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.

J.arthur Trudeau Memorial Center Conversion Waivers (NPI 1164549317)

Field	Value
Entity Type	Organization
Organization	J.arthur Trudeau Memorial Center Conversion Waivers
Address	3445 Post Rd
City	Warwick
State	RI
ZIP	02886
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 23, 2007

Payer Source	Total Paid
Medicaid	$57.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer at scale: there is no Medicare billing on file while total Medicaid revenue is $57.1M, indicating the organization’s entire billed footprint in the dataset is centered on Medicaid waiver services. Analysts should treat Medicaid program policy and state waiver rate changes as the primary financial drivers for this entity.

Revenue is highly concentrated in a small set of waiver codes: the top three Medicaid codes (T2033, T2021, T2017) account for 82.5% of the provider’s Medicaid revenue. The largest single code is T2033 with $36.9M (64.6% of Medicaid revenue), followed by T2021 with $5.1M (9.0%) and T2017 with $5.1M (8.9%), so changes to reimbursement or utilization for any of these codes would disproportionately affect overall revenue.

The code mix signals a service model anchored in residential and habilitation supports: T2033 is residential care per diem, T2021 is day habilitation billed per 15 minutes, and T2017 is residential habilitation per 15 minutes. This combination implies the provider operates substantial residential waiver capacity alongside high-volume day habilitation programming rather than episodic medical or acute services.

T2021 shows exceptionally high utilization: 138.8K claims at an average paid/claim of $37, generating $5.1M and ranking #2 of 33 providers in-state (97th percentile) — characterized in the data as an "extreme outlier." That outsized claim count indicates a heavy emphasis on minute-based day habilitation delivery compared with peers and suggests operational scale in time‑based service delivery.

Despite T2033 driving the largest share of revenue, the provider’s state competitiveness on that code is middling: T2033 ranks #12 of 22 providers in-state (48th percentile) and is described as "typical, unremarkable volume for this code." In other words, the business depends on a high-revenue per‑diem line but is not a dominant statewide player for that specific residential code.

Several secondary codes show concentrated strengths that diversify the program mix: T2020 (day habilitation per diem) contributes $3.5M (6.0% of revenue) and ranks #2 of 15 in-state (93th percentile; "notably above typical"), while T2019 (supported employment per 15 minutes) ranks #1 of 14 in-state (100th percentile; "notably above typical") despite contributing a smaller share ($579.5K, 1.0%). These rankings indicate specialty advantages in both day-per‑diem offerings and supported employment services relative to peers.

Operational and payer‑risk implications are material because the revenue base is concentrated in state waiver codes and time/per‑diem billing patterns. Any state-level adjustments to waiver eligibility, per‑diem rates, or limits on minute-based billing could have an outsized impact on the provider’s cash flows given that T2033, T2021, and T2017 together make up 82.5% of Medicaid revenue.

The NPI was enumerated on 2007-03-23 (~19 years ago), signaling a long tenure in the market; combined with the large volume of T2021 claims and high ranks on several waiver codes, this suggests an established operator with entrenched service lines in Rhode Island’s developmental disability waiver system.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	6,130	$6,010	$36.9M
T2021	Day habilitation, waiver; per 15 minutes	138,800	$40	$5.1M
T2017	Habilitation, residential, waiver; 15 minutes	17,130	$300	$5.1M
T2020	Day habilitation, waiver; per diem	2,880	$1,200	$3.5M
T2022	Case management, per month	12,120	$130	$1.6M
T2015	Habilitation, prevocational, waiver; per hour	240	$5,760	$1.4M
T1005	Respite care services, up to 15 minutes	2,160	$620	$1.3M
T2003	Non-emergency transportation; encounter/trip	11,450	$90	$1.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	12,070	$50	$579.5K
H2016	Comprehensive community support services, per diem	60	$4,620	$295.9K

Showing 1–10 of 12

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

J.arthur Trudeau Memorial Center Conversion Waivers — 2 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	12	20	6,780	$1,890	$39.8M
T2017	Habilitation, residential, waiver; 15 minutes	3	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	2	30	12,340	$410	$10M
T1005	Respite care services, up to 15 minutes	12	20	2,540	$190	$1.4M
T2025	Waiver services; not otherwise specified (nos)	11	30	620	$70	$1.2M
T2022	Case management, per month	8	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	19	60	7,480	$80	$1.1M
T2020	Day habilitation, waiver; per diem	2	20	450	$950	$864.4K
T2019	Habilitation, supported employment, waiver; per 15 minutes	1	10	1,870	$230	$688.6K
T2015	Habilitation, prevocational, waiver; per hour	12	20	330	$460	$396.2K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as J.arthur Trudeau Memorial Center Conversion Waivers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Bay Residential Services Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$145.8M
Kent County Memorial Hospital	RI	General Acute Care Hospital	$0	$90.8M
Avatar Residential, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$72.9M
Thrive Behavioral Health, Inc.	RI	Community/Behavioral Health Agency	$0	$71.9M
Bayada Home Health Care, Inc.	RI	Home Health Agency	$0	$69.5M
Community Living Of Rhode Island	RI	Developmentally Disabled Services Day Training Agency	$0	$65.7M
Gateways To Change, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$54.5M
Affinity Physicians LLC.	RI	Internal Medicine Physician	$0	$41.8M
J, Arthur Trudeau Memorial Center	RI	Developmentally Disabled Services Day Training Agency	$0	$33.9M
J.arthur Trudeau Memorial Home Based Therapy Services	RI	Community/Behavioral Health Agency	$0	$20.3M

J.arthur Trudeau Memorial Center Conversion Waivers — Billing Profile & Reimbursement Data

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J.arthur Trudeau Memorial Center Conversion Waivers — 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