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.

Peabody Resident Services Inc (NPI 1124236724)

Field	Value
Entity Type	Organization
Organization	Peabody Resident Services Inc
Address	536 Granite St
City	Braintree
State	MA
ZIP	02184
Taxonomy	Adult Care Home Facility
NPI Enumerated	May 18, 2007

Payer Source	Total Paid
Medicaid	$105.7M
Medicare	$0

Key Findings

PEABODY RESIDENT SERVICES INC reports $105.7M in lifetime Medicaid revenue and has no Medicare billing on file, making its financial footprint effectively single-payer (Medicaid) in the available data. This concentration means Medicare-facing service lines and national Medicare comparators are not observable from the claims on file.

Revenue for this provider is highly concentrated: the precomputed top-3 codes account for 100.0% of its Medicaid revenue, and H0043 alone represents 100.0% of its reported Medicaid revenue. In other words, all billed Medicaid revenue on file is driven by a single code (H0043 – Supported housing, per diem), indicating a mono-line revenue profile within Medicaid.

The dominant code H0043 appears 523.2K times with an average paid per claim of $202 and total Medicaid revenue of $105.7M, signaling very large-volume per-diem supported-housing operations rather than episodic clinical services. Coupled with the provider taxonomy of Adult Care Home Facility, the code mix strongly indicates a residential, day-to-day supported housing business model where per-diem billing is the primary revenue mechanism.

On competitive standing for H0043, the provider ranks #1 of 105 in-state and sits at the 100th percentile, described in the source as an "extreme outlier, far above typical state volume for this code." This ranking characterizes PEABODY RESIDENT SERVICES INC as a dominant statewide provider for supported housing per diem billing, substantially outpacing peers in Massachusetts on this service line.

The claim-level metrics (523.2K claims at $202 avg paid/claim) imply sustained operational scale: high recurring occupancy or large client population provisioned under a per-diem schedule. Such volume typically reflects significant bed capacity or multiple sites operating under the same billing entity, and it drives the entirety of reported Medicaid revenue.

The absence of Medicare billing on file constrains cross-payer comparisons and suggests the provider is focused on Medicaid-covered populations and programs rather than Medicare beneficiaries. Analysts should treat this entity as effectively single-payer (Medicaid) for the purposes of service-line and competitive analysis based on the available claims.

Having an NPI enumerated on 2007-05-18 (~19 years ago) indicates the organization has been active and registered for nearly two decades, supporting a conclusion of established market presence in its service area. Longevity combined with the extreme H0043 volume suggests longstanding operational scale rather than a recent growth spike.

The extreme concentration in one Medicaid code and payer introduces business risk: any policy, reimbursement rate, or eligibility change affecting H0043 or Medicaid supported-housing programs could materially impact the provider's revenue. From an analyst perspective, this concentrated exposure is a key factor to monitor alongside regulatory and state Medicaid program developments.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0043	Supported housing, per diem	523,230	$200	$105.7M

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

Peabody Resident Services Inc — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0043	Supported housing, per diem	1	110	22,180	$90	$5.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vitra Health, Inc.	MA	Adult Care Home Facility	$0	$108.8M
South Shore Elder Services Inc	MA	Case Management Agency	$0	$60.7M
Medical Resources Home Health Corp	MA	Home Health Agency	$0	$26.6M
Vatra Adhc, LLC	MA	Adult Day Care Clinic/Center	$0	$12.9M
Habilitation Assistance Corporation	MA	Developmentally Disabled Services Day Training Agency	$0	$9.6M
South Shore Hospital Inc.	MA	Home Health Agency	$0	$7.9M
Encompass Health Rehabilitation Hospital Of Braintree, LLC	MA	Rehabilitation Hospital	$0	$6.6M
Marathon Health Solutions, LLC	MA	Home Health Agency	$0	$6.4M
Mehnaz Khan	MA	Ophthalmology Physician	$871.2K	$37.7K
Caroline Sizer	MA	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	$823.2K	$0

Peabody Resident Services Inc — Billing Profile & Reimbursement Data

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Peabody Resident Services 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