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.

Peter Kassis (NPI 1962416982)

Key Findings

Field	Value
Entity Type	Individual
Organization	Peter Kassis
Address	251 Main Street
City	Exeter
State	RI
ZIP	02822
Taxonomy	Addiction Medicine (Family Medicine) Physician
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

This provider appears to operate as a Medicaid-focused addiction medicine practice in EXETER, RI: there is no Medicare billing on file and the provider has $12.2M in lifetime Medicaid revenue. The taxonomy (Addiction Medicine, Family Medicine) combined with the code mix points to a single‑payer (Medicaid) revenue base rather than a mixed Medicare/Medicaid practice.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 97.6% of total Medicaid revenue. Those top drivers are G2067 ($5.4M, 44.1% of Medicaid revenue), H0020 ($5.3M, 43.4%), and H0004 ($1.2M, 10.2%), indicating a narrow set of service lines produce virtually all billed Medicaid dollars.

The code mix (G2067, H0020, H0004) indicates the operation functions as an opioid treatment program delivering medication‑assisted treatment with integrated counseling and testing. G2067 is a weekly methadone bundle and H0020 is methadone administration/service with drug provision, while H0004 captures behavioral health counseling and therapy per 15 minutes—together these codes describe bundled dispensing plus individual and group therapy services.

Competitive standing in‑state is strong for methadone services: G2067 ranks #1 of 13 providers in-state (100th percentile; notably above typical state volume) and H0020 ranks #2 of 31 providers (97th percentile; notably above typical state volume). H0004 ranks #3 of 78 providers (97th percentile; extreme outlier, far above typical state volume for this code), suggesting the provider is a major statewide participant for both dispensing and counseling components of opioid treatment.

Claim-volume patterns show a high-frequency, low-unit-payment dispensing model alongside higher‑value bundled services: H0020 records 440.8K claims at $12 avg paid/claim for $5.3M in revenue, while G2067 shows 30.4K claims at $177 avg paid/claim for $5.4M. This mix is consistent with frequent medication administration/dispensing transactions combined with weekly bundled treatment payments.

Traditional evaluation-and-management visits and other office E/M work are a minor part of the revenue mix: 99214 is present with 1.3K claims, $66 avg paid/claim and $85K revenue (0.7% of Medicaid revenue), and 99204 and 99215 contribute only small amounts. These E/M codes rank in typical statewide percentiles (for example 99214 ranks #269 of 1731, 85th percentile), so standard outpatient visits are ancillary to the core OTP services.

The provider also bills several OTP-specific ancillary codes that reflect intake and periodic assessment workflows: G2077 (528 claims, $18.5K; ranks #1 of 1 providers in-state; 0th percentile with no state peer comparison available) and G2076 (114 claims, $18.4K; ranks #1 of 2 providers in-state; 100th percentile; labeled typical, unremarkable). These line items indicate billing for intake, periodic review, and associated care‑planning activities that accompany ongoing methadone programs.

The NPI was enumerated on 2006-07-27 (~20 years ago), indicating long tenure in the market. Combined with $12.2M in Medicaid revenue and dominant rankings on core OTP codes, the data point to an established, specialty addiction‑medicine operation centered on Medicaid‑funded methadone treatment.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	30,360	$180	$5.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	440,780	$10	$5.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	24,330	$50	$1.2M
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…	1,290	$70	$85K
G2074	Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services…	460	$140	$61.4K
G2078	Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure	1,220	$40	$45.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	1,140	$30	$30.9K
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…	280	$100	$29.3K
G2077	Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and…	530	$40	$18.5K
G2076	Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a…	110	$160	$18.4K

Showing 1–10 of 11

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

Peter Kassis — 4 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2	30	12,240	$50	$3.9M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	1	10	680	$130	$651.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	3	80	340	$70	$223.7K
H0005	Alcohol and/or drug services; group counseling by a clinician	2	10	530	$70	$84.5K
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…	269	1,730	220	$70	$75.2K
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…	149	160	90	$110	$54.6K
G2074	Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services…	2	10	460	$130	$45.8K
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…	57	300	50	$130	$40.6K
G2078	Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure	3	10	1,220	$20	$38.1K
G2077	Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and…	1	10	530	$30	$18.2K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Care, Inc.	MA	Substance Use Disorder Rehabilitation Clinic/Center	$5.1M	$127.2M
Center For Behavioral Health Me, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$536.2K	$20.1M
Community Substance Abuse Centers, Inc.	CT	Substance Use Disorder Rehabilitation Clinic/Center	$199.5K	$19.6M
Merrimack River Medical Services, Inc.	NH	Substance Use Disorder Rehabilitation Clinic/Center	$1.1M	$16.8M
Merrimack River Medical Services, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$186.2K	$8.6M
Phoenix Houses Of New England, Inc.	RI	Substance Abuse Rehabilitation Facility	$0	$7.3M
Merrimack River Medical Services, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$253.7K	$4.6M
Sylvester Sviokla	RI	Addiction Medicine (Family Medicine) Physician	$0	$4.2M
Thomas Defanti	CT	Addiction Medicine (Psychiatry & Neurology) Physician	$0	$3.6M
John Papale	MA	Ophthalmology Physician	$583.5K	$0

Peter Kassis — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

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References