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 Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont 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. Vermont (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.

Pride Support Services Inc (NPI 1417447723)

Field	Value
Entity Type	Organization
Organization	Pride Support Services Inc
Address	36 Summer St
City	Barre
State	VT
ZIP	05641
Taxonomy	Case Management Agency
NPI Enumerated	May 11, 2018

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file (none), while lifetime Medicaid revenue totals $4.4M. The absence of Medicare activity indicates PRIDE SUPPORT SERVICES INC operates primarily, if not exclusively, within the Medicaid market based on the available claims data.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with a single code, T1020, representing the lion's share. T1020 alone is reported as $4.4M revenue (99.6% of this provider's total Medicaid revenue), demonstrating the business is overwhelmingly dependent on one service line.

The code mix and descriptions indicate this is a personal care–oriented operation. T1020 (Personal care services, per diem) accounts for 2.8K claims with a $1558 avg paid/claim and essentially all Medicaid revenue, while T1016 (Case management, each 15 minutes) contributes 68 claims at a $272 avg paid/claim and $18.5K in revenue, suggesting the organization primarily delivers per‑diem personal care services with a much smaller case management/coordination component.

Competitive standing for the dominant code is ambiguous because PRIDE SUPPORT SERVICES INC is the sole in‑state reporter for T1020 in the dataset: it ranks #1 of 1 providers in‑state (0th percentile; no state peer volume comparison available). That ranking makes the provider the only visible in‑state biller for this code in the available data, so comparisons to peers for volume or scale are not possible from this source.

By contrast, its activity on T1016 is modest relative to other state billers: T1016 ranks #35 of 37 providers in‑state (6th percentile; typical, unremarkable volume for this code). The small claim count (68 claims) and $18.5K revenue indicate case management is a minor revenue stream and not a primary competitive differentiator.

Operationally, the combination of high average paid per claim on T1020 ($1558 avg paid/claim) and high revenue concentration into that single per‑diem code implies significant sensitivity to reimbursement or policy changes affecting personal care services. Any rate adjustments, eligibility shifts, or auditing focus targeting T1020 could materially impact the provider given that nearly all Medicaid revenue is tied to that code.

The provider has been enumerated since 2018‑05‑11 (~8 years ago), indicating several years of operation under the current NPI. That tenure suggests the revenue and coding pattern—especially the heavy reliance on T1020—is a sustained business model rather than a short‑term anomaly according to the available data.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	2,840	$1,560	$4.4M
T1016	Case management, each 15 minutes	70	$270	$18.5K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.

Claims Volume vs. Vermont Distribution

Pride Support Services Inc — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1	10	2,840	$1,560	$4.4M
T1016	Case management, each 15 minutes	35	40	3,900	$1	$31.1K

Nearby Providers

Other providers in the same ZIP code as Pride Support Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington County Mental Health Services, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$145M
Clearchoicemd, PLLC	VT	Urgent Care Clinic/Center	$0	$10.8M
Town Of Barre	VT	Land Ambulance	$631.7K	$1.6M
Central Vermont Dental Center	VT	Dentist	$0	$2.2M
Gifford Health Care, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$2M
City Of Barre	VT	Land Ambulance	$202.5K	$1.1M
Jennie Holden	VT	Clinical Psychologist	$0	$1.1M
Elevate Youth Services Incorporated	VT	Case Management Agency	$0	$1.1M
Jennie Holden Plc	VT	Clinical Psychologist	$0	$1M
Fischer, Ziegler And Lundberg Orthodontics	VT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$895.5K

Pride Support Services Inc — Billing Profile & Reimbursement Data

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Pride Support Services 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