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.

Amos House (NPI 1891157509)

Field	Value
Entity Type	Organization
Organization	Amos House
Address	460 Pine St
City	Providence
State	RI
ZIP	02907
Taxonomy	Case Management Agency
NPI Enumerated	March 22, 2016

Payer Source	Total Paid
Medicaid	$401.7K
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
H0038	Self‑help/peer services, per 15 minutes	8,610	$40	$361.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	220	$90	$18.7K
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…	120	$100	$12.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	120	$40	$4.3K
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…	60	$50	$2.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$130	$1.8K

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

Amos House — 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
H0038	Self‑help/peer services, per 15 minutes	2	20	3,010	$30	$136.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	199	360	280	$90	$86.4K
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…	1,041	1,730	220	$70	$75.2K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	140	200	340	$40	$35.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	262	290	60	$110	$33.5K
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…	75	100	130	$30	$25.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independence Health Services, LLC	RI	Home Health Agency	$0	$40.4M
Haigh Ventures, Inc	RI	Home Health Agency	$0	$28.9M
Elmwood Adult Day Health Care Center	RI	Adult Day Care Clinic/Center	$0	$13.8M
Abraham Home Care Provider LLC	RI	In Home Supportive Care Agency	$0	$11.7M
Jammat Housing And Community Development Corporation	RI	Mental Illness Community Based Residential Treatment Facility	$0	$8.7M
Saint Elizabeth Assisted Living, L.P.	RI	Assisted Living Facility	$0	$5M
Raising Hope, Inc	RI	Home Health Agency	$0	$4.9M
Susan Hart	RI	Addiction Medicine (Internal Medicine) Physician	$0	$3.9M
Victa LLC	RI	Addiction Medicine (Internal Medicine) Physician	$57.6K	$3.7M
Providence Physical Therapy Associates, Inc.	RI	Physical Therapy Clinic/Center	$0	$3.4M

Amos House — Billing Profile & Reimbursement Data

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Amos House — 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