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    OpenPayerNPI Medicare & MedicaidThe Commonwealth Of Massachusetts
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    The Commonwealth Of Massachusetts — Billing Profile & Reimbursement Data

    NPI 1093856965 · Jamaica Plain, MA · Clinical Medical Laboratory

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    The Commonwealth Of Massachusetts is a clinical medical laboratory provider located in Jamaica Plain, Massachusetts. This profile covers 6 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationThe Commonwealth Of Massachusetts
    Address305 South St
    CityJamaica Plain
    StateMA
    ZIP02130
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedFebruary 12, 2007

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

    Payer SourceTotal Paid
    Medicaid$4.8M
    Medicare$29.1K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.330$30$11.2K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.330$30$11.2K
    G0475Hiv antigen/antibody, combination assay, screening170$20$4K
    G0472Hepatitis c antibody screening, for individual at high risk and other covered indication(s)80$20$1.3K
    86780The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis.60$10$790
    87521A lab tests a patient’s specimen to provide a definitive diagnosis of hepatitis C by amplified probe technique.10$30$410

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8759131040$30$22.1K
    8749131040$30$22K
    G0475310440$20$8.5K
    G047243020$40$7.5K
    8678061060$10$3K
    8752111010$30$410

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.41,720$30$1.2M
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.38,570$30$1.1M
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…35,950$20$790.8K
    83655The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.56,210$10$618.3K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody35,960$10$431.5K
    86780The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis.35,780$10$393.5K
    87521A lab tests a patient’s specimen to provide a definitive diagnosis of hepatitis C by amplified probe technique.10,770$30$312.3K
    86592The lab analyst performs a test to detect the presence of syphilis–related antibodies in patient specimens using antigen tests such as rapid plasma reagin, called RPR; automated reagin test, called…5,160$1$20.7K
    86593The lab analyst performs a test to evaluate the level of syphilis–related antibodies in patient specimens.1,200$1$4.8K
    0012AN/A70$30$2.3K

    Showing 1–10 of 17

    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

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.13220410$20$216.4K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.15220360$20$211.8K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…9110590$10$207.5K
    86780The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis.590610$10$88.7K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody8170210$10$67.5K
    87521A lab tests a patient’s specimen to provide a definitive diagnosis of hepatitis C by amplified probe technique.110260$30$63.2K
    0002AN/A129160110$30$38.1K
    0001AN/A165180110$30$37.1K
    83655The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.4190130$10$33.5K
    86592The lab analyst performs a test to detect the presence of syphilis–related antibodies in patient specimens using antigen tests such as rapid plasma reagin, called RPR; automated reagin test, called…1160620$1$23.1K

    Showing 1–10 of 17

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with The Commonwealth Of Massachusetts, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Department Of Mental HealthMASubstance Abuse Rehabilitation Facility$0$7.3M
    Scott CorinMAOphthalmology Physician$429K$168.7K
    Kevin HulsebergMAOphthalmology Physician$304.2K$150.7K
    Andrew JuskoMAOphthalmology Physician$317K$7.8K
    Marc WladisMAOphthalmology Physician$310.7K$6.3K
    Michael LawrenceMAAllergy Physician$77.6K$10.5K
    David DouglasMAFamily Medicine Physician$57.4K$23.8K
    Margo StevensonMAAllergy & Immunology Physician$22.1K$43.4K

    Nearby Providers

    Other providers in the same ZIP code as The Commonwealth Of Massachusetts, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Boston Senior Services, Inc.MAPoint of Service$0$65.6M
    Brigham And Women's Faulkner Hospital, IncMAGeneral Acute Care Hospital$0$45.8M
    Family CaregiversMAFoster Care Agency$0$41M
    Victory Programs, Inc.MASubstance Abuse Rehabilitation Facility$0$29.1M
    Pinestreet InnMAAddiction (Substance Use Disorder) Counselor$0$17.2M
    Middlesex Human Service Agency, Inc.MASubstance Abuse Rehabilitation Facility$0$15.9M
    Guardian Healthcare, LLCMAHome Health Agency$0$13.4M
    Arbour IncMAPsychiatric Hospital$0$12.3M
    Southwest Boston Senior Services, IncMAPoint of Service$0$9.2M
    Commonwealth Of MassachusettsMACase Management Agency$0$7.7M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    The Commonwealth Of Massachusetts — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    The Commonwealth Of Massachusetts — 4 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts