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.

Thrive Behavioral Health, Inc. (NPI 1386671535)

Field	Value
Entity Type	Organization
Organization	Thrive Behavioral Health, Inc.
Address	2756 Post Rd & 50 Health Lane
City	Warwick
State	RI
ZIP	02886
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 26, 2006

Payer Source	Total Paid
Medicaid	$71.9M
Medicare	$0

Key Findings

THRIVE BEHAVIORAL HEALTH, INC. is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $71.9M in lifetime Medicaid revenue, making Medicaid the exclusive payer of record in the data. This concentration means any payer- or policy-level changes to Medicaid reimbursement or program design could materially affect the provider’s revenue.

Revenue is highly concentrated in programmatic behavioral-health per-diem services: the top three Medicaid codes (H0040, H0019, H0037) together account for 87.0% of the provider’s total Medicaid revenue. Individually those codes generate $25.8M (H0040, 35.9%), $19.3M (H0019, 26.8%), and $17.5M (H0037, 24.3%), indicating heavy dependence on a small set of service lines.

The code mix identifies THRIVE as an operations-focused community behavioral-health agency delivering intensive, programmatic services rather than primarily office-based care. Large per‑diem volumes for H0040 (assertive community treatment), H0019 (long-term residential non-medical per diem), and H0037 (community psychiatric supportive treatment) plus material activity in H2031 (clubhouse services) and H2014 (skills training) point to ACT teams, residential programs and structured day/clubhouse models as the core service lines.

State-level competitive standing is mixed by service line: for community psychiatric supportive treatment the provider ranks #3 of 69 (97th percentile; typical, unremarkable volume for this code), marking it as a major state participant for that program. For H0040 it ranks #4 of 20 (84th percentile; typical, unremarkable volume for this code) and for H0019 it ranks #7 of 25 (75th percentile; typical, unremarkable volume for this code), indicating solid but not dominant positions in ACT and long-term residential compared with in-state peers.

THRIVE shows several high-percentile or extreme-volume signals on ancillary codes that extend its clinical footprint beyond per-diem programs. Notably, 90834 appears as an extreme outlier with 19K claims and $777.3K revenue, ranking #6 of 751 (99th percentile; extreme outlier, far above typical state volume), and 99214 posts 12K claims and $480.2K revenue, ranking #26 of 1731 (99th percentile; notably above typical state volume), which together suggest substantial billed psychotherapy and higher‑intensity E/M activity relative to most peers.

There are substantial claim volumes for codes that report no paid revenue, which may reflect encounter reporting, bundled/managed arrangements, or non-fee-for-service transactions rather than fee-for-service collections. Examples include T1016 (50.5K claims, $0 revenue; #8 of 180, 96th percentile), H0046 (21.8K claims, $0 revenue; #11 of 70, 86th percentile), and H0038 (4.3K claims, $0 revenue; #7 of 18, 65th percentile), indicating material operational scale in services that are not captured as paid line-item revenue in these data.

THRIVE also leads or performs notably above peers on specific programmatic niches: H2031 (clubhouse services) generates $3M (4.2%) and ranks #1 of 5 (100th percentile; notably above typical state volume), and H0036 (community psychiatric supportive treatment, face-to-face per 15 minutes) produces $2.6M (3.7%) and ranks #3 of 89 (98th percentile; notably above typical state volume). These findings suggest the provider runs high-volume clubhouse and face-to-face supportive treatment workflows that are distinctive within the state.

The provider has long tenure in the data: its NPI was enumerated 2006-06-26 (~20 years ago), indicating an established presence in the state behavioral-health market and likely sustained relationships with Medicaid payers and program administrators. This longevity, combined with concentrated programmatic revenue, positions THRIVE as a mature, Medicaid-centric behavioral-health organization whose financial health is closely tied to a small set of high-volume service lines.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	23,050	$1,120	$25.8M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	10,370	$1,860	$19.3M
H0037	Community psychiatric supportive treatment program, per diem	44,130	$400	$17.5M
H2031	Mental health clubhouse services, per diem	60,980	$50	$3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	139,350	$20	$2.6M
H2014	Skills training and development, per 15 minutes	7,940	$120	$961.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	18,960	$40	$777.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,900	$160	$631.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	12,000	$40	$480.2K
H2023	Supported employment, per 15 minutes	5,470	$70	$361.2K

Showing 1–10 of 26

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

Thrive Behavioral Health, Inc. — 6 of 22 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	7	30	1,530	$360	$9.7M
H0040	Assertive community treatment program, per diem	4	20	350	$640	$6.3M
H0037	Community psychiatric supportive treatment program, per diem	3	70	190	$380	$3.2M
H2018	Psychosocial rehabilitation services, per diem	19	30	4,460	$60	$864.2K
H2031	Mental health clubhouse services, per diem	1	10	3,400	$50	$700.3K
H0046	Mental health services, not otherwise specified	11	70	2,310	$70	$698K
H2023	Supported employment, per 15 minutes	5	10	230	$80	$357.1K
H2014	Skills training and development, per 15 minutes	4	30	1,420	$90	$300.3K
T1016	Case management, each 15 minutes	8	180	400	$20	$230.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	17	80	340	$70	$223.7K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Thrive Behavioral Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laura Scussel	RI	Clinical Social Worker	$0	$2.1M
Nebyou Belay	RI	Child & Adolescent Psychiatry Physician	$3.2K	$997.5K
Warren Ong	RI	Psychiatry Physician	$0	$434K

Nearby Providers

Other providers in the same ZIP code as Thrive Behavioral Health, Inc., 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
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
J.arthur Trudeau Memorial Center Conversion Waivers	RI	Developmentally Disabled Services Day Training Agency	$0	$57.1M
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

Thrive Behavioral Health, Inc. — Billing Profile & Reimbursement Data

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Thrive Behavioral Health, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References