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    OpenPayerNPI Medicare & MedicaidHaigh Ventures, Inc
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    Haigh Ventures, Inc — Billing Profile & Reimbursement Data

    NPI 1053433730 · Providence, RI · Home Health Agency

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    Haigh Ventures, Inc is a home health agency provider located in Providence, Rhode Island. This profile covers 0 Medicare and 3 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
    OrganizationHaigh Ventures, Inc
    Address400 Reservoir Ave Ste 1h-i
    CityProvidence
    StateRI
    ZIP02907
    TaxonomyHome Health Agency
    NPI EnumeratedApril 4, 2007

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

    Payer SourceTotal Paid
    Medicaid$28.9M
    Medicare$0

    Key Findings

    HAIGH VENTURES, INC reports no Medicare billing on file (Total Medicare revenue: none) and relies entirely on Medicaid for billed revenue (Total Medicaid revenue: $28.9M), making it effectively a single-payer Medicaid operator in the data set. This concentration of payer mix means analyses of its performance and contracting should be Medicaid-centric.

    The provider’s Medicaid revenue is highly concentrated: the precomputed top three codes account for 100.0% of its Medicaid revenue, with S5125 generating $23.9M (82.6% of Medicaid revenue), S5130 generating $4.5M (15.7%), and T1001 generating $488K (1.7%). This concentration indicates that a very small set of service lines drives virtually all reported revenue.

    The code mix — dominated by S5125 (Attendant care services; per 15 minutes) and S5130 (Homemaker service, nos; per 15 minutes) with a smaller share for T1001 (Nursing assessment / evaluation) — points to an operation focused on personal care and home-support services rather than high volumes of skilled clinician-driven procedures. The presence of T1001 suggests the provider also performs nursing assessments to support care planning and oversight, consistent with a Home Health Agency taxonomy oriented toward in-home custodial and support services.

    Claim volumes underline the operational scale behind those lines: 182.1K claims for S5125, 56.7K claims for S5130, and 5K claims for T1001, which correspond to the revenue concentrations of $23.9M, $4.5M, and $488K respectively. These claim counts indicate high-throughput delivery of attendant and homemaker services, with much lower relative volume of billed nursing assessments.

    Competitive standing varies by code: for S5125 the provider ranks #9 of 83 in-state (90th percentile; typical, unremarkable volume for this code), indicating a relatively high but described-as-typical statewide presence for attendant care. For S5130 it ranks #4 of 34 (91th percentile; notably above typical state volume), signaling a stronger competitive position in homemaker services. For T1001 it ranks #4 of 42 (93th percentile; typical, unremarkable volume for this code), showing meaningful placement among providers performing nursing assessments but with modest revenue share.

    HAIGH VENTURES’ NPI was enumerated on 2007-04-04 (~19 years ago), reflecting long tenure in the market and a sustained presence in Rhode Island’s Medicaid program. That longevity supports the interpretation of established operational processes for delivering Medicaid-funded home care.

    Because S5125 alone accounts for $23.9M (82.6% of Medicaid revenue) and the top three codes account for 100.0% of Medicaid revenue, the provider’s financial and operational profile is highly sensitive to utilization, rate, or policy changes affecting attendant care and homemaker services. Analysts should treat changes to those code rules or reimbursement as having outsized impact on the provider’s Medicaid revenue.

    Taken together, the absence of Medicare billing, the dominant reliance on S5125 and S5130, and the in-state rankings suggest HAIGH VENTURES is positioned primarily as a Medicaid-focused personal care/home-support agency in Providence, with particularly strong placement in homemaker services and substantial throughput in attendant care. This profile frames competitive and contracting analyses toward Medicaid program dynamics and home-based service lines.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes182,110$130$23.9M
    S5130Homemaker service, nos; per 15 minutes56,660$80$4.5M
    T1001Nursing assessment / evaluation4,980$100$488K

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes98013,620$120$7.8M
    S5130Homemaker service, nos; per 15 minutes43010,010$100$1.9M
    T1001Nursing assessment / evaluation440460$100$164.4K

    Nearby Providers

    Other providers in the same ZIP code as Haigh Ventures, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Independence Health Services, LLCRIHome Health Agency$0$40.4M
    Elmwood Adult Day Health Care CenterRIAdult Day Care Clinic/Center$0$13.8M
    Abraham Home Care Provider LLCRIIn Home Supportive Care Agency$0$11.7M
    Jammat Housing And Community Development CorporationRIMental Illness Community Based Residential Treatment Facility$0$8.7M
    Saint Elizabeth Assisted Living, L.P.RIAssisted Living Facility$0$5M
    Raising Hope, IncRIHome Health Agency$0$4.9M
    Susan HartRIAddiction Medicine (Internal Medicine) Physician$0$3.9M
    Victa LLCRIAddiction Medicine (Internal Medicine) Physician$57.6K$3.7M
    Providence Physical Therapy Associates, Inc.RIPhysical Therapy Clinic/Center$0$3.4M
    Aids Care Ocean State, Inc.RIEmotionally Disturbed Childrens' Residential Treatment Facility$0$3.4M

    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
    Haigh Ventures, Inc — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island