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.

Perspectives Corporation (NPI 1477679629)

Field	Value
Entity Type	Organization
Organization	Perspectives Corporation
Address	1130 Ten Rod Rd
City	North Kingstown
State	RI
ZIP	02852
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 21, 2007

Payer Source	Total Paid
Medicaid	$13.2M
Medicare	$0

Key Findings

PERSPECTIVES CORPORATION is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $13.2M in lifetime Medicaid revenue. This concentration means any analysis of its operations and financial performance should be interpreted in the context of Medicaid program rules and reimbursement rates rather than dual-payer dynamics.

Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes by revenue (T1019, H0046, T1024) account for 72.2% of this provider’s total Medicaid revenue. In particular, T1019 alone represents $5.2M (39.9% of Medicaid revenue), making it the dominant revenue driver for the organization.

The code mix signals a service model centered on community-based personal care and behavioral health supports. The largest code, T1019 (personal care services), combined with H0046 (mental health services, not otherwise specified) and T1024 (evaluation and treatment by an integrated specialty team), indicates operations focused on in-home or community personal support and integrated mental health care for children and special-needs populations.

Operationally, time-based and high-volume case management are a material part of the business: T1016 (case management, each 15 minutes) appears in volume with 9.3K claims yielding $1.9M (14.2% of Medicaid revenue) and an average paid/claim of $202. This suggests substantial staffing and workflow devoted to frequent, short-interval case management encounters rather than a small number of high-dollar episodic services.

State-level competitive standing for the top revenue-driving codes is generally modest rather than dominant. T1019 ranks #19 of 30 providers in-state (38th percentile), H0046 ranks #31 of 70 (57th percentile), and T1024 ranks #33 of 91 (64th percentile); each of these codes is described in the source as "typical, unremarkable volume for this code," which together indicate PERSPECTIVES is a meaningful but not market-leading participant on these lines.

Although the top three codes dominate dollars, the provider also delivers a mix of per-diem and per-15-minute services that diversify its Medicaid portfolio. H2016 (comprehensive community support services, per diem) produced $604.3K (4.6%), while H2014 (skills training and development, per 15 minutes) produced $526.3K (4.0%), reflecting both daily support models and time-based therapeutic encounters in the service mix.

Several codes show limited or niche usage consistent with a focused service set rather than broad-spectrum billing: T1023 (screening for program appropriateness) generated just 13 claims and $3.5K (0.0% of Medicaid revenue) and is ranked #30 of 35 in-state (6th percentile), labeled "typical, unremarkable volume for this code," indicating these screening encounters are not a major revenue source.

The provider has longstanding Medicaid presence, with NPI enumeration dated 2007-03-21 (~19 years ago), which supports the interpretation that its current code mix and market position reflect stable, established service lines rather than a newly developing operation.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	4,760	$1,100	$5.2M
H0046	Mental health services, not otherwise specified	3,390	$640	$2.2M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	2,010	$1,030	$2.1M
T1016	Case management, each 15 minutes	9,270	$200	$1.9M
T1027	Family training and counseling for child development, per 15 minutes	5,110	$130	$648.7K
H2016	Comprehensive community support services, per diem	5,810	$100	$604.3K
H2014	Skills training and development, per 15 minutes	2,110	$250	$526.3K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	10	$270	$3.5K

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

Perspectives Corporation — 0 of 8 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

8 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…	19	30	9,040	$150	$5.7M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	33	90	510	$160	$975K
H0046	Mental health services, not otherwise specified	31	70	2,310	$70	$698K
T1027	Family training and counseling for child development, per 15 minutes	19	90	350	$100	$363.8K
H2014	Skills training and development, per 15 minutes	15	30	1,420	$90	$300.3K
T1016	Case management, each 15 minutes	38	180	400	$20	$230.7K
H2016	Comprehensive community support services, per diem	24	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	30	40	110	$140	$109.8K

Nearby Providers

Other providers in the same ZIP code as Perspectives Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dominion Diagnostics, LLC	RI	Clinical Medical Laboratory	$4.8M	$249.1M
Perspectives Corporation	RI	Developmentally Disabled Services Day Training Agency	$0	$182.9M
Perspectives Corporation	RI	Developmentally Disabled Services Day Training Agency	$0	$18.1M
Perspectives Corporation	RI	Mental Health Counselor	$0	$13.3M
Perspectives Corporation	RI	Behavior Analyst	$0	$6.6M
The Sensational Child, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$5.4M
Easter Seals Rhode Island	RI	Early Intervention Provider Agency	$0	$5.2M
Community Care Nurses, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$1.8M
James Simon	RI	Clinical Social Worker	$0	$1.7M
South County Psychiatry LLC	RI	Psychiatry Physician	$0	$1.6M

Perspectives Corporation — Billing Profile & Reimbursement Data

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Perspectives Corporation — 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