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 Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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.

Old Colony Elderly Services, Inc. (NPI 1033239058)

Field	Value
Entity Type	Organization
Organization	Old Colony Elderly Services, Inc.
Address	144 Main St
City	Brockton
State	MA
ZIP	02301
Taxonomy	Case Management Agency
NPI Enumerated	March 31, 2007

Payer Source	Total Paid
Medicaid	$137.5M
Medicare	$0

Key Findings

OLD COLONY ELDERLY SERVICES, INC. is effectively a single‑payer Medicaid provider with no Medicare billing on file; lifetime Medicaid revenue totals $137.5M and there is explicitly no Medicare revenue reported, indicating operations and reimbursement are concentrated in state Medicaid programs rather than Medicare fee‑for‑service.

Revenue concentration is high: the precomputed top three Medicaid codes (G0156, S5125, S5102) together account for 52.4% of the provider’s total Medicaid revenue, signaling that a narrow set of service lines—home health/hospice aide services, attendant care, and adult day care—drive the majority of its billing.

The code mix indicates a service model focused on long‑term supports and community‑based care: large volumes for G0156 (home health/hospice aide), S5125 (attendant care), S5102 (adult day care) and S5130 (homemaker services) point to hands‑on personal care, ADL/IADL support, and adult day programs as core operations rather than acute clinical services.

OLD COLONY demonstrates relative state‑level strength on several codes: S5125 revenue ranks #6 of 40 providers in‑state (87th percentile) and S5130 ranks #8 of 162 providers (96th percentile), indicating it is a major in‑state provider for attendant care and homemaker services. By contrast, its rank for G0156 is #24 of 193 (88th percentile), a solid but less dominant position for home health/hospice aide services.

There are notable statistical outliers in the provider’s Medicaid profile: T1016 (case management, each 15 minutes) ranks #1 of 10 providers (100th percentile) and S5130 is described as "notably above typical state volume," suggesting the provider is especially concentrated or specialized in certain case management and homemaker service activities relative to peers. These flagged codes merit attention when evaluating operational capacity or contracting leverage.

Operational scale is reflected in claim volumes across many non‑acute service codes: examples include 226.5K claims for S5130, 222.5K claims for S5170 (home delivered meals), 95.5K claims for T1019 (personal care per 15 minutes) and 92.3K claims for S5102 (day care per diem), showing consistent high utilization of non‑clinical, supportive services across its Medicaid population.

Despite heavy concentration in a few top codes, the provider maintains a diverse menu of waiver and support services—transportation (T2003), emergency response (S5161), laundry (S5175), and home modifications (S5165) all appear in the top code list—indicating an integrated community‑support model rather than reliance on a single service type.

Tenure is long: the NPI was enumerated on 2007‑03‑31 (approximately 19 years ago), which supports that the provider has sustained operations in the Massachusetts Medicaid market and likely established referral and payer relationships over a multi‑year period.

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	77,890	$340	$26.3M
S5125	Attendant care services; per 15 minutes	25,370	$1,030	$26.1M
S5102	Day care services, adult; per diem	92,310	$210	$19.5M
S5130	Homemaker service, nos; per 15 minutes	226,520	$90	$19.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	95,490	$120	$11.6M
T2003	Non-emergency transportation; encounter/trip	84,840	$110	$9.5M
S5170	Home delivered meals, including preparation; per meal	222,490	$20	$5.3M
S5140	Foster care, adult; per diem	2,640	$1,590	$4.2M
T2022	Case management, per month	50,780	$50	$2.6M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	94,910	$30	$2.4M

Showing 1–10 of 38

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

Claims Volume vs. Massachusetts Distribution

Old Colony Elderly Services, Inc. — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	24	140	7,990	$90	$61.6M
S5140	Foster care, adult; per diem	137	160	48,640	$110	$19.5M
S5125	Attendant care services; per 15 minutes	6	40	3,390	$300	$4.7M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	33	50	11,820	$40	$4.4M
S5102	Day care services, adult; per diem	36	340	25,780	$110	$4.1M
S5130	Homemaker service, nos; per 15 minutes	8	160	7,330	$90	$3.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	24	190	14,240	$110	$3.7M
S5100	Day care services, adult; per 15 minutes	40	190	2,000	$230	$3.1M
T2022	Case management, per month	27	80	7,230	$50	$2.6M
S5170	Home delivered meals, including preparation; per meal	10	60	50,010	$20	$2.5M

Showing 1–10 of 38

Nearby Providers

Other providers in the same ZIP code as Old Colony Elderly Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$309.8M
South Bay Mental Health Center, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$112M
Massachusetts Mentor LLC	MA	Foster Care Agency	$0	$95.6M
Brockton Neighborhood Health Center	MA	Federally Qualified Health Center (FQHC)	$0	$91.2M
Sb Transitional Sub, LLC	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.8M
Steward Good Samaritan Medical Center, Inc.	MA	General Acute Care Hospital	$0	$64.2M
Pediatric Services Of America, LLC	MA	Nursing Care Agency	$0	$47.8M
South Bay Mental Health Center, Inc.	MA	Adolescent and Children Mental Health Clinic/Center	$0	$43.2M
Sb Transitional Sub, LLC	MA	Early Intervention Provider Agency	$0	$35.9M
Healthier You Wellness Nutrition Partners Of Greater Boston, LLC	MA	Health Maintenance Organization	$0	$33.8M

Old Colony Elderly Services, Inc. — Billing Profile & Reimbursement Data

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Old Colony Elderly Services, Inc. — 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