Agency
Avatar Residential, INC.
Avatar Residential, INC. was paid $72.88M by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is T2033, Residential care, not otherwise specified (nos), waiver; per diem — 68% of everything it billed.
33Billing provider infoAVATAR RESIDENTIAL, INC.
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1053607754assigned 06/22/2011
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$72.88M
24GClaims39,362
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Rhode Island
Rank by total paid#9 of 34
Median peer was paid$22.59M
This provider vs. median3.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,038 | $8.41M | |
| 2019 | 6,253 | $8.66M | |
| 2020 | 5,419 | $8.01M | |
| 2021 | 5,725 | $9.96M | |
| 2022 | 5,568 | $11.61M | |
| 2023 | 5,472 | $13.03M | |
| 2024incomplete | 4,887 | $13.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 68% | 7,427 | 5,740 | $49.22M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 18% | 12,337 | 5,233 | $13.00M |
| T2017 | Habilitation, residential, waiver; 15 minutes | 6.6% | 3,045 | 1,821 | $4.79M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 3.9% | 6,197 | 5,327 | $2.83M |
| T1005 | Respite care services, up to 15 minutes | 2.3% | 2,530 | 2,257 | $1.66M |
| T2022 | Case management, per month | 1.6% | 6,859 | 6,034 | $1.13M |
| T1002 | Rn services, up to 15 minutes | <1% | 645 | 503 | $198K |
| T2019 | Habilitation, supported employment, waiver; per 15 minutes | <1% | 67 | 61 | $45K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | <1% | 24 | 24 | $14K |
| T2020 | Day habilitation, waiver; per diem | 0% | 231 | 185 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialELLIS, KATHLEEN (EXECUTIVE DIRECTOR)