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.

Beltone New England (NPI 1598891855)

Field	Value
Entity Type	Organization
Organization	Beltone New England
Address	931 Jefferson Blvd Ste 2001
City	Warwick
State	RI
ZIP	02886
Taxonomy	Hearing Instrument Specialist
NPI Enumerated	February 23, 2007

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V5261	Hearing aid, digital, binaural, bte	640	$840	$539.7K
V5160	Dispensing fee, binaural	950	$470	$443.2K
V5266	Battery for use in hearing device	4,330	$40	$173.2K
V5260	Hearing aid, digital, binaural, ite	80	$960	$76.8K
V5130	Binaural, in the ear	110	$450	$48.5K
V5264	Ear mold/insert, not disposable, any type	460	$50	$22.6K
V5140	Binaural, behind the ear	10	$510	$6.7K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	120	$10	$1.5K

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

Beltone New England — 2 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V5261	Hearing aid, digital, binaural, bte	1	10	640	$840	$539.6K
V5160	Dispensing fee, binaural	1	10	950	$470	$443.5K
V5260	Hearing aid, digital, binaural, ite	1	10	80	$960	$76.8K
V5130	Binaural, in the ear	1	10	110	$450	$48.5K
V5266	Battery for use in hearing device	1	10	170	$40	$47.7K
V5140	Binaural, behind the ear	1	10	10	$510	$6.7K
V5264	Ear mold/insert, not disposable, any type	1	10	30	$50	$6.6K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	1	10	120	$10	$1.5K

Nearby Providers

Other providers in the same ZIP code as Beltone New England, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Bay Residential Services Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$145.8M
Kent County Memorial Hospital	RI	General Acute Care Hospital	$0	$90.8M
Avatar Residential, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$72.9M
Thrive Behavioral Health, Inc.	RI	Community/Behavioral Health Agency	$0	$71.9M
Bayada Home Health Care, Inc.	RI	Home Health Agency	$0	$69.5M
Community Living Of Rhode Island	RI	Developmentally Disabled Services Day Training Agency	$0	$65.7M
J.arthur Trudeau Memorial Center Conversion Waivers	RI	Developmentally Disabled Services Day Training Agency	$0	$57.1M
Gateways To Change, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$54.5M
Affinity Physicians LLC.	RI	Internal Medicine Physician	$0	$41.8M
J, Arthur Trudeau Memorial Center	RI	Developmentally Disabled Services Day Training Agency	$0	$33.9M

Beltone New England — Billing Profile & Reimbursement Data

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Beltone New England — 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