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.

Preston Douglas (NPI 1821416637)

Field	Value
Entity Type	Individual
Organization	Preston Douglas
Address	19 Friendship St
City	Newport
State	RI
ZIP	02840
Taxonomy	Neurology Physician
NPI Enumerated	March 31, 2014

Payer Source	Total Paid
Medicare	$69.3K
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…	270	$100	$26K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	$130	$11.3K
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…	150	$70	$10K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	50	$160	$7.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$140	$5.4K
99204	The provider sees a new 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 provider…	40	$120	$4.7K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	50	$50	$2.3K
99442	N/A	30	$50	$1.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$40	$640

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

Preston Douglas — 0 of 9 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	299	1,950	100	$80	$11.7K
95816	12	20	70	$150	$9.7K
99213	487	1,950	70	$60	$7.4K
99223	222	540	30	$130	$6.4K
99215	74	460	30	$110	$5.7K
99204	253	740	30	$110	$4.6K
99205	27	200	20	$150	$4.2K
99442	96	220	20	$60	$2.6K
99231	188	210	40	$40	$2.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James L Maher Center	RI	Multi-Specialty Clinic/Center	$0	$52.5M
Newport Hospital	RI	General Acute Care Hospital	$0	$15.8M
East Bay Communtiy Action Program	RI	Case Management Agency	$0	$4.9M
Newport Hospital	RI	Psychiatric Hospital Unit	$0	$3.1M
Faith Drennon	RI	Pediatric Dentistry	$0	$2.8M
East Bay Community Action Program	RI	Dental Clinic/Center	$0	$2M
Jasma Patel	RI	Dentist	$0	$1.9M
Newport Public Schools	RI	Local Education Agency (LEA)	$0	$1.6M
Charles Stengel	RI	Emergency Medicine Physician	$59K	$870.4K
City Of Newport	RI	Land Ambulance	$306K	$580.6K

Preston Douglas — Billing Profile & Reimbursement Data

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Preston Douglas — 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