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.

Charles Cronin (NPI 1740383389)

Field	Value
Entity Type	Individual
Organization	Charles Cronin
Address	2358 South County Trail
City	East Greenwich
State	RI
ZIP	02818
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 7, 2006

Payer Source	Total Paid
Medicare	$39.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

9 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…	220	$90	$19.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	$130	$12.8K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	10	$170	$1.8K
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…	30	$50	$1.8K
G0444	Annual depression screening, 5 to 15 minutes	80	$20	$1.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	20	$40	$860
G0008	Administration of influenza virus vaccine	30	$30	$810
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.	30	$20	$530
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	30	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Charles Cronin — 0 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. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	435	1,950	100	$80	$11.7K
G0439	134	450	60	$100	$7.7K
99213	1,404	1,950	70	$60	$7.4K
99497	90	100	50	$60	$4K
G0008	242	420	30	$30	$2.5K
G0402	10	20	10	$150	$2K
G0444	23	80	50	$20	$1.3K
99211	11	40	20	$20	$710
90686	3	20	20	$10	$240

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joanne Lewis	RI	Pediatric Dentistry	$0	$2.1M
Healthy Babies, Happy Moms Inc.	RI	Customized Equipment (DME)	$0	$1.5M
Daniel Collins	RI	Family Medicine Physician	$24.4K	$902.1K
Sargent Rehabilitation Center, Inc.	RI	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$819.5K
Egp Inc	RI	Pediatrics Physician	$0	$708.2K
Bayside Endoscopy Center LLC	RI	Ambulatory Surgical Clinic/Center	$650.4K	$0
Robert Gianfrocco	RI	Emergency Medicine Physician	$14.7K	$633.9K
Joseph Wyllie	RI	Cardiovascular Disease Physician	$110.6K	$537.2K
Nathaniel Jellinek	RI	MOHS-Micrographic Surgery Physician	$638.1K	$0
Natasha Bica	RI	Family Medicine Physician	$0	$606.3K

Charles Cronin — Billing Profile & Reimbursement Data

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Charles Cronin — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References