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.

Justice Resource Institute, Inc (NPI 1881735389)

Field	Value
Entity Type	Organization
Organization	Justice Resource Institute, Inc
Address	818 Dyer Ave
City	Cranston
State	RI
ZIP	02920
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 9, 2007

Payer Source	Total Paid
Medicaid	$29M
Medicare	$0

Key Findings

JUSTICE RESOURCE INSTITUTE, INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $29M in total Medicaid revenue, indicating Medicaid is the principal and near-exclusive source of fee-for-service revenue. This single-payer footprint magnifies the provider’s exposure to state Medicaid policy and reimbursement changes.

Revenue is highly concentrated: the top 3 Medicaid codes by revenue account for 96.6% of this provider’s total Medicaid revenue, driven by T2033 ($13.8M, 47.6%), H0019 ($11.7M, 40.5%), and T2021 ($2.5M, 8.5%). This concentration means the provider’s financial performance depends heavily on continued authorization and reimbursement for these specific residential and habilitation services.

The code mix points to a residential, long-stay habilitation and behavioral health model: T2033 (residential care, waiver; per diem) and H0019 (long-term residential behavioral health, per diem) together represent the bulk of revenue, while T2021 (day habilitation, per 15 minutes) provides a smaller but material habilitation revenue stream. These codes are consistent with an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility that bills per-diem for extended residential placements and supplements with day habilitation services.

Per-claim economics emphasize per-diem residential payments: average paid/claim for T2033 is $9148 and for H0019 is $9601, both with over 1K claims (1.5K and 1.2K respectively), indicating the business is funded primarily through high-value daily rates rather than large volumes of low-dollar encounters. T2021 shows a different unit economics with a $1928 avg paid/claim across 1.3K claims, reflecting time-based habilitation billing rather than per-diem residential stays.

Competitive standing within Rhode Island appears modest rather than dominant for its top codes: T2033 ranks #20 of 22 providers in-state (10th percentile; typical, unremarkable volume), H0019 ranks #15 of 25 (42th percentile; typical, unremarkable volume), and T2021 ranks #30 of 33 (9th percentile; typical, unremarkable volume). These rank/percentile positions suggest the provider is not a statewide leader in volume for these services and operates at a relatively typical or lower-than-typical scale compared with in-state peers.

Operational scale is concentrated in a handful of service lines: 1.5K claims for T2033, 1.2K claims for H0019, and 1.3K claims for T2021 account for the vast majority of activity, while remaining codes (for example T2017, T2003, T1002, T2022) contribute only small single-digit percentages of revenue. This concentrated activity profile implies a focused service offering rather than a broad mix of ancillary billable services.

The provider has a long-tenured enrollment in the NPI registry, enumerated 2007-02-09 (~19 years ago), indicating an established operating history in the market which may correlate with stable contracting relationships with the state Medicaid program. That tenure, combined with concentrated Medicaid revenues, points to an organization embedded in state-funded residential habilitation services.

Because 96.6% of Medicaid revenue is tied to three codes and there is no Medicare presence, the provider’s financial exposure is concentrated: any changes in coverage, per-diem rates, or utilization management for T2033, H0019, or T2021 would likely have an outsized impact on overall revenue. Analysts should monitor state policy shifts affecting waiver-funded residential care and per-diem behavioral health reimbursements given the provider’s narrow revenue base.

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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1,510	$9,150	$13.8M
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	1,220	$9,600	$11.7M
T2021	Day habilitation, waiver; per 15 minutes	1,270	$1,930	$2.5M
T2017	Habilitation, residential, waiver; 15 minutes	240	$1,870	$450.9K
T2003	Non-emergency transportation; encounter/trip	420	$720	$302.1K
T1002	Rn services, up to 15 minutes	180	$690	$123.3K
T2022	Case management, per month	480	$240	$115.2K

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

Justice Resource Institute, 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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	20	20	6,780	$1,890	$39.8M
T2017	Habilitation, residential, waiver; 15 minutes	33	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	30	30	12,340	$410	$10M
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	15	30	1,530	$360	$9.7M
T2022	Case management, per month	38	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	51	60	7,480	$80	$1.1M
T1002	Rn services, up to 15 minutes	16	30	280	$110	$253.3K

Nearby Providers

Other providers in the same ZIP code as Justice Resource Institute, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Opportunities Unlimited For People With Differeing Abilities, Inc	RI	Developmentally Disabled Services Day Training Agency	$0	$22.6M
Comprehensive Community Action, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$17.7M
Option Care Enterprises, Inc,	RI	Home Infusion Therapy Pharmacy	$0	$11.1M
Naresh Dasari	RI	Internal Medicine Physician	$199.5K	$7M
Garden City Treatment Center, Inc.	RI	Emergency Medical Services (Emergency Medicine) Physician	$0	$6.4M
Phenix Home Care	RI	Home Health Agency	$0	$5.8M
Jun Parks	RI	Internal Medicine Physician	$74.6K	$5M
Juyoung An	RI	Pediatric Dentistry	$0	$3.9M
Heather Abrahams	RI	Psychiatry Physician	$0	$2.7M
X-ray Associates, Inc	RI	Diagnostic Radiology Physician	$0	$2.6M

Justice Resource Institute, Inc — Billing Profile & Reimbursement Data

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Justice Resource Institute, 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