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.

East Bay Community Action Program (NPI 1861439705)

Field	Value
Entity Type	Organization
Organization	East Bay Community Action Program
Address	19 Broadway
City	Newport
State	RI
ZIP	02840
Taxonomy	Dental Clinic/Center
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	5,970	$110	$662.6K
H0037	Community psychiatric supportive treatment program, per diem	1,110	$380	$418.1K
H0040	Assertive community treatment program, per diem	350	$1,160	$408.3K
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…	6,590	$40	$289.8K
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…	2,480	$50	$123.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,120	$30	$32.5K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	180	$70	$12K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	910	$10	$7.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	850	$10	$6.8K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	5,410	$1	$5.4K

Showing 1–10 of 58

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

East Bay Community Action Program — 1 of 25 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

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	10	20	350	$640	$6.3M
H0037	Community psychiatric supportive treatment program, per diem	19	70	190	$380	$3.2M
T1015	Clinic visit/encounter, all-inclusive	30	120	400	$130	$896.9K
H0046	Mental health services, not otherwise specified	22	70	2,310	$70	$698K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	16	90	510	$10	$187.5K
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.	97	240	150	$80	$91.9K
D1120	Prophylaxis–child	76	160	710	$30	$91.2K
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…	134	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…	59	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…	91	100	90	$100	$70.7K

Showing 1–10 of 58

Related Providers

Other providers that share a Tax Identification Number (TIN) with East Bay Community Action Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Bay Community Action Program	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.5M
East Bay Community Action Program	RI	Community/Behavioral Health Agency	$0	$2.2M
Jasma Patel	RI	Dentist	$0	$1.9M
East Bay Community Action Program	RI	Community Health Clinic/Center	$0	$1.5M
John Corvese	RI	Optometrist	$29.7K	$1.4M
Gina Digati	RI	Adult Psychiatric/Mental Health Clinical Nurse Specialist	$12.3K	$817.1K
Joseph Singer	RI	Pediatrics Physician	$0	$547.7K
Iliana Saavedra	RI	General Practice Dentistry	$0	$537.1K
Marshall Wold	RI	Child & Adolescent Psychiatry Physician	$0	$529.6K
Sarah Fessler	RI	Family Medicine Physician	$0	$524.3K

Nearby Providers

Other providers in the same ZIP code as East Bay Community Action Program, 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
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
St. Clare Home, Inc.	RI	Skilled Nursing Facility	$0	$464.8K
Deborah Saboya	RI	Clinical Social Worker	$0	$357.9K

East Bay Community Action Program — Billing Profile & Reimbursement Data

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East Bay Community Action Program — 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