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    OpenPayerNPI Medicare & MedicaidMass General Brigham Home Care, Inc.
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    Mass General Brigham Home Care, Inc. — Billing Profile & Reimbursement Data

    NPI 1083644017 · Newton, MA · Home Health Agency

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    Mass General Brigham Home Care, Inc. is a home health agency provider located in Newton, Massachusetts. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMass General Brigham Home Care, Inc.
    Address95 Wells Ave Ste 320
    CityNewton
    StateMA
    ZIP02459
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$17.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes133,120$60$7.7M
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes99,780$50$4.5M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes30,220$70$2.2M
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes27,710$50$1.4M
    S5161Emergency response system; service fee, per month (excludes installation and testing)19,710$20$374.5K
    S9131Physical therapy; in the home, per diem6,620$50$330.9K
    T1030Nursing care, in the home, by registered nurse, per diem2,870$100$290K
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)5,220$50$234.9K
    G0153Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.2,780$70$180.7K
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes4,120$10$57.7K

    Showing 1–10 of 18

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes13619014,240$110$3.7M
    S5161Emergency response system; service fee, per month (excludes installation and testing)286019,060$20$2.1M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes163108,710$40$1.6M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes321703,500$40$757.2K
    T1030Nursing care, in the home, by registered nurse, per diem120180$830$477.7K
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)29507,160$20$397.1K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes1902,250$40$315K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…280290980$70$240.4K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes1501,510$40$179.2K
    S9131Physical therapy; in the home, per diem8303,360$20$123.9K

    Showing 1–10 of 18

    Nearby Providers

    Other providers in the same ZIP code as Mass General Brigham Home Care, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Longevity Care, Inc.MAIn Home Supportive Care Agency$0$14.9M
    Hospice Of The Good Shepherd, Inc.MACommunity Based Hospice Care Agency$0$10.9M
    Neurocare, Inc.MASleep Disorder Diagnostic Clinic/Center$279.2K$758.9K
    Union Pharmacy, LLCMAPharmacy$478K$0
    Timothy QuinnMADermatopathology (Pathology) Physician$471.8K$0
    Julie ReimannMADermatopathology Physician$398.9K$0
    Scott MccarthyMAFamily Nurse Practitioner$186.3K$0
    Michael GussMAOrthopaedic Surgery Physician$136.1K$0
    Haroon MalikMAClinical Neuropsychologist$16.8K$0
    Sumi DolbenMAAdult Psychiatric/Mental Health Clinical Nurse Specialist$14.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Massachusetts Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Mass General Brigham Home Care, Inc. — 5 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts