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.

Michael Coburn (NPI 1720040728)

Field	Value
Entity Type	Individual
Organization	Michael Coburn
Address	1950 Tower Hill Rd
City	North Kingstown
State	RI
ZIP	02852
Taxonomy	Addiction Medicine (Psychiatry & Neurology) Physician
NPI Enumerated	April 5, 2006

Payer Source	Total Paid
Medicaid	$339.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,550	$60	$163.5K
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…	3,200	$50	$153.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	110	$150	$16.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	420	$10	$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

Michael Coburn — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	131	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…	171	2,050	300	$50	$72.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	27	100	90	$100	$70.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	111	290	60	$110	$33.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Michael Coburn, 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
Avtar Ghuman	FL	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
Alexander Port	NJ	Ophthalmology Physician	$2.7M	$0
Nisha Warrier	FL	Ophthalmology Physician	$2.2M	$0
Lauren Wright	TN	Retina Specialist (Ophthalmology) Physician	$2M	$0
Matthew Asano	CO	Ophthalmology Physician	$2M	$0
Community Care Alliance	RI	Community/Behavioral Health Agency	$0	$2M
Community Care Alliance	RI	Mental Health Counselor	$0	$1.9M
Richard Crino	RI	Registered Nurse	$0	$1.8M
Monica Giganti	NY	Retina Specialist (Ophthalmology) Physician	$1.3M	$6.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dominion Diagnostics, LLC	RI	Clinical Medical Laboratory	$4.8M	$249.1M
Perspectives Corporation	RI	Developmentally Disabled Services Day Training Agency	$0	$182.9M
Perspectives Corporation	RI	Developmentally Disabled Services Day Training Agency	$0	$18.1M
Perspectives Corporation	RI	Mental Health Counselor	$0	$13.3M
Perspectives Corporation	RI	Community/Behavioral Health Agency	$0	$13.2M
Perspectives Corporation	RI	Behavior Analyst	$0	$6.6M
The Sensational Child, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$5.4M
Easter Seals Rhode Island	RI	Early Intervention Provider Agency	$0	$5.2M
Community Care Nurses, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$1.8M
James Simon	RI	Clinical Social Worker	$0	$1.7M

Michael Coburn — Billing Profile & Reimbursement Data

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Michael Coburn — 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