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    OpenPayerNPI Medicare & MedicaidLifetime Financial Management Inc.
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    Lifetime Financial Management Inc. — Billing Profile & Reimbursement Data

    NPI 1023148004 · Pawtucket, RI · Home Health Agency

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    Lifetime Financial Management Inc. is a home health agency provider located in Pawtucket, Rhode Island. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLifetime Financial Management Inc.
    Address235 Lonsdale Ave
    CityPawtucket
    StateRI
    ZIP02860
    TaxonomyHome Health Agency
    NPI EnumeratedMarch 7, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$20.9M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively a single-payer (Medicaid) operation in the available claims data, reporting Total Medicaid revenue of $20.9M. The absence of Medicare activity means analyses of cross-payer mix, Medicare-driven service lines, or hospital discharge referral patterns cannot be performed from the dataset on record.

    Revenue concentration is extremely high: the precomputed top-three Medicaid codes account for 98.9% of the provider's Medicaid revenue, indicating the business is heavily dependent on a very narrow set of programmatic services. The largest single code is S5125, which alone represents $18.5M (88.6% of Medicaid revenue) and dwarfs other payor lines in the file.

    Service-line mix is focused on non-skilled personal and attendant care rather than skilled home health services: the top billing codes are S5125 (Attendant care services; per 15 minutes), S5130 (Homemaker service, nos; per 15 minutes), and S9122 (Home health aide or certified nurse assistant; per hour), with an additional T1001 (Nursing assessment / evaluation) appearing at much lower contribution levels. This pattern suggests the provider operates primarily as a personal care/attendant and aide-delivery organization rather than a clinician-led, skilled home health agency.

    Volume and payment details reinforce the attendant-care emphasis: S5125 shows 199K claims at $93 avg paid/claim for $18.5M in revenue, while S5130 accounts for 30.7K claims at $61 avg paid/claim for $1.9M. These two codes together drive the overwhelming majority of billed Medicaid services and cash flow, leaving other codes (e.g., S9122 with 2.6K claims and $289.3K revenue; T1001 with 2.5K claims and $221.8K revenue) as minor supplements.

    Competitive standing within Rhode Island is mixed by code: for S5125 the provider ranks #7 of 83 (93th percentile) yet the dataset labels that volume as "typical, unremarkable volume for this code," indicating the provider is a high-volume participant but not an extreme outlier statewide. For S5130 the provider ranks #8 of 34 (79th percentile) and again is described as "typical, unremarkable volume for this code," placing it as a solid but not dominant player in homemaker services.

    Lower-ranked codes show limited market penetration: S9122 ranks #8 of 13 (42th percentile) and T1001 ranks #11 of 42 (76th percentile), both described as "typical, unremarkable volume for this code," which indicates modest involvement in home health aide hourly billing and nursing assessments compared with other in-state providers. These ranks suggest the provider’s competitive footprint is concentrated in attendant and homemaker services rather than distributed across a broader set of home-health offerings.

    The billing profile and rank distribution indicate operational risk tied to a single service line: with $18.5M (88.6%) coming from S5125, any payer policy, rate, or utilization change affecting attendant care could materially impact this provider’s revenue base. Analysts should treat the provider as highly exposed to Medicaid attendant-care reimbursement dynamics rather than diversified home health revenue streams.

    The NPI was enumerated on 2007-03-07 (~19 years ago), signaling an established presence in the market; however, longevity has not translated into diversified payer or service revenue in the claims on file, as evidenced by the complete lack of Medicare billing and the narrow set of Medicaid codes driving 98.9% of revenue.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes199,040$90$18.5M
    S5130Homemaker service, nos; per 15 minutes30,690$60$1.9M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour2,630$110$289.3K
    T1001Nursing assessment / evaluation2,520$90$221.8K

    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.

    Full comparison — all codes billed, vs. Rhode Island median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes78013,620$120$7.8M
    S5130Homemaker service, nos; per 15 minutes83010,010$100$1.9M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour8102,650$130$1M
    T1001Nursing assessment / evaluation1140460$100$164.4K

    Nearby Providers

    Other providers in the same ZIP code as Lifetime Financial Management Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gateway Healthcare IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$122.7M
    Nursing Placement, Inc.RIHome Health Agency$0$63.4M
    United Cerebral Palsy Of Rhode Island, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$21.3M
    Addiction Recovery InstituteRICommunity/Behavioral Health Agency$180.1K$15.4M
    Blackstone Valley Community Health CareRIFederally Qualified Health Center (FQHC)$0$14.2M
    Blackstone Valley Community Health Care, Inc.RIFederally Qualified Health Center (FQHC)$0$12.4M
    United Cerebral Palsy Of Rhode Island, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$9.6M
    Dr. Day Care, Inc.RICounselor$0$8.7M
    Sheila BrijadeRIPediatric Dentistry$0$7.7M
    Staff Solutions, Inc.RIHome Health Agency$0$6.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Rhode Island Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Lifetime Financial Management Inc. — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island