Why would the goal be to become a top 100 provider? What kind of accomplishment is that?

Providing is a business. The purpose of a business is to generate cash flow.

Can you imagine the CEO of a corporation saying, "Well, our cash flow for the last quarter was below expectations, but our new widget got a great score in Consumer Reports." Boy, would that please the shareholders.

See the attached link. This is the internet, of course it already exists. Probably many others as well.

http://www.playforceone.com/pf1_games.php?mygame=Jordan%20500:%20HCC

Sounds like "Provider Tycoon"

of course there are plentiful "boyfriend/girlfriend" simulaton games in japan...some i've seen are pretty adult themed...might as well be a provider simulator game.

Back in the days of the Commodore 64/Apple II/Atari800, there was this underground video game which started off with a picture of girl blowing a guy.  You had to move your joystick (no, not that one!  The one attached to your computer..) at just the right speed to get the guy to come.  When you succeeded, you got to work your through the next pic, which was another position, and so on.

The tough one was the final picture which showed two guys taking the girl in the rear, another two in the front; very difficult to get the right rhythm (as I imagine it might be IRL).

Disgustingly hilarious game...