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.

Justice Resource Institute, Inc. (NPI 1093787095)

Field	Value
Entity Type	Organization
Organization	Justice Resource Institute, Inc.
Address	110 Boston Street
City	Salem
State	MA
ZIP	01970
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 3, 2006

Payer Source	Total Paid
Medicaid	$186.1M
Medicare	$0

Key Findings

JUSTICE RESOURCE INSTITUTE, INC. reports $186.1M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a Medicaid-focused organization rather than a dual-payer outpatient provider. The absence of Medicare billing means analyses of this entity should be framed around Medicaid program rules, rates, and state-level market dynamics.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicaid codes account for 66.9% of this provider's total Medicaid revenue, led by H2019 ($53.8M revenue, 28.9%), H0023 ($41.2M revenue, 22.1%), and T1027 ($29.5M revenue, 15.9%). This concentration indicates the majority of cash flow is driven by time-based community and family behavioral services rather than a broad mix of fee-for-service medical visits.

The code mix points to an operational model built around community-based, time-intensity services: H2019 (therapeutic behavioral services, per 15 minutes), H0023 (behavioral health outreach service), and T1027 (family training and counseling for child development, per 15 minutes) together dominate billing. These codes suggest heavy provision of outreach, in‑home or community behavioral interventions and family-focused training, consistent with a service line aimed at children and families or community behavioral health programs.

JUSTICE RESOURCE INSTITUTE is a statewide market leader on multiple high‑volume behavioral codes: H2019 ranks #1 of 294 providers in-state (100th percentile; extreme outlier) and H0023 ranks #1 of 37 providers in-state (100th percentile; extreme outlier), while T1027 ranks #2 of 131 providers (99th percentile; extreme outlier). Those rank and percentile positions indicate the provider is far above typical state volume for its core community behavioral service lines and occupies a dominant competitive position for those codes.

In addition to the top three codes, the organization also bills large volumes of traditional psychotherapy and coordination services—90834 accounts for $20.9M (11.2%) and ranks #12 of 1617 providers in-state (99th percentile; extreme outlier), while 90882 accounts for $6.6M (3.6%) and ranks #1 of 245 providers in-state (100th percentile; extreme outlier). This combination shows the provider pairs time-based community interventions with high-volume psychotherapy and interagency coordination, supporting both direct clinical care and system navigation activities.

There is observable breadth beyond the top revenue drivers: H2014 (skills training and development) contributes $13.1M (7.0%) and is in the 93th percentile (typical), H0019 (long-term residential, per diem) contributes $4.5M (2.4%) and is in the 16th percentile (typical), and T1017 (targeted case management, each 15 minutes) contributes $4.3M (2.3%) and ranks #1 of 26 providers (100th percentile; extreme outlier). These entries indicate the provider operates a mix of skills training, some residential services, and case management/coordination capacity in addition to its outreach and therapeutic lines.

The provider's NPI was enumerated on 2006-02-03 (~20 years ago), signaling a long-tenured presence in the state Medicaid market that likely supports established payer and referral relationships. That tenure, combined with dominant positions on multiple community behavioral codes, suggests institutional experience delivering large-scale, time-based behavioral services to the Medicaid population.

Because the organization is effectively single-payer (Medicaid-only on file) and 66.9% of Medicaid revenue is concentrated in three time- and outreach-based codes, operational performance and revenue are tightly coupled to state Medicaid policy, per‑unit rates, and program definitions for those codes. Analysts should treat reimbursement changes, utilization management, or programmatic shifts affecting H2019, H0023, or T1027 as material to the provider's financial profile and capacity to scale services.

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
H2019	Therapeutic behavioral services, per 15 minutes	375,950	$140	$53.8M
H0023	Alcohol and/or drug outreach	748,470	$60	$41.2M
T1027	Family training and counseling for child development, per 15 minutes	261,430	$110	$29.5M
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…	219,810	$100	$20.9M
H2014	Skills training and development, per 15 minutes	63,170	$210	$13.1M
90882	In this service, the provider works with outside agencies, employers, or other healthcare providers regarding the patient’s physical environment to help manage a psychiatric patient’s medical care.	88,200	$80	$6.6M
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…	71,460	$70	$4.6M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	470	$9,540	$4.5M
T1017	Targeted case management, each 15 minutes	36,270	$120	$4.3M
H0038	Self‑help/peer services, per 15 minutes	22,460	$90	$2M

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

Justice Resource Institute, Inc. — 12 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
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	63	80	5,200	$370	$8.4M
H0023	Alcohol and/or drug outreach	1	40	127,370	$50	$8.2M
H2014	Skills training and development, per 15 minutes	14	190	21,080	$110	$3M
H2019	Therapeutic behavioral services, per 15 minutes	1	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	2	130	4,300	$110	$2.1M
T1017	Targeted case management, each 15 minutes	1	30	4,940	$110	$633.1K
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…	12	1,620	580	$80	$599.6K
H0038	Self‑help/peer services, per 15 minutes	2	40	4,420	$80	$471.4K
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…	33	1,020	460	$100	$293.7K
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…	1	230	470	$60	$221.1K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Justice Resource Institute, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Shore Medical Center, Inc.	MA	General Acute Care Hospital	$0	$137.7M
North Shore Community Health, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$32.2M
Mass General Brigham Medical Group Northern Massachusetts Inc	MA	Emergency Medicine Physician	$0	$30.2M
East Point Adhc	MA	Adult Day Care Clinic/Center	$0	$22.9M
North Shore Medical Center, Inc.	MA	Psychiatric Hospital Unit	$0	$9.8M
Stay Well Ahdc, Inc.	MA	Adult Care Home Facility	$0	$8.5M
Commonwealth Diagnostics International, Inc.	MA	Clinical Medical Laboratory	$609.6K	$73.7K
Ramakrishna Gaddipati	MA	Ophthalmology Physician	$393K	$0
Thomas Kingston	MA	Urology Physician	$341.3K	$0
Jannet Ung	MA	Ophthalmology Physician	$338.2K	$3K

Justice Resource Institute, Inc. — Billing Profile & Reimbursement Data

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Justice Resource Institute, 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