Perspectives Corporation
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $8,145.35 per claim for T2033 (Residential care, NOS; per diem), which is 7.7× the national median of $1,051.57.
High Cost Per Claim
Average payment per claim is much higher than peers billing the same procedures.
Spending Spike
Experienced a dramatic increase in billing over a short period.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
High Cost Per Claim
High Cost Per Claim means each individual claim from this provider costs significantly more than what other providers charge for the same services. This could indicate upcoding (billing for more expensive services than provided) or legitimate specialized care.
Spending Spike
Spending Spike means this provider experienced a dramatic, sudden increase in billing over a short period. Legitimate causes include new contracts or expanded services, but this pattern also appears in billing fraud ramp-ups.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $8,145.35 per claim for T2033 (Residential care, NOS; per diem) — 7.8× the national median of $1,051.57.
Bills $963.92 per claim for T2021 (Day habilitation, waiver; per 15 min) — 6.4× the national median of $150.51.
Bills $1,142.64 per claim for T2017 (Habilitation, residential, waiver; 15 min) — 8.3× the national median of $137.32.
Billing in the top 1% nationally for 2 procedure codes: T2003, T2015.
This is a statistical summary, not an accusation. See our methodology.
Compared to Day Training Developmentally Disabled Services Peers
Total spending distribution among 22 providers in this specialty
This provider's total spending of $182.9M is at the 75th percentile among 22 Day Training Developmentally Disabled Services providers.
Total Paid
$182.9M
$182,856,173
Total Claims
120K
Beneficiaries
94K
1.3 claims/patient
Avg Cost/Claim
$2K
#519 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Perspectives Corporation is a Day Training Developmentally Disabled Services provider based in North Kingstown, RI. From the 2018–2024 period, this provider received $182.9M in Medicaid payments across 120K claims.
Why This Matters
This provider received $182.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,857 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 15 distinct procedure codes. The top code (T2033 (Residential care, NOS; per diem)) accounts for 60% of total spending.
$108.9M
13K claims
$8,145.35
$1,051.57
Residential care, NOS; per diem
$108.9M
13K claims · 59.6%
$33.3M
35K claims
$963.92
$150.51
Day habilitation, waiver; per 15 min
$33.3M
35K claims · 18.2%
$19.5M
17K claims
$1,142.64
$137.32
Habilitation, residential, waiver; 15 min
$19.5M
17K claims · 10.7%
$6.2M
15K claims
$401.59
$21.70
Non-emergency transport; encounter/trip
$6.2M
15K claims · 3.4%
Case management, per month
$3.2M
21K claims · 1.8%
$2.5M
3K claims
$822.76
$88.91
Habilitation, prevocational, waiver; per 15 min
$2.5M
3K claims · 1.4%
$2.5M
1K claims
$2,419.23
$88.27
Habilitation, prevocational, waiver, per diem
$2.5M
1K claims · 1.4%
$2.1M
3K claims
$689.11
$331.94
Habilitation, residential, waiver; per diem
$2.1M
3K claims · 1.2%
Respite care services, per 15 minutes
$2.0M
3K claims · 1.1%
$1.1M
261 claims
$4,143.37
$321.53
Comprehensive community support services, per 15 min
$1.1M
261 claims · 0.6%
$558K
2K claims
$303.91
$300.13
Community transition, waiver; per service
$558K
2K claims · 0.3%
$497K
2K claims
$209.93
$124.39
Waiver services, NOS; per 15 min
$497K
2K claims · 0.3%
RN services, per 15 minutes
$275K
2K claims · 0.2%
Day habilitation, waiver; per diem
$120K
750 claims · 0.1%
$94K
1K claims
$88.45
$74.63
Behavioral health counseling & therapy, per 15 min
$94K
1K claims · 0.1%
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