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.

Spurwink Ri (NPI 1548217805)

Field	Value
Entity Type	Organization
Organization	Spurwink Ri
Address	1 Spurwink Pl
City	Cranston
State	RI
ZIP	02910
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicaid	$39.1M
Medicare	$0

Key Findings

SPURWINK RI’s billing mix indicates it operates primarily as a waiver-funded developmental disability services provider focused on residential and day-habilitation services: the top revenue drivers are T2033 (Residential care, waiver), T2021 (Day habilitation, waiver) and T2017 (Habilitation, residential, waiver), which align with a Developmentally Disabled Services Day Training Agency taxonomy and together produce the majority of its Medicaid revenue. These three codes’ descriptions suggest the organization provides per-diem residential supports and time-based habilitation/day programs rather than episodic medical care.

Revenue concentration is high: the precomputed top-3 codes account for 90.4% of this provider’s total Medicaid revenue, with T2033 producing $26.4M (67.4% of Medicaid revenue), T2021 producing $6.7M (17.1%), and T2017 producing $2.3M (5.9%). This level of concentration indicates that a small set of waiver services drive almost all of the $39.1M in reported Medicaid revenue.

SPURWINK RI is effectively a single-payer Medicaid operation: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $39.1M. The absence of Medicare billing means payer-risk and revenue trends will be determined almost entirely by state Medicaid policy and waiver program changes.

On its largest code, T2033, SPURWINK RI reports 13.3K claims with an average paid/claim of $1982 and $26.4M in revenue, ranking #7 of 22 providers in-state (71th percentile; typical, unremarkable volume for this code). These figures show meaningful operational scale in residential per-diem services, even though the rank/percentile positions it as a mid-to-upper peer rather than a statewide leader for that specific code.

For its other top codes, T2021 (16.9K claims, $396 avg/claim, $6.7M, rank #13 of 33, 63th percentile) and T2017 (7.5K claims, $305 avg/claim, $2.3M, rank #11 of 36, 71th percentile), SPURWINK RI sits at typical, unremarkable volumes relative to in-state peers, suggesting steady programmatic presence across day habilitation and residential habilitation services. By contrast, T2015 (2.5K claims, $81 avg/claim, $204.1K) ranks #2 of 16 providers in-state (93th percentile; notably above typical state volume for this code), indicating a specific strength in prevocational habilitation relative to peers.

High-frequency, lower-dollar services also play a role in operations: T2003 (Non-emergency transportation) shows 16.4K claims at $116 avg/claim for $1.9M (4.9% of Medicaid revenue), indicating substantial transport activity likely tied to day and residential programs. Ancillary codes (e.g., T2019 supported employment, T2022 case management) contribute smaller revenue slices but demonstrate a broad service set within waiver supports.

SPURWINK RI has long-tenured enrollment: NPI enumerated on 2006-05-30 (~20 years ago), which supports interpretation of established operations in Rhode Island’s waiver market. That tenure, combined with concentrated Medicaid revenue, implies institutional experience delivering waiver-funded residential and habilitation services even though the provider is not uniformly dominant across all in-state peers.

The heavy reliance on waiver-funded codes (90.4% concentration) creates sensitivity to state waiver policy, rate adjustments, or utilization changes; payers and analysts should view SPURWINK RI as a specialized, Medicaid-dependent provider whose financial trajectory will largely track waiver program volumes and reimbursement changes. Monitoring state-level shifts in rates or eligibility for T2033, T2021, and T2017 will be especially important given those codes’ outsized share of the $39.1M Medicaid footprint.

Medicaid: Complete Services Breakdown

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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	13,300	$1,980	$26.4M
T2021	Day habilitation, waiver; per 15 minutes	16,920	$400	$6.7M
T2017	Habilitation, residential, waiver; 15 minutes	7,540	$310	$2.3M
T2003	Non-emergency transportation; encounter/trip	16,360	$120	$1.9M
T2019	Habilitation, supported employment, waiver; per 15 minutes	4,840	$190	$924.4K
T2022	Case management, per month	3,990	$160	$618.9K
T2015	Habilitation, prevocational, waiver; per hour	2,520	$80	$204.1K
T1002	Rn services, up to 15 minutes	140	$430	$59.1K
T2023	Targeted case management; per month	70	$450	$33.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$50	$680

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

Spurwink Ri — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	7	20	6,780	$1,890	$39.8M
T2017	Habilitation, residential, waiver; 15 minutes	11	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	13	30	12,340	$410	$10M
T2022	Case management, per month	26	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	15	60	7,480	$80	$1.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	4	10	1,870	$230	$688.6K
T2015	Habilitation, prevocational, waiver; per hour	2	20	330	$460	$396.2K
T1002	Rn services, up to 15 minutes	20	30	280	$110	$253.3K
T2023	Targeted case management; per month	9	10	690	$260	$193K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	269	290	60	$110	$33.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joy Home Care Inc.	RI	Home Health Agency	$0	$75.4M
Hope Nursing Home Care, LLC	RI	Home Health Agency	$0	$70.6M
Codac Inc	RI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$54.3M
Alee Behavioral Healthcare	RI	Behavior Analyst	$0	$22M
Homecare Advantage Inc.	RI	Nursing Care Agency	$0	$12.9M
Ocean State Dental Group Inc	RI	Dentist	$0	$7.9M
Home Care Networks, LLC	RI	Home Health Aide	$0	$5.7M
Park Avenue Senior Care, Inc	RI	Adult Day Care Clinic/Center	$0	$3M
Cranston Public Schools	RI	Local Education Agency (LEA)	$0	$2.7M
City Of Cranston	RI	Land Ambulance	$573.8K	$1.8M

Spurwink Ri — Billing Profile & Reimbursement Data

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Spurwink Ri — 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