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.

Action Based Enterprises (NPI 1942419494)

Field	Value
Entity Type	Organization
Organization	Action Based Enterprises
Address	141 Main St
City	Woonsocket
State	RI
ZIP	02895
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$15.2M
Medicare	$0

Key Findings

ACTION BASED ENTERPRISES is effectively a single-payer Medicaid provider with no Medicare billing on file, and its lifetime Medicaid revenue totals $15.2M. The provider’s NPI was enumerated 2007-05-22 (~19 years ago), indicating a long-tenured presence in the state waiver market.

Revenue concentration is heavily focused: the precomputed top 3 Medicaid codes (T2017, T2021, T2003) account for 96.5% of this provider’s total Medicaid revenue. This signals a narrow service mix where a very small set of service lines drive almost all of the reported Medicaid income.

T2017 (Habilitation, residential, waiver; 15 minutes) is the single largest revenue driver with 3.7K claims, $2331 avg paid/claim, and $8.6M revenue (56.1% of this provider's total Medicaid revenue). Statewide ranking for this code is #19 of 36 providers (49th percentile; typical, unremarkable volume for this code), which suggests the provider is a mid-ranked participant on residential habilitation rather than a dominant statewide leader.

T2021 (Day habilitation, waiver; per 15 minutes) is the second major driver with 7.9K claims, $639 avg paid/claim, and $5M revenue (33.0% of this provider's total Medicaid revenue). The provider ranks #19 of 33 in-state (44th percentile; typical, unremarkable volume for this code), indicating a meaningful but not top-tier position in day habilitation services.

T2003 (Non-emergency transportation; encounter/trip) contributes $1.1M (7.3% of total Medicaid revenue) from 2.9K claims at $389 avg paid/claim and ranks #41 of 55 providers in-state (26th percentile; typical, unremarkable volume for this code). Its lower percentile ranking on transportation suggests more modest participation in trip/encounter-based NEMT relative to many in-state peers.

Secondary service lines are small relative to the top three: T2022 (Case management, per month) generated $435.8K (2.9%) with 3.3K claims and ranks #27 of 41 (35th percentile; typical, unremarkable volume for this code), while T2015 (Habilitation, prevocational, waiver; per hour) contributed $91.4K (0.6%) from 249 claims and ranks #11 of 16 (33th percentile; typical, unremarkable volume for this code). These figures underscore that case management and prevocational habilitation are present but not material revenue drivers.

Very small, one-off waiver or case management billings (T2023 $5K, T2025 $4.5K) account for essentially none of the revenue (each reported at 0.0% of total) and have low statewide rankings (T2023 #13 of 14, 8th percentile; T2025 #24 of 25, 4th percentile), reinforcing that the provider’s business model is centered on the core residential and day habilitation waiver services.

Competitive standing across key codes is generally middle- to lower-tier within Rhode Island: none of the top-revenue codes place the provider in a top decile or clear statewide leadership position based on the provided ranks and percentiles, and no code is flagged as an outlier above typical levels. Combined with the long tenure since 2007-05-22 (~19 years ago), the pattern is consistent with an established, specialized waiver services operator with concentrated Medicaid revenue exposure rather than a broadly diversified or dominant statewide competitor.

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
T2017	Habilitation, residential, waiver; 15 minutes	3,670	$2,330	$8.6M
T2021	Day habilitation, waiver; per 15 minutes	7,880	$640	$5M
T2003	Non-emergency transportation; encounter/trip	2,860	$390	$1.1M
T2022	Case management, per month	3,280	$130	$435.8K
T2015	Habilitation, prevocational, waiver; per hour	250	$370	$91.4K
T2023	Targeted case management; per month	30	$190	$5K
T2025	Waiver services; not otherwise specified (nos)	10	$350	$4.5K

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

Action Based Enterprises — 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
T2017	Habilitation, residential, waiver; 15 minutes	19	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	19	30	12,340	$410	$10M
T2025	Waiver services; not otherwise specified (nos)	24	30	620	$70	$1.2M
T2022	Case management, per month	27	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	41	60	7,480	$80	$1.1M
T2015	Habilitation, prevocational, waiver; per hour	11	20	330	$460	$396.2K
T2023	Targeted case management; per month	13	10	690	$260	$193K

Nearby Providers

Other providers in the same ZIP code as Action Based Enterprises, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Alliance	RI	Community/Behavioral Health Agency	$0	$46.4M
Prime Healthcare Services Landmark LLC	RI	General Acute Care Hospital	$0	$26.2M
R.i.s.a.t., LLC	RI	Methadone Clinic	$306K	$21.6M
Thundermist Health Center	RI	Dental Clinic/Center	$0	$18.6M
Thundermist Health Center	RI	Federally Qualified Health Center (FQHC)	$0	$15.8M
Woonsocket Education Department	RI	Local Education Agency (LEA)	$0	$9.5M
Woonsocket Housing Authority	RI	Assisted Living Facility	$0	$7M
Beata Nelken	RI	Pediatrics Physician	$0	$4.2M
Tmed Holdings, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$3.8M
Maha Alamad	RI	General Practice Dentistry	$0	$3.5M

Action Based Enterprises — Billing Profile & Reimbursement Data

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Action Based Enterprises — 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