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 1588691620)

Field	Value
Entity Type	Organization
Organization	Thundermist Health Center
Address	450 Clinton St
City	Woonsocket
State	RI
ZIP	02895
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 26, 2006

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

Key Findings

THUNDERMIST HEALTH CENTER is effectively single-payer in practice: there is no Medicare billing on file while total Medicaid revenue is $15.8M, indicating the organization’s clinical and financial footprint is overwhelmingly, if not exclusively, driven by Medicaid reimbursements. This makes Medicaid the de facto revenue engine and primary contracting focus for the center.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 70.8% of the provider’s total Medicaid revenue, meaning a small set of services dominate intake. This level of concentration suggests operational dependence on a consistent volume of a few core visit types.

Primary service-line implications point to high-volume primary care and behavioral health delivery: the top Medicaid revenue code is 99213 ($7.1M, 46.7% of Medicaid revenue), followed by 99214 ($2.2M, 14.6%) and psychotherapy 90832 ($1.4M, 9.4%). Together these codes indicate heavy reliance on established outpatient E/M visits and short psychotherapy sessions, consistent with an FQHC model that combines primary care and integrated behavioral health.

Competitive standing in-state is dominant for several high-volume codes: the center ranks #1 of 2046 providers in-state for 99213 (100th percentile, labeled an extreme outlier), #6 of 1731 for 99214 (100th percentile, extreme outlier), and #1 of 185 for 90832 (100th percentile, extreme outlier). These ranks indicate the center is one of the largest Medicaid providers in Rhode Island for both general outpatient E/M and short psychotherapy services.

Operational breadth includes non-E/M services aligned with FQHC and community health functions: notable volumes and ranks appear for T1015 (clinic visit/encounter) and G0467 (FQHC visit, established patient), plus high counts for vaccination code 90471 and testing codes such as 87428 and 87880. This mix reinforces a broad ambulatory clinic role that delivers bundled FQHC services, preventive care, immunizations, and point-of-care testing at scale.

Behavioral health is a meaningful sub-line: in addition to 90832, the center reports sizeable revenue from 90834, 90791, 90792 and G0470, with several of these codes ranked well above peers (90834 at the 98th percentile, G0470 at the 100th percentile for in-state peers). These data show the center provides both psychotherapy and psychiatric evaluation services at volumes well above typical state providers, supporting an integrated behavioral health capacity.

The provider shows high telehealth and case-management activity for an FQHC: G2025 (telehealth FQHC/RHC distant site) is ranked #1 of 9 in-state, and case management codes T1016 and T1017 appear with meaningful counts. Combined with H0044 (supported housing) and H0038 (peer services), the billing mix points to a broader social- and wraparound-services orientation beyond billable clinic visits.

Long-term presence in the system: NPI enumeration date is 2006-06-26, about 20 years ago. This tenure supports the interpretation that THUNDERMIST is an established community provider with sustained Medicaid activity and likely longstanding payer relationships within the state.

Medicaid: Complete Services Breakdown

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

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	154,690	$50	$7.1M
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…	38,460	$60	$2.2M
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…	36,870	$40	$1.4M
T1015	Clinic visit/encounter, all-inclusive	29,430	$30	$824.2K
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…	10,720	$50	$578.8K
H0044	Supported housing, per month	2,310	$250	$570.3K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	7,770	$60	$442.7K
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,…	5,010	$40	$180.4K
T1016	Case management, each 15 minutes	5,390	$30	$172.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,390	$70	$172.2K

Showing 1–10 of 84

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 — 16 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

84 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	120	400	$130	$896.9K
T1017	Targeted case management, each 15 minutes	9	20	170	$80	$259.8K
T1016	Case management, each 15 minutes	48	180	400	$20	$230.7K
82948	The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.	5	20	120	$130	$209.8K
H0044	Supported housing, per month	2	10	290	$270	$174.6K
H0038	Self‑help/peer services, per 15 minutes	6	20	3,010	$30	$136.6K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	3	10	40	$1,690	$105K
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…	13	750	330	$70	$92.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	96	240	150	$80	$91.9K
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…	193	360	280	$90	$86.4K

Showing 1–10 of 84

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	Dental Clinic/Center	$0	$18.6M
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