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.

Living In Fulfilling Environments, Inc. (NPI 1134256530)

Field	Value
Entity Type	Organization
Organization	Living In Fulfilling Environments, Inc.
Address	490 Metacom Ave
City	Bristol
State	RI
ZIP	02809
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 27, 2007

Payer Source	Total Paid
Medicaid	$64.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operator: there is no Medicare billing on file and reported lifetime Medicaid revenue is $64.3M, which positions Medicaid as the sole payer of record. The provider’s NPI was enumerated on 2007-02-27 (~19 years ago), indicating nearly two decades of enrollment during which it has specialized in state-funded services.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 91.0% of the provider’s total Medicaid revenue. Those top three lines are T2033 ($38.4M, 59.7% of Medicaid revenue), T2021 ($14M, 21.8%), and T2017 ($6.1M, 9.5%), showing a dominance of a few service types in the overall billing mix.

The code mix implies the organization operates as a residential and habilitation services provider rather than an outpatient clinic—the largest single driver is T2033 (Residential care, waiver; per diem), supported by high-volume day habilitation (T2021) and residential habilitation (T2017). This combination is consistent with long-stay residential settings that also run day programs and intensive, time-based habilitation services under waiver programs.

Per-claim payment patterns underline the business model: T2033 carries a very high average paid/claim at $8480, reflecting per-diem residential funding, while T2021 averages $731 per claim and T2017 averages $1154 per claim—indicating a mix of high-dollar daily room/support rates and substantial time-based habilitation billing. The mix of per-diem and per-15-minute codes suggests revenue sensitivity to census and billed service minutes.

Despite T2033 generating the majority of revenue, the provider is not a dominant statewide player for that code: T2033 ranks #16 of 22 providers in-state (29th percentile), a below-median position that signals modest market share in residential per-diem services relative to peers. The dataset labels the observed volumes for this code as typical/unremarkable, so the provider’s outsized revenue share comes more from internal concentration than from exceptional market dominance.

The provider has a stronger relative position in day habilitation: T2021 ranks #12 of 33 providers (66th percentile), indicating an above-median role in the state for per-15-minute day habilitation services, while T2017 ranks #16 of 36 (57th percentile), a middle-range competitor for residential habilitation. The source descriptors mark these volumes as typical/unremarkable, which suggests competitive parity rather than clear specialty leadership in most habilitation lines.

Smaller lines provide modest diversification but limited offset to concentration risk: T2003 (non-emergency transportation) produced $3.3M (5.1% of Medicaid revenue) and ranks #29 of 55 (48th percentile), and other codes such as T2022, T1005, and T2013 together contribute small shares. Notably, T2013 ($285.4K, 0.4%) ranks #1 of 2 providers in-state (100th percentile) but represents a very small absolute revenue stream, so while the provider offers some niche services they do not materially reduce reliance on the top three codes; given the lack of Medicare revenue, this creates exposure to Medicaid policy or waiver-rate changes.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	4,530	$8,480	$38.4M
T2021	Day habilitation, waiver; per 15 minutes	19,210	$730	$14M
T2017	Habilitation, residential, waiver; 15 minutes	5,270	$1,150	$6.1M
T2003	Non-emergency transportation; encounter/trip	6,770	$490	$3.3M
T2022	Case management, per month	7,170	$160	$1.2M
T1005	Respite care services, up to 15 minutes	330	$1,510	$500K
T2013	Habilitation, educational, waiver; per hour	1,320	$220	$285.4K
T1003	Lpn/lvn services, up to 15 minutes	710	$280	$198.2K
T1002	Rn services, up to 15 minutes	870	$230	$197.1K
T2020	Day habilitation, waiver; per diem	570	$200	$112.4K

Showing 1–10 of 11

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

Living In Fulfilling Environments, Inc. — 1 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	16	20	6,780	$1,890	$39.8M
T2017	Habilitation, residential, waiver; 15 minutes	16	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	12	30	12,340	$410	$10M
T1005	Respite care services, up to 15 minutes	18	20	2,540	$190	$1.4M
T2022	Case management, per month	14	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	29	60	7,480	$80	$1.1M
T2020	Day habilitation, waiver; per diem	7	20	450	$950	$864.4K
T1003	Lpn/lvn services, up to 15 minutes	3	10	710	$120	$727K
T1002	Rn services, up to 15 minutes	8	30	280	$110	$253.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	40	80	340	$70	$223.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Living In Fulfilling Environments, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Simon Fensterszaub	RI	Family Medicine Physician	$14.8M	$230.6K
Bristol Assisted Living, LP	RI	Assisted Living Facility	$0	$6M
Paul Castaldi	RI	Clinical Social Worker	$0	$5.2M
Infinite Medical PC	RI	Family Medicine Physician	$0	$4.1M
Alla Shabtai	RI	Physician Assistant	$2.3M	$3.3K
Yosef Seewald	RI	Physician Assistant	$2.1M	$3.5K
Bristol Warren Regional School District	RI	Local Education Agency (LEA)	$0	$724.6K
Medical Associates Of Ri Inc	RI	Internal Medicine Physician	$0	$505K
Town Of Bristol	RI	Land Ambulance	$242.6K	$206.4K
Marlene Young	RI	Nurse Practitioner	$399.8K	$0

Living In Fulfilling Environments, Inc. — Billing Profile & Reimbursement Data

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Living In Fulfilling Environments, 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