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.

East Bay Community Action Program (NPI 1609239920)

Field	Value
Entity Type	Organization
Organization	East Bay Community Action Program
Address	100 Bullocks Point
City	Riverside
State	RI
ZIP	02915
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 4, 2016

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	15,880	$60	$921.2K
H0037	Community psychiatric supportive treatment program, per diem	720	$370	$267.1K
H0040	Assertive community treatment program, per diem	180	$1,210	$219.9K
T1015	Clinic visit/encounter, all-inclusive	7,540	$30	$211.1K
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…	1,650	$90	$140K
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…	3,560	$30	$117.6K
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…	2,170	$50	$104.1K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,230	$30	$38K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	2,180	$20	$37K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	310	$110	$32.9K

Showing 1–10 of 20

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

East Bay Community Action Program — 2 of 19 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	12	20	350	$640	$6.3M
H0037	Community psychiatric supportive treatment program, per diem	20	70	190	$380	$3.2M
T1015	Clinic visit/encounter, all-inclusive	29	120	400	$130	$896.9K
H0046	Mental health services, not otherwise specified	27	70	2,310	$70	$698K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	24	90	510	$10	$187.5K
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…	8	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.	147	240	150	$80	$91.9K
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…	232	1,730	220	$70	$75.2K
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…	153	2,050	300	$50	$72.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	110	160	50	$150	$59.2K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with East Bay Community Action Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Bay Community Action Program	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.5M
East Bay Community Action Program	RI	Dental Clinic/Center	$0	$2M
Jasma Patel	RI	Dentist	$0	$1.9M
East Bay Community Action Program	RI	Community Health Clinic/Center	$0	$1.5M
John Corvese	RI	Optometrist	$29.7K	$1.4M
Gina Digati	RI	Adult Psychiatric/Mental Health Clinical Nurse Specialist	$12.3K	$817.1K
Joseph Singer	RI	Pediatrics Physician	$0	$547.7K
Iliana Saavedra	RI	General Practice Dentistry	$0	$537.1K
Marshall Wold	RI	Child & Adolescent Psychiatry Physician	$0	$529.6K
Sarah Fessler	RI	Family Medicine Physician	$0	$524.3K

Nearby Providers

Other providers in the same ZIP code as East Bay Community Action Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emma Pendleton Bradley Hospital	RI	Psychiatric Hospital	$0	$37.6M
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
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
City Of East Providence	RI	Local Education Agency (LEA)	$0	$768.1K
Victor Neel	RI	Dermatology Physician	$726.1K	$0
Monissa Solberg	RI	Psychiatry Physician	$0	$708.4K

East Bay Community Action Program — Billing Profile & Reimbursement Data

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East Bay Community Action Program — 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