.3K claims; D7140: 16K claims), but many of these show $0 avg paid/claim and $0 revenue on file. The presence of evaluations, radiographs, prophylaxis, extractions, and restorative codes in large claim counts alongside an all-inclusive clinic visit code suggests clinical services are being billed under a bundled encounter code rather than generating separate Medicaid revenue lines.

Many individual dental procedure codes are unusually high in volume for the state even though they report $0 paid on file: several codes rank at or near the top statewide (e.g., D0140 rank #1 of 133 — 100th percentile; D0150 rank #1 of 169 — 100th percentile; D7140 rank #2 of 100 — 99th percentile). These rank/percentile labels (extreme outlier, notably above typical) indicate THUNDERMIST is an important provider of both diagnostic and operative dental services in Rhode Island, even if payment flows are primarily credited to T1015.

The pattern of a single high-revenue clinic code plus many high-volume $0-paid procedural claims creates a revenue concentration and payment attribution risk: changes in Medicaid policy, bundling rules, or T1015 reimbursement could materially affect reported revenue because $18.6M of the provider’s lifetime Medicaid revenue is tied to that one code. Analysts should monitor policy or audit activity affecting bundled clinic/encounter payments for potential financial impact.

Competitive standing across payers is one-sided: with no Medicare activity (

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	116,440	$160	$18.6M
D0120	Periodic oral evaluation - established patient	16,280	$0	$0
D0140	Limited oral evaluation – problem focused	25,650	$0	$0
D0150	Comprehensive oral evaluation – new or established patient	8,860	$0	$0
D0210	Intraoral - complete series of radiographic images	8,230	$0	$0
D0220	Intraoral - periapical first radiographic image	24,830	$0	$0
D0230	Intraoral - periapical each additional radiographic image	920	$0	$0
D0272	N/A	80	$0	$0
D0274	N/A	11,990	$0	$0
D0999	N/A	550	$0	$0

Showing 1–10 of 31

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

Thundermist Health Center — 1 of 1 code 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	120	400	$130	$896.9K
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…	11	30	350	$110	$158.2K
D2332	N/A	10	10	100	$70	$124.1K
D1120	Prophylaxis–child	35	160	710	$30	$91.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	28	150	800	$30	$81.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	100	510	$50	$65.4K
D2392	Post 2 surface resin‑based composite	9	110	240	$60	$47.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7	180	490	$20	$42.3K
D1351	Sealant - per tooth	20	90	670	$20	$41.4K
D0120	Periodic oral evaluation - established patient	7	210	930	$10	$38.1K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thundermist Health Center	RI	Federally Qualified Health Center (FQHC)	$0	$15.8M
Eric Prosseda	RI	General Practice Dentistry	$0	$5.2M
Maulik Kotdawala	RI	General Practice Dentistry	$0	$4.6M
Danielle Murphy	RI	Dentist	$0	$4.2M
Beata Nelken	RI	Pediatrics Physician	$0	$4.2M
Abhishek Kapoor	RI	Dentist	$0	$2.7M
Meera Sharma	RI	General Practice Dentistry	$0	$1.8M
Joey Napolitano	RI	Public Health Dentistry	$0	$1.7M
Yamila Cos	RI	General Practice Dentistry	$0	$1.7M
Laura Flynn	RI	Dentist	$0	$1.6M

Nearby Providers

Other providers in the same ZIP code as Thundermist Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Alliance	RI	Community/Behavioral Health Agency	$0	$46.4M
Prime Healthcare Services Landmark LLC	RI	General Acute Care Hospital	$0	$26.2M
R.i.s.a.t., LLC	RI	Methadone Clinic	$306K	$21.6M
Action Based Enterprises	RI	Developmentally Disabled Services Day Training Agency	$0	$15.2M
Woonsocket Education Department	RI	Local Education Agency (LEA)	$0	$9.5M
Woonsocket Housing Authority	RI	Assisted Living Facility	$0	$7M
Tmed Holdings, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$3.8M
Maha Alamad	RI	General Practice Dentistry	$0	$3.5M
Home Care Services Of Ri, Inc.	RI	Home Health Agency	$0	$3.2M
Woonsocket Education Department	RI	Local Education Agency (LEA)	$0	$3M

Thundermist Health Center — Billing Profile & Reimbursement Data

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Thundermist Health Center — 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