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.

Innovive Health Of Massachusetts LLC (NPI 1093826596)

Field	Value
Entity Type	Organization
Organization	Innovive Health Of Massachusetts LLC
Address	10 Cabot Rd Ste 201
City	Medford
State	MA
ZIP	02155
Taxonomy	Home Health Agency
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$364.6M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and is effectively a single‑payer Medicaid operator, with total Medicaid revenue of $364.6M. The NPI was enumerated 2006-08-31 (~20 years ago), indicating an established presence in the market rather than a recent entrant.

Revenue is extremely concentrated in a very small set of home‑health codes: the top three Medicaid codes account for 97.9% of the provider’s total Medicaid revenue. Specifically, T1502 accounts for $275M (75.4%), G0299 accounts for $73.7M (20.2%), and G0300 accounts for $8.3M (2.3%).

The code mix identifies the operation as a high‑volume medication‑administration and skilled‑nursing home‑health provider: T1502 is administration of oral, intramuscular and/or subcutaneous medication per visit, while G0299 and G0300 are direct skilled nursing services by RN and LPN, each 15 minutes. This suggests core service lines are frequent medication administration visits and intensive skilled nursing time in the home rather than primary emphasis on clinic‑based or procedure‑heavy services.

T1502 and G0299 are statewide outliers in volume and market position: T1502 ranks #1 of 128 providers in‑state (100th percentile; extreme outlier) and G0299 ranks #1 of 307 providers in‑state (100th percentile; extreme outlier). Those rank/percentile positions indicate a dominant position for these specific service lines within Massachusetts Medicaid.

G0300 is also an extreme outlier for LPN services, ranking #2 of 169 providers in‑state (99th percentile; extreme outlier), while ancillary home‑health codes such as G0156 (home health aide) and G0151/G0152 (PT/OT) show meaningful but much smaller contributions ($3.1M and ~$1.2M each for G0156 and G0151 respectively). This pattern indicates some breadth of home‑health offerings beyond medication administration, but at orders‑of‑magnitude lower revenue than the top two codes.

The combination of large scale ($364.6M) and very high revenue concentration in two codes creates material payer‑policy and reimbursement risk: policy, audit, or rate changes for T1502 or G0299 would likely have outsized impact on overall revenue. The dataset does not show Medicare exposure to offset such state‑level changes, increasing sensitivity to Medicaid program adjustments.

Several codes appear with claims but $0 average paid/claim (for example 3IA21, 3FA11, 3IA11 and others listed), which suggests use of encounter, non‑reimbursed reporting lines, or bundled reporting practices that generate volume without direct Medicaid payment. These zero‑paid code volumes may reflect administrative/reporting activity or payer‑specific claim handling that does not contribute to the revenue totals shown.

The provider’s long tenure (NPI enumerated 2006-08-31 (~20 years ago)) combined with top in‑state ranks for key codes suggests an entrenched operational model and strong market position in Massachusetts Medicaid home health medication administration and skilled nursing services. For payers and competitors, this profile characterizes the entity as a dominant statewide provider for high‑frequency in‑home medication and RN/LPN nursing services.

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 Code	Description	Claims	Avg Paid	Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	4,583,250	$60	$275M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1,567,590	$50	$73.7M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	217,220	$40	$8.3M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	119,160	$30	$3.1M
S9123	Nursing 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)	18,780	$80	$1.4M
T1002	Rn services, up to 15 minutes	14,450	$90	$1.2M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	23,950	$50	$1.2M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	8,640	$50	$457.7K
T1503	Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit	2,580	$40	$105.8K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	820	$120	$98.6K

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.

Claims Volume vs. Massachusetts Distribution

Innovive Health Of Massachusetts LLC — 3 of 12 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1003	Lpn/lvn services, up to 15 minutes	15	20	43,500	$250	$14.2M
T1002	Rn services, up to 15 minutes	14	40	3,550	$290	$10.9M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	1	130	34,780	$60	$7.4M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	13	190	14,240	$110	$3.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1	310	8,710	$40	$1.6M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	2	170	3,500	$40	$757.2K
S9123	Nursing 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)	12	50	7,160	$20	$397.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	8	90	2,250	$40	$315K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	6	50	1,510	$40	$179.2K
T1503	Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit	2	10	850	$60	$77.2K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Innovive Health Of Massachusetts LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Melrosewakefield Healthcare, Inc.	MA	General Acute Care Hospital	$0	$37.8M
Medford Adhc	MA	Adult Day Care Clinic/Center	$0	$10.4M
Dcs Mental Health, Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.5M
Medford Surgery Center LLC	MA	Ambulatory Surgical Clinic/Center	$470.6K	$0
Laurence Conway	MA	Cardiovascular Disease Physician	$461.8K	$480
Michael Stevens	MA	Family Medicine Physician	$318.6K	$0
David Samenuk	MA	Cardiovascular Disease Physician	$303K	$0
Dan Seligman	MA	Podiatrist	$234.1K	$19.5K
Nancy Kim	MA	Ophthalmology Physician	$186.1K	$4K
Tara Hamilton	MA	Endocrinology, Diabetes & Metabolism Physician	$179.7K	$0

Innovive Health Of Massachusetts LLC — Billing Profile & Reimbursement Data

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Innovive Health Of Massachusetts LLC — 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