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.

Perspectives Corporation (NPI 1780812388)

Field	Value
Entity Type	Organization
Organization	Perspectives Corporation
Address	1130 Ten Rod Rd
City	North Kingstown
State	RI
ZIP	02852
Taxonomy	Mental Health Counselor
NPI Enumerated	June 23, 2009

Payer Source	Total Paid
Medicaid	$13.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: there is no Medicare revenue on file while Medicaid revenue totals $13.3M. The NPI has been enumerated since 2009-06-23 (≈17 years), indicating an established presence in the state Medicaid market rather than recent entry or short-term activity.

Revenue is highly concentrated in a small set of service lines: the top three Medicaid codes (H0046, T1019, T1024) account for 75.1% of total Medicaid revenue. Those three line items are H0046 $3.9M (29.3%), T1019 $3.3M (25.1%), and T1024 $2.8M (20.8%), so the provider derives the bulk of its Medicaid receipts from a narrow mix of behavioral health, personal care, and integrated specialty-team services.

The code mix points to a community-based behavioral health and supportive services operation. H0046 (mental health services, NOS), T1019 (personal care services tied to individualized treatment plans), and T1024 (evaluation/treatment by an integrated specialty team for severely handicapped children) together suggest the organization delivers counseling/therapy plus hands-on personal care and coordinated specialty care for complex pediatric cases.

Competitive standing by code shows a strong but not dominant statewide footprint for the highest-revenue codes: H0046 ranks #9 of 70 (88th percentile) and is characterized in the data as "typical, unremarkable volume," T1019 ranks #9 of 30 (72th percentile, "typical, unremarkable volume"), and T1024 ranks #12 of 91 (88th percentile, "typical, unremarkable volume"). These placements indicate solid presence in-state for core behavioral and specialty services without clear dominance.

Case management (T1016) represents a notable statewide strength: 53.1K claims, $37 avg paid/claim, $2M revenue (14.8%) and it ranks #7 of 180 (97th percentile). Although the dataset labels volume for this code as "typical, unremarkable," the 97th percentile rank identifies the provider as a near-top performer in case management statewide, which could be operationally meaningful for care coordination and program partnerships.

Smaller revenue streams show a broader service portfolio that supports multimodal community care: H2014 (skills training and development) $559.4K (4.2%), T1027 (family training and counseling) $448.7K (3.4%), and H2016 (comprehensive community support services) $334.1K (2.5%). Each of these codes sits in high state percentiles (mostly in the 80s), implying the provider offers adjunct rehabilitative and family-oriented services in addition to its core revenue drivers.

The concentration of 75.1% of Medicaid revenue in three codes creates both operational leverage and revenue risk: the organization can focus resources where it already has scale (behavioral health, personal care, integrated pediatric teams), but a change in Medicaid policy or reimbursement for those specific codes could materially affect total revenue. Given the provider's longstanding enrollment and strong case-management ranking, there may be opportunity to expand adjacent services or payer relationships to diversify beyond the top three codes.

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
H0046	Mental health services, not otherwise specified	32,990	$120	$3.9M
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…	24,130	$140	$3.3M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	18,760	$150	$2.8M
T1016	Case management, each 15 minutes	53,060	$40	$2M
H2014	Skills training and development, per 15 minutes	6,990	$80	$559.4K
T1027	Family training and counseling for child development, per 15 minutes	10,950	$40	$448.7K
H2016	Comprehensive community support services, per diem	83,530	$1	$334.1K

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

Perspectives Corporation — 1 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
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…	9	30	9,040	$150	$5.7M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	12	90	510	$160	$975K
H0046	Mental health services, not otherwise specified	9	70	2,310	$70	$698K
T1027	Family training and counseling for child development, per 15 minutes	11	90	350	$100	$363.8K
H2014	Skills training and development, per 15 minutes	5	30	1,420	$90	$300.3K
T1016	Case management, each 15 minutes	7	180	400	$20	$230.7K
H2016	Comprehensive community support services, per diem	7	40	10,150	$10	$230.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Perspectives Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Perspectives Corporation	RI	Behavior Analyst	$0	$6.6M
James Simon	RI	Clinical Social Worker	$0	$1.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dominion Diagnostics, LLC	RI	Clinical Medical Laboratory	$4.8M	$249.1M
Perspectives Corporation	RI	Developmentally Disabled Services Day Training Agency	$0	$182.9M
Perspectives Corporation	RI	Developmentally Disabled Services Day Training Agency	$0	$18.1M
Perspectives Corporation	RI	Community/Behavioral Health Agency	$0	$13.2M
The Sensational Child, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$5.4M
Easter Seals Rhode Island	RI	Early Intervention Provider Agency	$0	$5.2M
Community Care Nurses, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$1.8M
South County Psychiatry LLC	RI	Psychiatry Physician	$0	$1.6M
Melissa Graswald	RI	General Practice Dentistry	$0	$1.5M
Teresa Jacob	RI	General Practice Dentistry	$0	$1.5M

Perspectives Corporation — Billing Profile & Reimbursement Data

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Perspectives Corporation — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References