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.

Children's Friend And Service (NPI 1972662104)

Field	Value
Entity Type	Organization
Organization	Children's Friend And Service
Address	153 Summer St
City	Providence
State	RI
ZIP	02903
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$18.7M
Medicare	$0

Key Findings

CHILDREN'S FRIEND AND SERVICE is effectively a single-payer provider: there is no Medicare billing on file while total Medicaid revenue is $18.7M. This profile indicates the organization’s operations and reimbursement activity are concentrated entirely in the Medicaid program. The absence of Medicare billing suggests the provider’s services and client population are focused on children and Medicaid-covered community programs rather than fee-for-service Medicare populations.

Revenue is highly concentrated in a few Medicaid codes: the precomputed top three Medicaid codes account for 66.6% of the provider’s total Medicaid revenue. The largest single driver is H2022 with $8.5M (45.1% of Medicaid revenue), followed by 99600 with $2.4M (12.6%) and T1024 with $1.7M (8.8%). This concentration signals that a small number of community- and home-based service lines underpin most of the organization’s Medicaid income.

The code mix points to a community-based, multidisciplinary service model focused on wrap-around, home-visit and coordinated specialty-team care. H2022 (Community-based wrap-around services), 99600 (home visit), and T1024 (integrated specialty team encounters) together imply the provider delivers intensive, coordinated, in-community supports for children with complex needs. Additional codes such as T1027 (family training), 97150 (group therapeutic procedures), and T1016 (case management) further indicate a balanced mix of clinical, educational, and care-management activities rather than episodic acute care.

CHILDREN'S FRIEND AND SERVICE holds dominant or unique positions on several high-revenue Medicaid codes in-state. H2022 ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), making the organization the sole in-state reporter for that code and the source of the program’s reported Medicaid revenue. 99600 ranks #1 of 11 providers in-state (100th percentile; notably above typical state volume for this code), indicating a state-leading role in home-visit services.

Several other high-volume service lines show strong but more typical statewide participation, consistent with a mature community provider. T1024 ranks #15 of 91 providers in-state (84th percentile; typical, unremarkable volume) and T1027 ranks #9 of 88 providers in-state (91th percentile; typical, unremarkable volume), while 97150 (18.4K claims) ranks #5 of 48 providers in-state (91th percentile; typical, unremarkable volume) and T1016 (25K claims) ranks #22 of 180 providers in-state (88th percentile; typical, unremarkable volume). These placements suggest the provider delivers large absolute volumes in these services but within expected state peer ranges.

There are identifiable statistical outliers in the provider’s code mix beyond the revenue concentration. In addition to 99600 being described as "notably above typical state volume," T5999 (Supply, not otherwise specified) ranks #1 of 9 providers in-state (100th percentile; notably above typical state volume) despite contributing only $27.6K in revenue, indicating selective high relative activity on a small supply code. These flagged labels point to areas where this provider’s utilization departs from typical state patterns and may reflect program-specific billing practices or service emphasis.

The provider’s claim volumes reflect sustained operational scale in community service delivery: examples include 25K claims for T1016, 18.4K claims for 97150, 13.9K claims for T1024, and 12.8K claims for T1027. High claim counts alongside per-claim payment levels (e.g., $1840 avg paid/claim for H2022, $256 for 99600, $119 for T1024) show a mix of high-acuity per-diem services and high-frequency lower-unit services, consistent with ongoing community-based care models. Analysts should view both the claim volume and per-claim payment mix when assessing operational capacity and resource intensity.

The organization has an established presence in the market, with its NPI enumerated 2006-12-06 (~20 years ago). This tenure, combined with leadership positions on key Medicaid codes, suggests long-standing contracts or program relationships in the state Medicaid ecosystem rather than a recent entrant or transient operation.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	4,600	$1,840	$8.5M
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	9,260	$260	$2.4M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	13,870	$120	$1.7M
T1027	Family training and counseling for child development, per 15 minutes	12,800	$120	$1.6M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	18,370	$60	$1.2M
T1016	Case management, each 15 minutes	25,040	$40	$1M
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	9,420	$100	$941.9K
H2000	Comprehensive multidisciplinary evaluation	1,340	$600	$795.5K
T1013	Sign language or oral interpretive services, per 15 minutes	3,880	$80	$298.4K
H0046	Mental health services, not otherwise specified	3,510	$60	$203.6K

Showing 1–10 of 15

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

Children's Friend And Service — 2 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	1	10	4,600	$1,840	$8.5M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	15	90	510	$160	$975K
H0046	Mental health services, not otherwise specified	30	70	2,310	$70	$698K
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	1	10	870	$210	$529.5K
H2000	Comprehensive multidisciplinary evaluation	6	20	540	$690	$525.2K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	5	50	3,100	$50	$372.6K
T1027	Family training and counseling for child development, per 15 minutes	9	90	350	$100	$363.8K
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	2	10	510	$110	$358.3K
99501	A home health provider, such as a registered nurse, visits a patient and her newborn at home to review plans of care and provide additional resources to the patient.	3	10	160	$360	$299.6K
T1016	Case management, each 15 minutes	22	180	400	$20	$230.7K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Children's Friend And Service, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rhode Island Hospital	RI	General Acute Care Hospital	$0	$380.8M
Maxim Healthcare Services, Inc.	RI	Home Health Agency	$0	$32.1M
City Of Providence Rhode Island	RI	Local Education Agency (LEA)	$0	$18.6M
Brown Emergency Medicine	RI	Emergency Medicine Physician	$0	$12.3M
The Providence Center	RI	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$11.9M
Brown Neurology	RI	Neurology Physician	$0	$9.9M
One Stone L.L.C.	RI	Home Health Agency	$0	$8.6M
Recovery Connection Centers Of America, Inc.	RI	Multi-Specialty Clinic/Center	$0	$7.5M
City Of Providence Rhode Island	RI	Land Ambulance	$917.7K	$6.4M
Lifespan Physician Group, Inc.	RI	General Practice Physician	$0	$5.6M

Children's Friend And Service — Billing Profile & Reimbursement Data

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Children's Friend And Service — 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