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

    NPI 1538291877 · Pawtucket, RI · Developmentally Disabled Services Day Training Agency

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    United Cerebral Palsy Of Rhode Island, Inc. is a developmentally disabled services day training agency provider located in Pawtucket, Rhode Island. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationUnited Cerebral Palsy Of Rhode Island, Inc.
    Address200 Main St
    CityPawtucket
    StateRI
    ZIP02860
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedMarch 12, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$9.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter20,490$160$3.2M
    T1019Personal 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…26,780$110$2.9M
    H0046Mental health services, not otherwise specified18,360$90$1.7M
    T1016Case management, each 15 minutes36,900$20$885.5K
    H2016Comprehensive community support services, per diem88,310$10$441.6K
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes2,120$180$377.9K
    T1027Family training and counseling for child development, per 15 minutes4,000$40$176K
    H2014Skills training and development, per 15 minutes250$50$12.8K
    90834In 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…70$80$5.7K

    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.

    Full comparison — all codes billed, vs. Rhode Island median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…8309,040$150$5.7M
    T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter1090510$160$975K
    H0046Mental health services, not otherwise specified14702,310$70$698K
    T1027Family training and counseling for child development, per 15 minutes2190350$100$363.8K
    H2014Skills training and development, per 15 minutes25301,420$90$300.3K
    T1016Case management, each 15 minutes12180400$20$230.7K
    H2016Comprehensive community support services, per diem54010,150$10$230.4K
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes3390510$10$187.5K
    90834In 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…593750330$70$92.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gateway Healthcare IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$122.7M
    Nursing Placement, Inc.RIHome Health Agency$0$63.4M
    United Cerebral Palsy Of Rhode Island, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$21.3M
    Lifetime Financial Management Inc.RIHome Health Agency$0$20.9M
    Addiction Recovery InstituteRICommunity/Behavioral Health Agency$180.1K$15.4M
    Blackstone Valley Community Health CareRIFederally Qualified Health Center (FQHC)$0$14.2M
    Blackstone Valley Community Health Care, Inc.RIFederally Qualified Health Center (FQHC)$0$12.4M
    Dr. Day Care, Inc.RICounselor$0$8.7M
    Sheila BrijadeRIPediatric Dentistry$0$7.7M
    Staff Solutions, Inc.RIHome Health Agency$0$6.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Rhode Island Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    United Cerebral Palsy Of Rhode Island, Inc. — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island