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.

The Arc Of Bristol County, Inc. (NPI 1730476029)

Field	Value
Entity Type	Organization
Organization	The Arc Of Bristol County, Inc.
Address	36 Thunder Boulevard
City	Smithfield
State	RI
ZIP	02917
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	July 7, 2011

Payer Source	Total Paid
Medicaid	$10.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	4,600	$1,420	$6.5M
T2021	Day habilitation, waiver; per 15 minutes	3,680	$420	$1.6M
T2003	Non-emergency transportation; encounter/trip	3,290	$270	$887K
T2033	Residential care, not otherwise specified (nos), waiver; per diem	70	$10,150	$730.9K
T2022	Case management, per month	4,340	$120	$507.4K
T2025	Waiver services; not otherwise specified (nos)	120	$220	$26.4K
T1019	Personal 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…	150	$100	$14.6K
T2015	Habilitation, prevocational, waiver; per hour	230	$40	$7.9K
T1016	Case management, each 15 minutes	380	$20	$6K
T2023	Targeted case management; per month	10	$290	$3.4K

Showing 1–10 of 12

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

The Arc Of Bristol County, Inc. — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	22	20	6,780	$1,890	$39.8M
T2017	Habilitation, residential, waiver; 15 minutes	17	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	23	30	12,340	$410	$10M
T1019	Personal 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…	30	30	9,040	$150	$5.7M
T2025	Waiver services; not otherwise specified (nos)	20	30	620	$70	$1.2M
T2022	Case management, per month	24	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	38	60	7,480	$80	$1.1M
T2015	Habilitation, prevocational, waiver; per hour	13	20	330	$460	$396.2K
T1027	Family training and counseling for child development, per 15 minutes	72	90	350	$100	$363.8K
T1016	Case management, each 15 minutes	92	180	400	$20	$230.7K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as The Arc Of Bristol County, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Bristol County Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$27.7M
The Arc Of Bristol County, Inc	RI	Developmentally Disabled Services Day Training Agency	$0	$27M
New England Home Therapies, Inc.	RI	Home Infusion Therapy Pharmacy	$0	$669.5K
Smithfield School Department	RI	Local Education Agency (LEA)	$0	$529K
Ocean State Urgent Care Center Of Smithfield LLC	RI	Urgent Care Clinic/Center	$0	$403.1K
John Corsi	RI	Internal Medicine Physician	$48.8K	$95.2K
Peter Brasch	RI	Ophthalmology Physician	$128.7K	$0
William Levin	RI	Cardiovascular Disease Physician	$116K	$6.1K
Dominic Roda	RI	Foot & Ankle Surgery Podiatrist	$105.1K	$5K
Nidhi Sharma	RI	Internal Medicine Physician	$76.5K	$2.2K

The Arc Of Bristol County, Inc. — Billing Profile & Reimbursement Data

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The Arc Of Bristol County, 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

Nearby Providers

Frequently Asked Questions

References