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.

Mentor Abi (NPI 1639476617)

Field	Value
Entity Type	Organization
Organization	Mentor Abi
Address	4119 S County Trl
City	Charlestown
State	RI
ZIP	02813
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 28, 2011

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Key Findings

MENTOR ABI is classified as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility and its Medicaid billing profile is overwhelmingly focused on rehabilitative day services, consistent with its taxonomy and the leading code H2001 (Rehabilitation program, per 1/2 day). The presence of 45.5K claims for H2001 with an average paid/claim of $437 supports a service model built around frequent, per-half-day rehabilitation encounters rather than infrequent high-dollar procedures.

This provider has no Medicare billing on file and all documented federal revenue activity is through Medicaid, making it effectively a single-payer operation in the available data; lifetime Medicare revenue is listed as none while lifetime Medicaid revenue is $19.9M. Analysts should treat this entity as Medicaid-dependent for payer-risk and reimbursement-sensitivity analyses, since there is no diversification into Medicare revenue streams.

Revenue concentration is extreme: the precomputed data indicate the top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and the available details show H2001 alone accounts for $19.9M (100.0% of this provider's total Medicaid revenue). This indicates virtually all billed Medicaid activity and payment flows through a very narrow set of service lines, creating operational and reimbursement concentration risk if policy or rate-setting changes affect H2001.

At the code level, H2001 is the sole driver in the dataset presented: 45.5K claims and $19.9M in revenue at $437 average paid/claim. That utilization pattern points to high-volume, repeatable half-day rehabilitative programming as the primary business line — likely ongoing, programmatic support for beneficiaries rather than episodic medical interventions.

Competitive standing within state data is not robustly comparable: H2001 is reported as ranking #1 of 1 providers in-state with a 0th percentile and an explicit note that there is no state peer volume comparison available. In practical terms, the dataset contains this provider as the only reporting entity for the comparison, so while it technically ranks first, the absence of peers limits conclusions about market dominance beyond being the sole listed filer in this dataset.

The provider’s NPI was enumerated on 2011-02-28 (~15 years ago), indicating a relatively long tenure in the registry; this duration supports the interpretation that the billed service model reflected in the H2001 volume is established rather than a short-term pilot or new program. Tenure increases the likelihood that operational and billing patterns are stable and institutionalized.

Financial unit economics are visible: an average paid/claim of $437 combined with 45.5K claims yields the reported $19.9M Medicaid revenue under H2001, showing the organization operates at scale on a per-half-day reimbursement basis. Analysts should evaluate utilization drivers (numbers of enrolled clients, intensity of service days per client) and state rate-setting policies for H2001 to assess sustainability of that revenue stream.

Given the extreme concentration on H2001 and lack of Medicare activity, any changes in Medicaid policy, eligibility, or negotiated rates for per-half-day rehabilitation services would likely have outsized impact on this provider’s revenue; risk assessments and contract negotiations should therefore prioritize scenarios affecting H2001 reimbursement and utilization.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2001	Rehabilitation program, per 1/2 day	45,470	$440	$19.9M

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

Mentor Abi — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2001	Rehabilitation program, per 1/2 day	1	10	45,470	$440	$19.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gateway Healthcare, Inc	RI	Community/Behavioral Health Agency	$0	$731.2K
Diane Reese	RI	Clinical Social Worker	$17.2K	$658.3K
Charlestown Ambulance & Rescue Service, Inc.	RI	Land Ambulance	$131.3K	$19.8K
Rhode Island Cvs Pharmacy LLC	RI	Pharmacy	$131.5K	$0

Mentor Abi — Billing Profile & Reimbursement Data

Sign up for Mentor Abi — Billing Profile & Reimbursement Data policy alerts

Mentor Abi — Billing Profile & Reimbursement Data

Sign up for Mentor Abi — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References