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.

Advocates, Inc. (NPI 1104032309)

Field	Value
Entity Type	Organization
Organization	Advocates, Inc.
Address	1881 Worcester Rd
City	Framingham
State	MA
ZIP	01701
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 15, 2007

Payer Source	Total Paid
Medicaid	$83.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	994,190	$80	$83.5M
S9485	Crisis intervention mental health services, per diem	110	$100	$10.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	240	$40	$9.7K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	20	$250	$4.8K
T1001	Nursing assessment / evaluation	10	$150	$1.8K
90832	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…	80	$0	$0
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…	730	$0	$0
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	70	$0	$0

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

Advocates, Inc. — 1 of 5 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	4	160	48,640	$110	$19.5M
S9485	Crisis intervention mental health services, per diem	98	110	1,250	$540	$3.2M
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…	737	1,620	580	$80	$599.6K
T1001	Nursing assessment / evaluation	12	10	1,360	$130	$400.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,345	5,040	200	$70	$209.5K
90832	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…	424	570	400	$40	$106.7K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	25	30	50	$220	$87.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	245	290	490	$30	$79K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wec Health, LLC	MA	Foster Care Agency	$0	$126.4M
Wayside Youth And Family Support Network	MA	Mental Health Counselor	$0	$38.5M
Advocates, Inc.	MA	Adult Care Home Facility	$0	$22.5M
Elderly Home Care	MA	Home Health Agency	$0	$16.9M
Variantyx Inc	MA	Clinical Medical Laboratory	$0	$8.6M
Shields Mri Of Framingham, LLC	MA	Magnetic Resonance Imaging (MRI) Clinic/Center	$570.3K	$814.1K
Pet-ct Services By Tufts Medical Center And Shields LLC	MA	Mobile Radiology Clinic/Center	$775.6K	$12.2K
Petronela Iorga	MA	Anatomic Pathology & Clinical Pathology Physician	$633K	$0
Stanley Kraus	MA	Urology Physician	$449.4K	$0
Jill Becker	MA	General Practice Physician	$147.7K	$272.7K

Advocates, Inc. — Billing Profile & Reimbursement Data

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Advocates, 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

Nearby Providers

Frequently Asked Questions

References