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.

United Cerebral Palsy Of Rhode Island, Inc. (NPI 1285707950)

Field	Value
Entity Type	Organization
Organization	United Cerebral Palsy Of Rhode Island, Inc.
Address	200 Main St
City	Pawtucket
State	RI
ZIP	02860
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	November 17, 2006

Payer Source	Total Paid
Medicaid	$21.3M
Medicare	$0

Key Findings

UNITED CEREBRAL PALSY OF RHODE ISLAND, INC. has effectively no Medicare activity on file and is a Medicaid-focused provider: total Medicaid revenue is $21.3M while there is no Medicare revenue reported, indicating the organization operates almost entirely within the state Medicaid ecosystem rather than serving Medicare beneficiaries. The provider's NPI was enumerated on 2006-11-17 (~20 years ago), signaling long-standing enrollment and operational tenure in the market.

Revenue is highly concentrated in a small set of service lines: the precomputed top 3 Medicaid codes account for 94.3% of this provider's total Medicaid revenue, showing the business is specialized around a narrow set of habilitation and day-program services rather than a broad mix of Medicaid billable activities. That concentration suggests revenue risk is tied to reimbursement changes or utilization shifts in those few codes.

T2016 (Habilitation, residential, waiver; per diem) is the single largest revenue driver with $10.5M in revenue, representing 49.3% of the provider's Medicaid revenue. This dominance indicates the organization operates substantial residential habilitation capacity and that per-diem residential waiver services are the core of its business model.

T2017 (Habilitation, residential, waiver; 15 minutes) and T2021 (Day habilitation, waiver; per 15 minutes) together contribute $5.5M and $4.1M respectively and make up a further 25.7% and 19.3% of Medicaid revenue. The presence of both residential and day habilitation codes at these levels shows the provider delivers both live-in support and day-program services for individuals with developmental disabilities, reflecting a vertically integrated habilitation offering.

On competitive standing within Rhode Island, this provider shows modest-to-typical state market positions across its top codes: T2016 ranks #4 of 5 providers in-state (25th percentile), T2017 ranks #21 of 36 (43rd percentile), and T2021 ranks #22 of 33 (34th percentile). Those placements indicate the organization is not a statewide dominant operator for these codes but is an established, typical-volume participant in the in-state habilitation market.

Lower-revenue codes such as T2003 (Non-emergency transportation; encounter/trip) and T2022 (Case management, per month) are minor contributors at $712K (3.3% of Medicaid revenue) and $503.7K (2.4% of Medicaid revenue) respectively, and rank in the middle-to-lower tiers of in-state providers. Their presence as relatively small revenue lines is consistent with a primary focus on residential and day habilitation services while supporting ancillary transport and case management services.

Given the provider’s long-tenured NPI (~20 years) and the Medicaid revenue profile concentrated in waiver habilitation codes, strategic sensitivity to waiver policy and per-diem reimbursement rates is likely material to financial performance. Any state-level waiver rule changes, rate adjustments, or utilization shifts in T2016/T2017/T2021 would disproportionately affect this provider compared with more diversified peers.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	1,800	$5,850	$10.5M
T2017	Habilitation, residential, waiver; 15 minutes	3,550	$1,540	$5.5M
T2021	Day habilitation, waiver; per 15 minutes	4,820	$850	$4.1M
T2003	Non-emergency transportation; encounter/trip	3,110	$230	$712K
T2022	Case management, per month	4,000	$130	$503.7K

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

United Cerebral Palsy Of Rhode Island, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	21	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	22	30	12,340	$410	$10M
T2016	Habilitation, residential, waiver; per diem	4	10	2,050	$1,830	$5M
T2022	Case management, per month	25	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	39	60	7,480	$80	$1.1M

Nearby Providers

Other providers in the same ZIP code as United Cerebral Palsy Of Rhode Island, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gateway Healthcare Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$122.7M
Nursing Placement, Inc.	RI	Home Health Agency	$0	$63.4M
Lifetime Financial Management Inc.	RI	Home Health Agency	$0	$20.9M
Addiction Recovery Institute	RI	Community/Behavioral Health Agency	$180.1K	$15.4M
Blackstone Valley Community Health Care	RI	Federally Qualified Health Center (FQHC)	$0	$14.2M
Blackstone Valley Community Health Care, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$12.4M
United Cerebral Palsy Of Rhode Island, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Dr. Day Care, Inc.	RI	Counselor	$0	$8.7M
Sheila Brijade	RI	Pediatric Dentistry	$0	$7.7M
Staff Solutions, Inc.	RI	Home Health Agency	$0	$6.4M

United Cerebral Palsy Of Rhode Island, Inc. — Billing Profile & Reimbursement Data

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United Cerebral Palsy Of Rhode Island, 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