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.

James Pinel (NPI 1477538262)

Field	Value
Entity Type	Individual
Organization	James Pinel
Address	610 Wampanoag Trl
City	East Providence
State	RI
ZIP	02915
Taxonomy	Mental Health Counselor
NPI Enumerated	December 14, 2005

Payer Source	Total Paid
Medicaid	$373.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9485	Crisis intervention mental health services, per diem	1,040	$360	$372.3K
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…	20	$70	$1.2K

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

James Pinel — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9485	Crisis intervention mental health services, per diem	7	30	160	$350	$494.7K
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…	742	750	330	$70	$92.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Providence Center Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$170.9M
The Providence Center	RI	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$11.9M
Linda Dewey	RI	Mental Health Counselor	$0	$1.2M
Sandrine Fujah	RI	Clinical Social Worker	$0	$602.2K
Reema Husain	RI	Psychiatry Physician	$11.7K	$449.6K
Omer Cermik	RI	Psychiatry Physician	$3.7K	$447.1K
Warren Ong	RI	Psychiatry Physician	$0	$434K
Anthony Parente	RI	Mental Health Counselor	$0	$380.7K
Grace Batista	RI	Clinical Social Worker	$10.1K	$190.8K
Anthony Hoyle	RI	Social Worker	$134.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emma Pendleton Bradley Hospital	RI	Psychiatric Hospital	$0	$37.6M
East Bay Community Action Program	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.5M
Emma Pendleton Bradley Hospital	RI	Psychiatric Hospital	$0	$5M
Health Care Connections Nursing Services, Inc	RI	Home Health Agency	$0	$3.6M
City Of East Providence	RI	Local Education Agency (LEA)	$0	$2.2M
East Bay Community Action Program	RI	Community/Behavioral Health Agency	$0	$2.2M
East Bay Community Action Program	RI	Community Health Clinic/Center	$0	$1.5M
Amerita Inc	RI	Home Infusion Therapy Pharmacy	$0	$1.1M
Care Resource, LLC	RI	Home Health Agency	$0	$1.1M
Susie Hu	RI	Nephrology Physician	$30.9K	$911.1K

James Pinel — Billing Profile & Reimbursement Data

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James Pinel — 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