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.

Harmony Hill School, Inc (NPI 1770611162)

Field	Value
Entity Type	Organization
Organization	Harmony Hill School, Inc
Address	63 Harmony Hill Road
City	Chepachet
State	RI
ZIP	02814
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$15.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all recorded federal reimbursements come from Medicaid, which totals $15.9M in lifetime Medicaid revenue. Analysts should treat the Medicaid program as the sole federal revenue source when modeling payer mix or exposure.

Revenue is highly concentrated in a single service category: the top 3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, with H0019 alone representing $15.7M and 99.1% of the total. This concentration means changes to reimbursement, utilization, or authorization of that code would have an outsized impact on the provider's revenue.

The provider’s business aligns with its taxonomy and claims mix: H0019 is a long‑term residential behavioral health per‑diem (without room and board), and the file shows 2.5K claims at a $6398 avg paid/claim generating $15.7M. This pattern is consistent with operation as a long‑stay residential treatment program for emotionally disturbed children where per‑diem billing drives most revenue.

A secondary but minor service line appears in the Medicaid data: H2020 (Therapeutic behavioral services, per diem) accounts for 60 claims at a $2277 avg paid/claim and $136.6K in revenue, or 0.9% of the provider's Medicaid revenue. The presence of H2020 suggests some delivery of per‑diem therapeutic behavioral services alongside the dominant residential per‑diem, but at very limited volumes.

On competitive standing within the state, the provider is a modest participant: for H0019 it ranks #11 of 25 providers in‑state (58th percentile; labeled typical, unremarkable volume), indicating neither dominance nor scarcity for that service. For H2020 the provider ranks #2 of 2 providers in‑state (0th percentile; labeled typical, unremarkable volume), a small peer set that limits competitive inference despite the code’s presence.

The NPI tenure indicates an established operation: the provider was enumerated on 2007-02-28 (~19 years ago), which supports interpreting its concentrated Medicaid revenue as the result of sustained residential operations rather than a short‑term program. Longevity combined with high per‑diem volume for H0019 suggests institutional experience delivering long‑term behavioral residential care.

From a payer‑oversight and contracting perspective, the profile flags a narrow set of focus areas: authorization patterns, length‑of‑stay drivers, and per‑diem rate adequacy for H0019 should be central to cost and utilization reviews given that H0019 makes up 99.1% of Medicaid revenue and the top 3 codes make up 100.0% of Medicaid revenue. The absence of Medicare billing simplifies cross‑payer analyses but increases the importance of Medicaid policy and rate changes to the provider’s financial picture.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	2,460	$6,400	$15.7M
H2020	Therapeutic behavioral services, per diem	60	$2,280	$136.6K

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

Harmony Hill School, Inc — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	11	30	1,530	$360	$9.7M
H2020	Therapeutic behavioral services, per diem	2	10	240	$420	$101.2K

Nearby Providers

Other providers in the same ZIP code as Harmony Hill School, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Connections	RI	Adolescent and Children Mental Health Clinic/Center	$0	$1.7M
Rachel Reichert	RI	Behavior Analyst	$0	$734.6K
Jamie Pease	RI	Clinical Social Worker	$0	$338.3K
Rhode Island Cvs Pharmacy, L.L.C.	RI	Pharmacy	$98.8K	$0
Jessica Heaney	RI	Certified Registered Nurse Anesthetist	$12.1K	$0

Harmony Hill School, Inc — Billing Profile & Reimbursement Data

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Harmony Hill School, Inc — 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