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 1992092274)

Field	Value
Entity Type	Organization
Organization	Perspectives Corporation
Address	1130 Ten Rod Rd
City	North Kingstown
State	RI
ZIP	02852
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	July 7, 2011

Payer Source	Total Paid
Medicaid	$182.9M
Medicare	$0

Key Findings

PERSPECTIVES CORPORATION is effectively a single-payer Medicaid provider with no Medicare billing on file; its entire reported lifetime revenue is concentrated in Medicaid at $182.9M, indicating operations focused on state-funded developmental disability and waiver services rather than Medicare-covered care lines. The provider’s NPI was enumerated in 2011-07-07, showing roughly 15 years of enrollment and an established presence in the Rhode Island market.

Revenue concentration is extremely high: the top three Medicaid codes together account for 88.4% of the provider’s total Medicaid revenue, with T2033 alone representing $108.9M (59.6% of Medicaid revenue). This concentration suggests the business model is heavily dependent on a small set of residential and day-habilitation waiver services.

Business and service-line mix: the dominant codes—T2033 (residential care, waiver), T2021 (day habilitation, per 15 minutes), and T2017 (habilitation, residential, per 15 minutes)—indicate core operations are residential habilitation and day habilitation for individuals with developmental disabilities. The presence of T2003 (non-emergency transportation) and multiple case management codes further supports a bundled community-based support model that includes transport and care coordination components.

Competitive standing within Rhode Island: for its largest code T2033 the provider ranks #6 of 22 (76th percentile), which places it as a solid mid-to-upper statewide participant but not the top provider for residential waiver care. For T2021 it ranks #7 of 33 (81st percentile) and for T2017 it ranks #4 of 36 (91st percentile), indicating particularly strong relative volume in T2017 where it appears among the leading providers for that service. Overall, the rankings portray a provider with notable but not dominant market share across its main service lines.

Service-level outliers and notable percentiles: the provider reports T2022 (case management, per month) at rank #3 of 41 and the 95th percentile, which the source labels as "notably above typical state volume"; this suggests the organization provides case management at a substantially higher-than-typical level in-state and may serve a concentrated population requiring ongoing coordination. Most other codes are described as "typical, unremarkable volume," reinforcing that unusual concentration is specific to a few service lines rather than broad-based dominance.

Payer mix and operational implications: absence of Medicare revenue combined with heavy Medicaid dependence implies financial risk is tied to state Medicaid policy, waiver reimbursement rates, and contract renewals. The provider’s service mix centered on waiver residential and habilitation services means changes to Medicaid waiver structures or per-diem rules could disproportionately affect their revenue stream.

Scope of services and revenue breadth: while the top three codes dominate revenue (88.4%), the provider still bills a variety of ancillary waiver and support codes—T2003, T2022, T2019, T2015, and others—suggesting a comprehensive suite of developmental disability supports (transportation, respite, supported employment, prevocational services) that complement core residential and day services. These secondary codes individually contribute small shares but collectively represent operational breadth beyond the core per-diem and habilitation billing.

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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	13,370	$8,150	$108.9M
T2021	Day habilitation, waiver; per 15 minutes	34,560	$960	$33.3M
T2017	Habilitation, residential, waiver; 15 minutes	17,060	$1,140	$19.5M
T2003	Non-emergency transportation; encounter/trip	15,410	$400	$6.2M
T2022	Case management, per month	21,210	$150	$3.2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	3,030	$820	$2.5M
T2015	Habilitation, prevocational, waiver; per hour	1,030	$2,420	$2.5M
T2016	Habilitation, residential, waiver; per diem	3,070	$690	$2.1M
T1005	Respite care services, up to 15 minutes	2,550	$780	$2M
H2016	Comprehensive community support services, per diem	260	$4,140	$1.1M

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

Perspectives Corporation — 0 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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	6	20	6,780	$1,890	$39.8M
T2017	Habilitation, residential, waiver; 15 minutes	4	40	3,820	$510	$10.6M
T2021	Day habilitation, waiver; per 15 minutes	7	30	12,340	$410	$10M
T2016	Habilitation, residential, waiver; per diem	2	10	2,050	$1,830	$5M
T1005	Respite care services, up to 15 minutes	10	20	2,540	$190	$1.4M
T2025	Waiver services; not otherwise specified (nos)	4	30	620	$70	$1.2M
T2022	Case management, per month	3	40	5,460	$150	$1.2M
T2003	Non-emergency transportation; encounter/trip	17	60	7,480	$80	$1.1M
T2020	Day habilitation, waiver; per diem	5	20	450	$950	$864.4K
T2019	Habilitation, supported employment, waiver; per 15 minutes	5	10	1,870	$230	$688.6K

Showing 1–10 of 15

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	$18.1M
Perspectives Corporation	RI	Mental Health Counselor	$0	$13.3M
Perspectives Corporation	RI	Community/Behavioral Health Agency	$0	$13.2M
Perspectives Corporation	RI	Behavior Analyst	$0	$6.6M
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
James Simon	RI	Clinical Social Worker	$0	$1.7M
South County Psychiatry LLC	RI	Psychiatry Physician	$0	$1.6M

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

Nearby Providers

Frequently Asked Questions

References