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.

Accesspoint Ri (NPI 1164558565)

Field	Value
Entity Type	Organization
Organization	Accesspoint Ri
Address	111 Comstock Pkwy
City	Cranston
State	RI
ZIP	02921
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 27, 2007

Payer Source	Total Paid
Medicaid	$52.3M
Medicare	$0

Key Findings

ACCESSPOINT RI is effectively a single‑payer provider: the entity has no Medicare billing on file and reports $52.3M in lifetime Medicaid revenue, indicating its operations are almost entirely Medicaid‑funded rather than split between Medicare and Medicaid. This concentration on Medicaid should frame any contractual or network negotiations and payer strategy work.

Revenue is highly concentrated in a very small set of Medicaid service lines: the precomputed top three Medicaid codes account for 87.8% of the provider's total Medicaid revenue, with the largest individual contributors being T2033 ($32.3M, 61.7%), T2021 ($9.3M, 17.7%), and T2017 ($4.3M, 8.3%). This concentration means a few service lines drive the majority of cash flow.

The code mix and taxonomy (Developmentally Disabled Services Day Training Agency) indicate ACCESSPOINT RI operates primarily as a residential and day‑habilitative service provider for people with developmental disabilities: T2033 (Residential care, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) together drive the bulk of revenue, and the high average paid/claim on T2033 ($1937 avg paid/claim) underscores the per‑diem, resource‑intensive nature of its residential services. T2017 (Habilitation, residential, waiver; 15 minutes) further confirms a focus on residential habilitation services.

Competitive standing by code shows ACCESSPOINT RI is a significant but not dominant provider in its largest lines: T2033 ranks #4 of 22 providers in-state (86th percentile; typical, unremarkable volume for this code), T2021 ranks #5 of 33 (88th percentile; typical, unremarkable volume for this code), and T2017 ranks #8 of 36 (80th percentile; typical, unremarkable volume for this code). These ranks place the organization above many peers but not at the top of statewide capacity for those core services.

ACCESSPOINT RI is a clear statewide leader in case management volume: T2022 (Case management, per month) shows 26K claims, $115 avg paid/claim, $3M revenue (5.7%) and ranks #2 of 41 providers in-state (98th percentile; notably above typical state volume for this code), signaling unusually large scale in monthly case management relative to peers and potential strength in care coordination operations.

The provider also operates meaningful ancillary services that complement its residential and day programs: T2003 (Non‑emergency transportation; encounter/trip) has 20.1K claims, $102 avg paid/claim, $2M revenue (3.9%) and ranks #9 of 55 (85th percentile; typical, unremarkable volume for this code), while T2019 (Habilitation, supported employment, waiver; per 15 minutes) reports 7.7K claims, $87 avg paid/claim, $669.5K revenue (1.3%) and ranks #2 of 14 providers in-state (92th percentile; typical, unremarkable volume for this code), suggesting a breadth of services beyond core residential/day habilitation.

The provider’s revenue profile creates operational exposure: with $52.3M all from Medicaid and 87.8% of Medicaid revenue concentrated in the top three codes, changes to waiver rates, per‑diem reimbursement, or eligibility for T2033/T2021/T2017 services could materially affect overall revenue. Analysts should treat policy and rate sensitivity for those specific codes as high priority in financial stress testing.

ACCESSPOINT RI has long tenure in the Medicare/Medicaid enrollment system, with an NPI enumerated on 2007-02-27 (~19 years ago), which supports institutional experience in serving the developmental disabilities population and likely established billing and program relationships with Rhode Island Medicaid.

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	16,680	$1,940	$32.3M
T2021	Day habilitation, waiver; per 15 minutes	45,290	$210	$9.3M
T2017	Habilitation, residential, waiver; 15 minutes	11,630	$370	$4.3M
T2022	Case management, per month	25,950	$120	$3M
T2003	Non-emergency transportation; encounter/trip	20,080	$100	$2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	7,700	$90	$669.5K
T2023	Targeted case management; per month	1,370	$220	$307.3K
T1002	Rn services, up to 15 minutes	1,940	$70	$134.1K
T2020	Day habilitation, waiver; per diem	770	$160	$122.9K
T1005	Respite care services, up to 15 minutes	400	$300	$119.4K

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

Accesspoint Ri — 1 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	4	20	6,780	$1,890	$39.8M
T2017	Habilitation, residential, waiver; 15 minutes	8	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	5	30	12,340	$410	$10M
T1005	Respite care services, up to 15 minutes	17	20	2,540	$190	$1.4M
T2025	Waiver services; not otherwise specified (nos)	21	30	620	$70	$1.2M
T2022	Case management, per month	2	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	9	60	7,480	$80	$1.1M
T2020	Day habilitation, waiver; per diem	4	20	450	$950	$864.4K
T2019	Habilitation, supported employment, waiver; per 15 minutes	2	10	1,870	$230	$688.6K
T1002	Rn services, up to 15 minutes	6	30	280	$110	$253.3K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accesspoint Ri	RI	Developmentally Disabled Services Day Training Agency	$0	$4.1M
Northeast Medical Equipment Inc	RI	Durable Medical Equipment & Medical Supplies	$0	$772.3K
Healthy Minds Counseling, Inc.	RI	Clinical Social Worker	$0	$505.1K
Cedar Home Health LLC	RI	Home Health Agency	$0	$369.8K
Leah Adams	RI	Internal Medicine Physician	$224.5K	$26.9K
Katelyn Rameika	RI	Family Nurse Practitioner	$74.5K	$660
Barbara Forloney	RI	Psychiatric/Mental Health Nurse Practitioner	$17.7K	$21.4K

Accesspoint Ri — Billing Profile & Reimbursement Data

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Accesspoint Ri — 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