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.

Alee Behavioral Healthcare (NPI 1235679929)

Field	Value
Entity Type	Organization
Organization	Alee Behavioral Healthcare
Address	628 Park Ave
City	Cranston
State	RI
ZIP	02910
Taxonomy	Behavior Analyst
NPI Enumerated	March 1, 2017

Payer Source	Total Paid
Medicaid	$22M
Medicare	$0

Key Findings

This provider is effectively single‑payer: lifetime Medicare revenue is none, while lifetime Medicaid revenue totals $22M, indicating an almost exclusively Medicaid‑funded operation rather than a mixed Medicare/Medicaid practice. The absence of any Medicare billing on file means analysis and contracting should focus on Medicaid utilization and reimbursement dynamics.

Revenue is highly concentrated in a very small number of codes: the precomputed top three Medicaid codes account for 99.0% of this provider’s Medicaid revenue. T1024 alone represents 54.1% ($11.9M) and H0046 represents 37.2% ($8.2M), with T1016 making up 7.7% ($1.7M); this concentration creates sensitivity to policy or payment changes affecting those specific codes.

The code mix signals a specialized behavioral health delivery model centered on integrated, high‑volume pediatric and mental health services. T1024 (50K claims, $238 avg paid/claim, $11.9M) is an evaluation/treatment service by an integrated specialty team for severely handicapped children, and H0046 (74.3K claims, $110 avg paid/claim, $8.2M) is broad mental health services — together these suggest the provider operates coordinated care teams and high-frequency outpatient behavioral health programs.

T1016 (case management, each 15 minutes) activity is substantial in claim counts (54.9K claims, $31 avg paid/claim, $1.7M) and indicates a significant case management/care coordination capacity supporting the clinical services. Although T1016 accounts for only 7.7% of Medicaid revenue, it ranks #6 of 180 providers in-state (97th percentile) and is described as a typical, unremarkable volume for the code, suggesting case management is an integral but not exceptional revenue driver.

For two of its top revenue codes the provider is a statewide outlier and dominant participant: T1024 ranks #1 of 91 providers in-state and H0046 ranks #1 of 70 providers in-state, both at the 100th percentile and labeled extreme outliers. These rank positions characterize ALEE BEHAVIORAL HEALTHCARE as a major, far‑above‑typical provider for those service lines within Rhode Island and imply competitive market leverage around those offerings.

Smaller service lines such as H2014 (skills training and development) account for a minimal share of revenue (3.7K claims, $58 avg paid/claim, $212.8K; 1.0% of Medicaid revenue) and rank #10 of 33 providers in-state (72th percentile, typical). This suggests skills‑training is present but not a central business line compared with the dominant T1024 and H0046 services.

The provider’s NPI was enumerated on 2017-03-01 (~9 years ago), indicating a multi‑year presence in the state market; combined with high cumulative claim volumes for top codes (e.g., 74.3K H0046 claims and 50K T1024 claims), this implies an established operational and billing infrastructure capable of sustaining large, repeated encounters.

From a payer perspective, the business and contract risk is concentrated: because the top three codes account for 99.0% of Medicaid revenue, utilization shifts, audit focus, or reimbursement policy changes targeting T1024 or H0046 could materially impact the provider’s Medicaid revenue. Contracting, utilization management, and performance measurement efforts should prioritize those codes and the integrated team care model they reflect.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	50,020	$240	$11.9M
H0046	Mental health services, not otherwise specified	74,340	$110	$8.2M
T1016	Case management, each 15 minutes	54,900	$30	$1.7M
H2014	Skills training and development, per 15 minutes	3,670	$60	$212.8K

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

Alee Behavioral Healthcare — 3 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	1	90	510	$160	$975K
H0046	Mental health services, not otherwise specified	1	70	2,310	$70	$698K
H2014	Skills training and development, per 15 minutes	10	30	1,420	$90	$300.3K
T1016	Case management, each 15 minutes	6	180	400	$20	$230.7K

Nearby Providers

Other providers in the same ZIP code as Alee Behavioral Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joy Home Care Inc.	RI	Home Health Agency	$0	$75.4M
Hope Nursing Home Care, LLC	RI	Home Health Agency	$0	$70.6M
Codac Inc	RI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$54.3M
Spurwink Ri	RI	Developmentally Disabled Services Day Training Agency	$0	$39.1M
Homecare Advantage Inc.	RI	Nursing Care Agency	$0	$12.9M
Ocean State Dental Group Inc	RI	Dentist	$0	$7.9M
Home Care Networks, LLC	RI	Home Health Aide	$0	$5.7M
Park Avenue Senior Care, Inc	RI	Adult Day Care Clinic/Center	$0	$3M
Cranston Public Schools	RI	Local Education Agency (LEA)	$0	$2.7M
City Of Cranston	RI	Land Ambulance	$573.8K	$1.8M

Alee Behavioral Healthcare — Billing Profile & Reimbursement Data

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Alee Behavioral Healthcare — 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