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.

The Edinburg Center Inc (NPI 1073617353)

Field	Value
Entity Type	Organization
Organization	The Edinburg Center Inc
Address	205 Burlington Rd
City	Bedford
State	MA
ZIP	01730
Taxonomy	Psychiatry Physician
NPI Enumerated	September 8, 2006

Payer Source	Total Paid
Medicaid	$16.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	28,380	$180	$5.2M
H2012	Behavioral health day treatment, per hour	41,880	$80	$3.4M
H2019	Therapeutic behavioral services, per 15 minutes	18,460	$130	$2.4M
H0040	Assertive community treatment program, per diem	60,750	$40	$2.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	17,540	$80	$1.5M
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	1,830	$200	$358.1K
H0031	Mental health assessment, by non-physician	2,250	$140	$306.3K
T1027	Family training and counseling for child development, per 15 minutes	3,230	$80	$248.4K
H0032	Mental health service plan development by non-physician	910	$200	$178.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4,800	$30	$163.1K

Showing 1–10 of 20

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

The Edinburg Center Inc — 1 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	69	190	21,080	$110	$3M
H2019	Therapeutic behavioral services, per 15 minutes	70	290	3,680	$150	$2.9M
H0040	Assertive community treatment program, per diem	6	20	22,090	$50	$2.8M
T1027	Family training and counseling for child development, per 15 minutes	70	130	4,300	$110	$2.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	99	1,620	580	$80	$599.6K
H2012	Behavioral health day treatment, per hour	5	110	840	$70	$575.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	343	1,020	460	$100	$293.7K
H0032	Mental health service plan development by non-physician	57	160	430	$180	$269.5K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	91	230	470	$60	$221.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	418	950	90	$100	$212.9K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Edinburg Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Bellefeuille	MA	Clinical Neuropsychologist	$50.9K	$0

Nearby Providers

Other providers in the same ZIP code as The Edinburg Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New England Life Flight, Inc.	MA	Air Ambulance	$5M	$21.1M
Nashoba Learning Group, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$10.2M
Kathleen O'neill	MA	Physical Therapist	$71.3K	$0
Joseph Keating	MA	Psychiatry Physician	$48.8K	$0
Eileen Batchelor	MA	Family Nurse Practitioner	$46.2K	$0

The Edinburg Center Inc — Billing Profile & Reimbursement Data

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The Edinburg Center Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References