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.

Town Of Coventry (NPI 1790071942)

Field	Value
Entity Type	Organization
Organization	Town Of Coventry
Address	50 Wood St
City	Coventry
State	RI
ZIP	02816
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	June 27, 2011

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	2,670	$300	$810.2K
T2017	Habilitation, residential, waiver; 15 minutes	700	$1,060	$742.7K
T2003	Non-emergency transportation; encounter/trip	1,330	$340	$446.2K
T2022	Case management, per month	830	$90	$73.5K
T1002	Rn services, up to 15 minutes	170	$90	$15K
T2020	Day habilitation, waiver; per diem	230	$40	$10.2K

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

Town Of Coventry — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	29	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	24	30	12,340	$410	$10M
T2022	Case management, per month	36	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	46	60	7,480	$80	$1.1M
T2020	Day habilitation, waiver; per diem	12	20	450	$950	$864.4K
T1002	Rn services, up to 15 minutes	17	30	280	$110	$253.3K

Nearby Providers

Other providers in the same ZIP code as Town Of Coventry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Summer Villa Inc.	RI	Assisted Living Facility	$0	$5M
Coventry Public Schools	RI	Local Education Agency (LEA)	$0	$2M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Coventry Home Care	RI	Home Health Agency	$0	$1.2M
Andrianna Edwards	RI	General Practice Dentistry	$0	$1.1M
William Gordon	RI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1M
Craig Elice	RI	Pediatric Dentistry	$0	$864.4K
Robert Rattenni	RI	Mental Health Counselor	$0	$737.6K
Christopher Gordon	RI	Pediatric Dentistry	$0	$641.8K
Rhode Island Childrens Dentistry	RI	Dentist	$0	$415.5K

Town Of Coventry — Billing Profile & Reimbursement Data

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Town Of Coventry — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References