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 North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Melina Rice (NPI 1790030740)

Field	Value
Entity Type	Individual
Organization	Melina Rice
Address	1000 N 1st St
City	Albemarle
State	NC
ZIP	28001
Taxonomy	Clinical Social Worker
NPI Enumerated	July 16, 2012

Payer Source	Total Paid
Medicare	$2.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	180	$10	$2.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Melina Rice — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90853	6	20	140	$10	$2.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Melina Rice, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Whitman	NC	Clinical Social Worker	$8.9K	$0
Caitlyn Hough	NC	Clinical Social Worker	$6K	$0
Donna Shew	NC	Clinical Social Worker	$5.7K	$0
Edward Smith	NC	Clinical Social Worker	$4.9K	$0
Amy Jones	NC	Clinical Social Worker	$2.4K	$0
Brenda Mullis	NC	Clinical Social Worker	$1.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monarch	NC	Community/Behavioral Health Agency	$0	$16.6M
Rha Health Services Nc LLC	NC	Community/Behavioral Health Agency	$0	$15.2M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$15.1M
Monarch	NC	Community/Behavioral Health Agency	$0	$14.9M
Uwharrie Regional Pediatrics, PA	NC	Pediatrics Physician	$0	$11.2M
Wp-albemarle Health Holdings, LLC	NC	Adult Care Home Facility	$0	$9.2M
Carolinas Physician Network Inc	NC	Pediatrics Physician	$0	$7.7M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$7.3M
County Of Stanly	NC	Land Ambulance	$871K	$2.5M
Kenneth Shank	NC	Family Medicine Physician	$201.1K	$0

Melina Rice — Billing Profile & Reimbursement Data

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Melina Rice — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References