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.

Family Behavior Solutions, Inc (NPI 1700287638)

Field	Value
Entity Type	Organization
Organization	Family Behavior Solutions, Inc
Address	225 Newman Ave
City	Rumford
State	RI
ZIP	02916
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 10, 2014

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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	23,760	$190	$4.4M
H0046	Mental health services, not otherwise specified	41,370	$100	$4.3M
T1016	Case management, each 15 minutes	13,510	$80	$1M
H2014	Skills training and development, per 15 minutes	4,180	$80	$326.2K
S9446	Patient education, not otherwise classified, non-physician provider, group, per session	900	$60	$50.4K
H2019	Therapeutic behavioral services, per 15 minutes	90	$130	$11.6K
H0031	Mental health assessment, by non-physician	80	$120	$8.9K

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

Family Behavior Solutions, Inc — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	7	90	510	$160	$975K
H0046	Mental health services, not otherwise specified	5	70	2,310	$70	$698K
H2019	Therapeutic behavioral services, per 15 minutes	6	10	640	$150	$376.5K
H2014	Skills training and development, per 15 minutes	8	30	1,420	$90	$300.3K
T1016	Case management, each 15 minutes	31	180	400	$20	$230.7K
H0031	Mental health assessment, by non-physician	4	10	80	$130	$94.9K
S9446	Patient education, not otherwise classified, non-physician provider, group, per session	4	10	550	$30	$81.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Family Behavior Solutions, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lauren Giammalvo	RI	Behavior Analyst	$0	$2.1M
Jessica Waugh	RI	Behavior Analyst	$0	$1.6M

Nearby Providers

Other providers in the same ZIP code as Family Behavior Solutions, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Side Pediatrics PC	RI	Pediatrics Physician	$0	$1.2M

Family Behavior Solutions, Inc — Billing Profile & Reimbursement Data

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Family Behavior Solutions, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References