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.

Visiting Nurse Services Of Newport And Bristol Counties (NPI 1972587699)

Field	Value
Entity Type	Organization
Organization	Visiting Nurse Services Of Newport And Bristol Counties
Address	438 E Main Rd Ste 100
City	Middletown
State	RI
ZIP	02842
Taxonomy	Nursing Care Agency
NPI Enumerated	December 6, 2005

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9131	Physical therapy; in the home, per diem	3,840	$90	$353.2K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	4,310	$80	$336.4K
T2046	Hospice long term care, room and board only; per diem	700	$280	$199.2K
T1030	Nursing care, in the home, by registered nurse, per diem	990	$120	$122.4K
X0043	N/A	70	$980	$65.9K
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	120	$100	$12.2K
S9129	Occupational therapy, in the home, per diem	80	$100	$7.5K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	200	$30	$6.7K
T1001	Nursing assessment / evaluation	10	$110	$1.3K
G0008	Administration of influenza virus vaccine	10	$10	$80

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

Visiting Nurse Services Of Newport And Bristol Counties — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2046	Hospice long term care, room and board only; per diem	12	30	330	$1,280	$6.5M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	4	20	750	$300	$1.6M
T1030	Nursing care, in the home, by registered nurse, per diem	14	20	4,630	$120	$916.9K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	4	10	17,270	$40	$654K
S9131	Physical therapy; in the home, per diem	5	20	1,950	$100	$426K
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	7	10	510	$110	$358.3K
X0043	N/A	6	10	80	$260	$279.7K
S9129	Occupational therapy, in the home, per diem	10	10	530	$90	$236.3K
T1001	Nursing assessment / evaluation	42	40	460	$100	$164.4K
G0008	Administration of influenza virus vaccine	27	30	70	$20	$2.9K

Nearby Providers

Other providers in the same ZIP code as Visiting Nurse Services Of Newport And Bristol Counties, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newport County Community Mental Health Center, Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.9M
Child And Family Services Of Newport County	RI	Clinic/Center	$0	$4.3M
Royal Middletown Nursing Center LLC	RI	Skilled Nursing Facility	$0	$4.2M
Aquidneck Pediatrics LLC	RI	Pediatrics Physician	$0	$2.4M
Newport County Community Mental Health Center	RI	Community/Behavioral Health Agency	$0	$1.9M
Sarah Mcneill	RI	Occupational Therapist	$0	$1.6M
Jason Michaels	RI	MOHS-Micrographic Surgery Physician	$982.9K	$59.5K
Kenneth Kehew	RI	Dentist	$0	$709.5K
Town Of Middletown	RI	Land Ambulance	$324K	$162.5K
Robert Semco	RI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$471.3K

Visiting Nurse Services Of Newport And Bristol Counties — Billing Profile & Reimbursement Data

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Visiting Nurse Services Of Newport And Bristol Counties — 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