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.

The Arc Of Bristol County, Inc (NPI 1184051773)

Field	Value
Entity Type	Organization
Organization	The Arc Of Bristol County, Inc
Address	36 Thurber Boulevard
City	Smithfield
State	RI
ZIP	02917
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	September 27, 2013

Payer Source	Total Paid
Medicaid	$27M
Medicare	$0

Key Findings

THE ARC OF BRISTOL COUNTY, INC is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $27M in lifetime Medicaid revenue, with an NPI enumerated on 2013-09-27 (~13 years ago), indicating more than a decade of active enrollment. This payer concentration means the organization’s fiscal performance is tightly coupled to Medicaid policy and waiver program changes in Rhode Island.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 97.2% of the provider’s total Medicaid revenue, with T2017 alone representing $24.5M or 90.7% of total Medicaid revenue. That concentration flags that most of the organization’s Medicaid receipts derive from a single service category rather than a diversified mix.

The provider’s taxonomy (Developmentally Disabled Services Day Training Agency) aligns with its billing mix: the dominant code T2017 (Habilitation, residential, waiver; 15 minutes), supported by T2022 (Case management, per month) and T2025 (Waiver services, NOS), indicates an operational focus on waiver-funded residential habilitation and associated care coordination services rather than traditional clinical or Medicare-covered services. In practical terms, the business appears to operate primarily as a waiver/residential habilitation provider within the Medicaid program.

Despite T2017 producing $24.5M (90.7% of revenue), the provider’s competitive standing on that code is mid-to-upper statewide: it ranks #9 of 36 providers in-state at the 77th percentile and is described as having "typical, unremarkable volume," which suggests it is a meaningful participant in residential habilitation but not the dominant statewide leader for that service. This combination of outsized revenue share with a non-dominant rank implies the code’s high contribution is driven by this provider’s focus rather than by unusually high relative market share.

For case management and other waiver services, the provider is a modest participant: T2022 (5.9K claims, $1.1M revenue, 4.1% of total) ranks #19 of 41 at the 55th percentile and is labeled "typical, unremarkable volume," while T2025 (1.8K claims, $657.9K revenue, 2.4% of total) ranks #8 of 25 at the 71th percentile with the same "typical" characterization. These positions indicate routine involvement in monthly case management and miscellaneous waiver services but not leadership that would suggest broad market dominance across multiple service lines.

Some ancillary codes show very limited or specialized activity: T2021 (Day habilitation, waiver; per 15 minutes) generated $653.4K (2.4% of total) but ranks #32 of 33 at the 3th percentile and is described as "typical, unremarkable volume," indicating minimal engagement in day habilitation relative to peers. Similarly, supports-brokerage T2041 ($99.9K, 0.4% of total) ranks #2 of 6 at the 80th percentile and small retail supply code T1999 ($14.5K, 0.1% of total) ranks #2 of 4 at the 67th percentile, both suggesting these are minor, supplementary revenue streams rather than core business lines.

The provider’s heavy dependence on a single Medicaid code (T2017) creates strategic sensitivity: any changes to waiver funding, eligibility, or reimbursement for habilitation residential services could materially affect the organization’s revenue given that the top 3 codes already account for 97.2% of Medicaid revenue. Analysts tracking this entity should monitor Rhode Island waiver policy, utilization trends for T2017, and peer movement among the 36 providers reporting that code to assess near-term revenue risk and competitive dynamics.

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	8,850	$2,770	$24.5M
T2022	Case management, per month	5,900	$190	$1.1M
T2025	Waiver services; not otherwise specified (nos)	1,850	$360	$657.9K
T2021	Day habilitation, waiver; per 15 minutes	360	$1,800	$653.4K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	1,040	$100	$99.9K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	180	$80	$14.5K

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

The Arc Of Bristol County, Inc — 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	9	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	32	30	12,340	$410	$10M
T2025	Waiver services; not otherwise specified (nos)	8	30	620	$70	$1.2M
T2022	Case management, per month	19	40	5,460	$150	$1.2M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	2	10	580	$300	$1.1M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	2	10	170	$350	$127.3K

Nearby Providers

Other providers in the same ZIP code as The Arc Of Bristol County, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Bristol County Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$27.7M
The Arc Of Bristol County, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$10.3M
New England Home Therapies, Inc.	RI	Home Infusion Therapy Pharmacy	$0	$669.5K
Smithfield School Department	RI	Local Education Agency (LEA)	$0	$529K
Ocean State Urgent Care Center Of Smithfield LLC	RI	Urgent Care Clinic/Center	$0	$403.1K
John Corsi	RI	Internal Medicine Physician	$48.8K	$95.2K
Peter Brasch	RI	Ophthalmology Physician	$128.7K	$0
William Levin	RI	Cardiovascular Disease Physician	$116K	$6.1K
Dominic Roda	RI	Foot & Ankle Surgery Podiatrist	$105.1K	$5K
Nidhi Sharma	RI	Internal Medicine Physician	$76.5K	$2.2K

The Arc Of Bristol County, Inc — Billing Profile & Reimbursement Data

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The Arc Of Bristol County, 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