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NPI 1427175678 · Warwick, RI · Community/Behavioral Health Agency
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J.arthur Trudeau Memorial Home Based Therapy Services is a community/behavioral health agency provider located in Warwick, Rhode Island. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | J.arthur Trudeau Memorial Home Based Therapy Services |
| Address | 3445 Post Rd |
| City | Warwick |
| State | RI |
| ZIP | 02886 |
| Taxonomy | Community/Behavioral Health Agency |
| NPI Enumerated | March 23, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $20.3M |
| Medicare | $0 |
J.ARTHUR TRUDEAU MEMORIAL HOME BASED THERAPY SERVICES reports no Medicare billing on file and $20.3M in lifetime Medicaid revenue, making Medicaid effectively the sole payer in the record set rather than one of multiple substantial payer streams. This single-payer profile should focus competitive and reimbursement analysis on state Medicaid policy and rates.
Revenue is highly concentrated: the provider's top three Medicaid codes (T1024, T1019, H0046) account for 84.5% of its total Medicaid revenue. Those three codes individually represent $8.2M (40.1%), $5.3M (26.2%), and $3.7M (18.2%) of Medicaid revenue respectively, indicating most of the organization’s financial scale is driven by a narrow set of services.
The code mix (T1024, T1019, H0046) points to a core business model centered on community- and home-based behavioral health and hands-on personal care: T1024 denotes integrated specialty-team evaluation/treatment for severely handicapped children, T1019 captures personal care services billed in 15-minute units, and H0046 is a general mental health services code. High claim counts (40.2K T1024 claims, 41.2K T1019 claims, 40.3K H0046 claims) and time-based billing suggest the organization operates a high-volume, time-intensive home/community care operation rather than episodic medical procedures.
On T1024 the provider is a statewide outlier: 40.2K claims, $203 avg paid/claim, $8.2M revenue and a rank of #4 of 91 providers at the 97th percentile (described in the source as an "extreme outlier"). This indicates a dominant role in delivering integrated specialty-team services for severely handicapped children within Rhode Island and that program-specific demand or contracting is a major source of scale.
For T1019 and H0046 the provider shows strong but more mixed competitive standing: T1019 (41.2K claims, $129 avg paid/claim, $5.3M revenue) ranks #6 of 30 providers at about the 83rd percentile and is characterized as typical/unremarkable for the code, while H0046 (40.3K claims, $92 avg paid/claim, $3.7M revenue) ranks #6 of 70 providers at about the 93rd percentile and is described as notably above typical state volume. These positions suggest market strength in mental health and personal care services, with particularly elevated presence in general mental health relative to peers.
Beyond the top three, the provider bills a range of community supports—case management (T1016: 36.2K claims, $30 avg paid/claim, $1.1M; rank #14 of 180, 93rd percentile), respite care (T1005: 7.5K claims, $107 avg paid/claim, $807.6K; rank #5 of 20, 79th percentile), per-diem community support (H2016: 89.7K claims, $6 avg paid/claim, $538.4K; rank #4 of 39, 92nd percentile), and family training/skills (T1027, H2014). This spread of time- and service-based Medicaid codes indicates operational breadth across care coordination, respite, and skills/family training alongside its high-volume integrated-team and personal care work.
The provider’s NPI was enumerated on 2007-03-23 (~19 years ago), indicating a long-tenured presence in the state Medicaid market. That tenure, combined with dominant ranks on key pediatric integrated-team services, suggests established contracting relationships or referral pathways within Rhode Island’s behavioral health/home-care ecosystem.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 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 | 40,220 | $200 | $8.2M |
| T1019 | Personal care services, per 15 minutes, 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… | 41,250 | $130 | $5.3M |
| H0046 | Mental health services, not otherwise specified | 40,300 | $90 | $3.7M |
| T1016 | Case management, each 15 minutes | 36,230 | $30 | $1.1M |
| T1005 | Respite care services, up to 15 minutes | 7,550 | $110 | $807.6K |
| H2016 | Comprehensive community support services, per diem | 89,740 | $10 | $538.4K |
| T1027 | Family training and counseling for child development, per 15 minutes | 7,150 | $60 | $450.5K |
| H2014 | Skills training and development, per 15 minutes | 4,610 | $50 | $230.6K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 230 | $160 | $36.8K |
| T2024 | Service assessment/plan of care development, waiver | 30 | $100 | $2.6K |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1019 | Personal care services, per 15 minutes, 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… | 6 | 30 | 9,040 | $150 | $5.7M |
| T1005 | Respite care services, up to 15 minutes | 5 | 20 | 2,540 | $190 | $1.4M |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | 4 | 90 | 510 | $160 | $975K |
| H0046 | Mental health services, not otherwise specified | 6 | 70 | 2,310 | $70 | $698K |
| T1027 | Family training and counseling for child development, per 15 minutes | 17 | 90 | 350 | $100 | $363.8K |
| H2014 | Skills training and development, per 15 minutes | 6 | 30 | 1,420 | $90 | $300.3K |
| T1016 | Case management, each 15 minutes | 14 | 180 | 400 | $20 | $230.7K |
| H2016 | Comprehensive community support services, per diem | 4 | 40 | 10,150 | $10 | $230.4K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 14 | 40 | 110 | $140 | $109.8K |
| T2024 | Service assessment/plan of care development, waiver | 5 | 10 | 80 | $160 | $27.8K |
Other providers in the same ZIP code as J.arthur Trudeau Memorial Home Based Therapy Services, ranked by combined Medicare and Medicaid revenue.
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