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.

Perspectives Corporation (NPI 1154857381)

Field	Value
Entity Type	Organization
Organization	Perspectives Corporation
Address	1130 Ten Rod Rd
City	North Kingstown
State	RI
ZIP	02852
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 9, 2017

Payer Source	Total Paid
Medicaid	$18.1M
Medicare	$0

Key Findings

PERSPECTIVES CORPORATION is effectively a single‑payer Medicaid provider: there is no Medicare billing on file while lifetime Medicaid revenue totals $18.1M. This concentration on Medicaid receipts means analysts should treat Medicaid patterns as representative of the organization’s service footprint and financial profile rather than balancing across payers.

Revenue is highly concentrated in a small set of habilitation codes: the precomputed top 3 Medicaid codes by revenue account for 93.7% of this provider's total Medicaid revenue. Those codes are dominated by T2017 (69.5%), followed by T2021 (19.2%) and T2025 (5.0%), indicating most Medicaid dollars flow through a narrow set of service lines.

The code mix aligns with the provider taxonomy (Developmentally Disabled Services Day Training Agency): T2017 (Habilitation, residential, waiver) and T2021 (Day habilitation, waiver) together drive the bulk of revenue, which is consistent with an operation focused on day and residential habilitation services. Secondary codes such as T2022 (Case management, per month) and T2041 (Supports brokerage, self-directed, waiver) show the organization also delivers care coordination and participant-directed supports.

Despite T2017 generating $12.6M in revenue and 3.7K claims, the provider’s competitive standing on that code is middling in-state: T2017 ranks #20 of 36 providers in-state (46th percentile; typical, unremarkable volume for this code). In other words, while T2017 is the firm’s primary revenue driver, the provider does not appear dominant statewide on the residential habilitation claim volume metric.

T2021 (Day habilitation) contributes $3.5M from 1.4K claims but the provider ranks low among peers on this code: #28 of 33 in-state (16th percentile; typical, unremarkable volume). By contrast, T2025 (Waiver services, NOS) is a smaller revenue line at $901K but the provider ranks #7 of 25 (75th percentile), indicating stronger relative performance on that specific waiver‑NOS category despite its smaller dollar contribution.

Case management (T2022) is a meaningful ancillary service line for this provider: 5K claims produced $864.3K in revenue (4.8% of total Medicaid revenue), and the code ranks #22 of 41 in-state (48th percentile; typical, unremarkable volume). The high claim count for monthly case management suggests an operational emphasis on recurring care coordination encounters alongside habilitation services.

Lower‑volume and niche codes indicate limited participation in some peer activities: T2041 (Supports brokerage) produced $246.8K (1.4% of revenue) and ranks #5 of 6 (20th percentile), while T1999 (Miscellaneous therapeutic items) produced $24.5K (0.1% of revenue) and ranks #4 of 4 (0th percentile). These placements suggest the provider uses supports brokerage and retail therapeutic purchases far less than most in-state peers.

The provider’s enrollment tenure is established but relatively recent: NPI enumerated 2017-05-09 (~9 years ago). Given that tenure and a lifetime Medicaid revenue of $18.1M, the organization has built a concentrated habilitation revenue base in under a decade, which is relevant for trend and growth benchmarking against longer‑tenured peers.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	3,670	$3,430	$12.6M
T2021	Day habilitation, waiver; per 15 minutes	1,430	$2,440	$3.5M
T2025	Waiver services; not otherwise specified (nos)	1,910	$470	$901K
T2022	Case management, per month	5,000	$170	$864.3K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	460	$530	$246.8K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	60	$410	$24.5K

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

Perspectives Corporation — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	20	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	28	30	12,340	$410	$10M
T2025	Waiver services; not otherwise specified (nos)	7	30	620	$70	$1.2M
T2022	Case management, per month	22	40	5,460	$150	$1.2M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	5	10	580	$300	$1.1M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	4	10	170	$350	$127.3K

Nearby Providers

Other providers in the same ZIP code as Perspectives Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dominion Diagnostics, LLC	RI	Clinical Medical Laboratory	$4.8M	$249.1M
Perspectives Corporation	RI	Developmentally Disabled Services Day Training Agency	$0	$182.9M
Perspectives Corporation	RI	Mental Health Counselor	$0	$13.3M
Perspectives Corporation	RI	Community/Behavioral Health Agency	$0	$13.2M
Perspectives Corporation	RI	Behavior Analyst	$0	$6.6M
The Sensational Child, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$5.4M
Easter Seals Rhode Island	RI	Early Intervention Provider Agency	$0	$5.2M
Community Care Nurses, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$1.8M
James Simon	RI	Clinical Social Worker	$0	$1.7M
South County Psychiatry LLC	RI	Psychiatry Physician	$0	$1.6M

Perspectives Corporation — Billing Profile & Reimbursement Data

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Perspectives Corporation — 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