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 Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware 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. Delaware (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.

Resources For Human Development Inc. (NPI 1083743678)

Field	Value
Entity Type	Organization
Organization	Resources For Human Development Inc.
Address	413 Salem Church Rd
City	Newark
State	DE
ZIP	19702
Taxonomy	Intellectual & Developmental Disabilities Psychologist
NPI Enumerated	March 2, 2007

Payer Source	Total Paid
Medicaid	$86M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and $86M in Medicaid revenue, making it effectively a Medicaid-focused provider rather than a dual-payer operation. Analysts should treat this profile as single-payer Medicaid exposure when assessing financial or utilization risk.

Revenue is highly concentrated: the top three Medicaid codes account for 99.7% of this provider's total Medicaid revenue, led by T2016 at 59.5% ($51.2M) and T2025 at 39.4% ($33.9M), with G0175 representing 0.8% ($672.3K). This concentration means a small set of service lines drives nearly all reported Medicaid receipts.

The dominant codes—T2016 (Habilitation, residential, waiver; per diem) and T2025 (Waiver services; not otherwise specified (nos))—indicate operations centered on residential habilitation and Medicaid waiver service delivery for intellectual and developmental disabilities rather than outpatient or Medicare-style services. The code mix suggests ongoing, per-diem/resident-oriented care models and programmatic reliance on waiver funding.

Claim volumes and unit payments reinforce a per-diem, high-volume model: T2016 shows 64.7K claims at $791 avg paid/claim and T2025 shows 43.1K claims at $787 avg paid/claim. Those tallies imply sustained recurring service delivery and a substantial staff/administrative footprint to support frequent, ongoing billing.

State competitive standing on the top codes is middling rather than dominant: T2016 ranks #4 of 9 providers in-state (63th percentile; typical, unremarkable volume for this code) and T2025 ranks #5 of 10 providers in-state (56th percentile; typical, unremarkable volume for this code). These rankings characterize the provider as a modest, mid-tier participant in the state market for those waiver/residential services.

Smaller but operationally telling codes show regular care-coordination activity: G0175 has 10.7K claims at $63 avg ($672.3K revenue) and ranks #7 of 9 in-state (25th percentile; typical, unremarkable volume for this code), while T1001 has 4.9K claims at $48 avg ($234.2K revenue) and ranks #11 of 51 in-state (80th percentile; typical, unremarkable volume for this code). Although these codes contribute little to revenue share, their claim counts signal routine interdisciplinary team conferences and nursing assessments as part of the service model.

The provider has an established enrollment history, with NPI enumeration on 2007-03-02 (~19 years ago), indicating long tenure in the Medicaid market and likely institutional relationships with state waiver programs. That longevity may support operational continuity even though the provider is not a top-ranked state leader on its largest codes.

Given that T2016 and T2025 together constitute the overwhelming majority of revenue, the provider's financial position is sensitive to Medicaid waiver policy, per-diem rate changes, or utilization-management actions affecting those codes. Analysts monitoring contract, rate, or program changes should prioritize impacts to waiver and residential habilitation reimbursement streams.

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 Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	64,720	$790	$51.2M
T2025	Waiver services; not otherwise specified (nos)	43,090	$790	$33.9M
G0175	Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present	10,670	$60	$672.3K
T1001	Nursing assessment / evaluation	4,880	$50	$234.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.

Claims Volume vs. Delaware Distribution

Resources For Human Development Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	5	10	37,650	$670	$43M
T2016	Habilitation, residential, waiver; per diem	4	10	23,150	$620	$21.9M
G0175	Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present	7	10	20,370	$50	$986.1K
T1001	Nursing assessment / evaluation	11	50	1,950	$50	$294K

Nearby Providers

Other providers in the same ZIP code as Resources For Human Development Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	DE	Mental Illness Community Based Residential Treatment Facility	$0	$118.5M
Community Systems, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$96.7M
Epic Health Services (de), LLC	DE	Home Health Agency	$0	$33.7M
Jay J Harris Dmd PC	DE	Dentist	$0	$16.7M
Elite Home Health Care Inc	DE	In Home Supportive Care Agency	$0	$14.8M
Accredo Health Group Inc	DE	Pharmacy	$0	$10.2M
Bear-glasgow Dental, LLC	DE	General Practice Dentistry	$0	$8.2M
Center For Child Development, Incorporated	DE	Psychologist	$0	$4.9M
Comfort Care At Home, Inc.	DE	Home Health Agency	$0	$4M
Collins Dental LLC	DE	Dentist	$0	$2.9M

Resources For Human Development Inc. — Billing Profile & Reimbursement Data

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Resources For Human Development Inc. — 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

Nearby Providers

Frequently Asked Questions

References