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.

Caroline Troise (NPI 1972509636)

Field	Value
Entity Type	Individual
Organization	Caroline Troise
Address	180 Corliss St Ste B
City	Providence
State	RI
ZIP	02904
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 27, 2005

Payer Source	Total Paid
Medicare	$37K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	230	$50	$10.7K
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…	240	$40	$10.5K
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	$40	$6.1K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	$150	$2.4K
G0008	Administration of influenza virus vaccine	50	$30	$1.4K
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…	20	$50	$1.2K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	50	$20	$850
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	20	$40	$840
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	20	$50	$800
G0444	Annual depression screening, 5 to 15 minutes	40	$20	$760

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Caroline Troise — 1 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	380	1,950	100	$80	$11.7K
G0439	14	450	60	$100	$7.7K
99213	511	1,950	70	$60	$7.4K
90480	135	160	90	$40	$5.8K
99215	275	460	30	$110	$5.7K
99496	17	40	20	$170	$2.9K
G0008	153	420	30	$30	$2.5K
G0402	2	20	10	$150	$2K
G0444	46	80	50	$20	$1.3K
83036	23	190	30	$10	$1.2K

Showing 1–10 of 15

Caroline Troise — Billing Profile & Reimbursement Data

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Caroline Troise — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References