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.

Westerly Chariho Arc, Inc. (NPI 1871713768)

Field	Value
Entity Type	Organization
Organization	Westerly Chariho Arc, Inc.
Address	93 Airport Rd
City	Westerly
State	RI
ZIP	02891
Taxonomy	Child Intellectual and/or Developmental Disabilities Respite Care
NPI Enumerated	April 26, 2007

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	18,670	$180	$3.4M
T1016	Case management, each 15 minutes	25,450	$40	$916K
T1027	Family training and counseling for child development, per 15 minutes	10,170	$70	$712K
H2016	Comprehensive community support services, per diem	43,760	$10	$437.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	90	$280	$24.1K

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

Westerly Chariho Arc, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	10	30	9,040	$150	$5.7M
T1027	Family training and counseling for child development, per 15 minutes	12	90	350	$100	$363.8K
T1016	Case management, each 15 minutes	21	180	400	$20	$230.7K
H2016	Comprehensive community support services, per diem	10	40	10,150	$10	$230.4K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	20	40	110	$140	$109.8K

Nearby Providers

Other providers in the same ZIP code as Westerly Chariho Arc, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lmw Healthcare Inc.	RI	General Acute Care Hospital	$0	$13.1M
Frank Olean Center, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$6.6M
Westerly Public Schools	RI	Local Education Agency (LEA)	$0	$4.6M
Golden Years Assisted Living Community	RI	Assisted Living Facility	$0	$3.3M
Bhg Lvii, LLC	RI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.7M
The Westerly Ambulance Corps Inc	RI	Land Ambulance	$525.6K	$902.2K
Christopher D'arcy	RI	Rheumatology Physician	$707.7K	$58.7K
Deanna Voisine	RI	Psychologist	$0	$605.3K
Westerly Hospital Dietary Department	RI	General Acute Care Hospital	$0	$605.3K
Anna Capalbo	RI	Pediatric Dentistry	$0	$492.6K

Westerly Chariho Arc, Inc. — Billing Profile & Reimbursement Data

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Westerly Chariho Arc, Inc. — 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