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.

J, Arthur Trudeau Memorial Center (NPI 1710274402)

Field	Value
Entity Type	Organization
Organization	J, Arthur Trudeau Memorial Center
Address	3445 Post Rd
City	Warwick
State	RI
ZIP	02886
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	July 1, 2011

Payer Source	Total Paid
Medicaid	$33.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: there is no Medicare billing on file while total Medicaid revenue is $33.9M. That concentration on a single public payer means the provider’s financial profile and growth are heavily tied to Medicaid program rules and reimbursement changes rather than to Medicare trends or Medicare-contracted referral networks.

Revenue is extremely concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 95.0% of this provider’s total Medicaid revenue. The three codes driving that concentration are T2017 ($29.6M, 87.2% of Medicaid revenue), T2022 ($1.7M, 4.9%), and T2025 ($961.8K, 2.8%), which together make this provider dependent on a narrow set of waiver and habilitation services.

The code mix indicates core operations are built around residential habilitation and waiver-based supports. T2017 (Habilitation, residential, waiver; 15 minutes) dominates revenue and, together with T2022 (Case management, per month) and T2025 (Waiver services, NOS), points to a service-line centered on long-term waiver habilitation, ongoing case management, and miscellaneous waiver supports rather than episodic medical care or outpatient procedures.

Despite the outsized revenue share of T2017, the provider is not the statewide leader for that code: T2017 ranks #10 of 36 providers in-state (74th percentile), which the dataset labels as a typical, unremarkable volume for this code. By contrast, T2025 ranks #5 of 25 providers in-state (83th percentile), indicating relatively stronger competitive positioning in that narrower waiver-services niche even though it contributes a much smaller portion of overall revenue.

Claims and payment patterns show different operational dynamics across the top codes. T2017 has 8.4K claims with a $3532 avg paid/claim and supplies $29.6M in revenue, reflecting high per-claim payments consistent with residential habilitation billing; T2022 has 8.8K claims but a $188 avg paid/claim and yields $1.7M, which is consistent with recurring monthly case-management billing; T2025 shows 2K claims at a $471 avg paid/claim producing $961.8K, indicating mid-range per-claim value for miscellaneous waiver services.

The provider offers a broader set of developmental and support services beyond the top three codes, but these constitute small portions of revenue and vary in local competitiveness. For example, T2021 (Day habilitation, waiver; per 15 minutes) generates $885.4K (2.6% of Medicaid revenue) with a $1511 avg paid/claim but ranks #31 of 33 providers in-state (6th percentile) and is described as typical, unremarkable volume; T2041 (Supports brokerage, self-directed, waiver) contributes $287K and ranks #3 of 6 (60th percentile), while family- and evaluation-focused codes such as T1027 and T1024 each contribute under $200K, indicating a modestly diversified service mix concentrated in waiver habilitation.

The provider has an established operational history, with NPI enumeration dated 2011-07-01 (~15 years ago), and sizeable Medicaid receipts of $33.9M suggest longstanding Medicaid contracts or sustained participant volume. Given the combination of long tenure and deep revenue dependence on T2017-style residential habilitation, the provider’s near-term performance is likely sensitive to state waiver policy, rates for residential habilitation, and any changes in eligibility or program structure.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	8,380	$3,530	$29.6M
T2022	Case management, per month	8,820	$190	$1.7M
T2025	Waiver services; not otherwise specified (nos)	2,040	$470	$961.8K
T2021	Day habilitation, waiver; per 15 minutes	590	$1,510	$885.4K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	640	$450	$287K
T1027	Family training and counseling for child development, per 15 minutes	1,490	$130	$187.2K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	1,510	$120	$185.2K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	160	$550	$89.5K
T1016	Case management, each 15 minutes	1,290	$60	$71.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	50	$90	$4.2K

Showing 1–10 of 11

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

J, Arthur Trudeau Memorial Center — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	10	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	31	30	12,340	$410	$10M
T2025	Waiver services; not otherwise specified (nos)	5	30	620	$70	$1.2M
T2022	Case management, per month	12	40	5,460	$150	$1.2M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	3	10	580	$300	$1.1M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	37	90	510	$160	$975K
H0046	Mental health services, not otherwise specified	70	70	2,310	$70	$698K
T1027	Family training and counseling for child development, per 15 minutes	27	90	350	$100	$363.8K
T1016	Case management, each 15 minutes	71	180	400	$20	$230.7K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	3	10	170	$350	$127.3K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as J, Arthur Trudeau Memorial Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Bay Residential Services Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$145.8M
Kent County Memorial Hospital	RI	General Acute Care Hospital	$0	$90.8M
Avatar Residential, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$72.9M
Thrive Behavioral Health, Inc.	RI	Community/Behavioral Health Agency	$0	$71.9M
Bayada Home Health Care, Inc.	RI	Home Health Agency	$0	$69.5M
Community Living Of Rhode Island	RI	Developmentally Disabled Services Day Training Agency	$0	$65.7M
J.arthur Trudeau Memorial Center Conversion Waivers	RI	Developmentally Disabled Services Day Training Agency	$0	$57.1M
Gateways To Change, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$54.5M
Affinity Physicians LLC.	RI	Internal Medicine Physician	$0	$41.8M
J.arthur Trudeau Memorial Home Based Therapy Services	RI	Community/Behavioral Health Agency	$0	$20.3M

J, Arthur Trudeau Memorial Center — Billing Profile & Reimbursement Data

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J, Arthur Trudeau Memorial Center — 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