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.

The Providence Center (NPI 1609818210)

Field	Value
Entity Type	Organization
Organization	The Providence Center
Address	90 Plain St
City	Providence
State	RI
ZIP	02903
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0037	Community psychiatric supportive treatment program, per diem	20,070	$380	$7.6M
H0040	Assertive community treatment program, per diem	3,150	$870	$2.7M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	7,390	$130	$923.4K
H0038	Self‑help/peer services, per 15 minutes	7,570	$30	$196.9K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	58,470	$1	$175.4K
H2023	Supported employment, per 15 minutes	840	$90	$71.9K
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…	980	$70	$67.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	270	$70	$19.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	230	$60	$14.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	100	$130	$12.9K

Showing 1–10 of 16

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

The Providence Center — 0 of 15 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	8	30	1,530	$360	$9.7M
H0040	Assertive community treatment program, per diem	8	20	350	$640	$6.3M
H0037	Community psychiatric supportive treatment program, per diem	7	70	190	$380	$3.2M
H2023	Supported employment, per 15 minutes	6	10	230	$80	$357.1K
T1016	Case management, each 15 minutes	5	180	400	$20	$230.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	76	80	340	$70	$223.7K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	6	90	510	$10	$187.5K
H0038	Self‑help/peer services, per 15 minutes	3	20	3,010	$30	$136.6K
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…	208	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.	90	240	150	$80	$91.9K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Providence Center, 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
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
James Pinel	RI	Mental Health Counselor	$0	$373.4K
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 The Providence Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rhode Island Hospital	RI	General Acute Care Hospital	$0	$380.8M
Maxim Healthcare Services, Inc.	RI	Home Health Agency	$0	$32.1M
Children's Friend And Service	RI	Voluntary or Charitable Agency	$0	$18.7M
City Of Providence Rhode Island	RI	Local Education Agency (LEA)	$0	$18.6M
Brown Emergency Medicine	RI	Emergency Medicine Physician	$0	$12.3M
Brown Neurology	RI	Neurology Physician	$0	$9.9M
One Stone L.L.C.	RI	Home Health Agency	$0	$8.6M
Recovery Connection Centers Of America, Inc.	RI	Multi-Specialty Clinic/Center	$0	$7.5M
City Of Providence Rhode Island	RI	Land Ambulance	$917.7K	$6.4M
Lifespan Physician Group, Inc.	RI	General Practice Physician	$0	$5.6M

The Providence Center — Billing Profile & Reimbursement Data

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The Providence Center — 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