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.

Children's Services Of Roxbury, Inc. (NPI 1124253794)

Field	Value
Entity Type	Organization
Organization	Children's Services Of Roxbury, Inc.
Address	520 Dudley St
City	Roxbury
State	MA
ZIP	02119
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 26, 2009

Payer Source	Total Paid
Medicaid	$59M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0023	Alcohol and/or drug outreach	584,760	$50	$31M
H2019	Therapeutic behavioral services, per 15 minutes	82,340	$160	$13.1M
T1027	Family training and counseling for child development, per 15 minutes	40,290	$150	$5.9M
H0038	Self‑help/peer services, per 15 minutes	32,770	$100	$3.1M
T1017	Targeted case management, each 15 minutes	16,860	$130	$2.2M
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…	18,850	$80	$1.6M
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…	14,760	$80	$1.2M
H0046	Mental health services, not otherwise specified	9,880	$40	$434.8K
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.	7,050	$60	$402K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	620	$130	$77.1K

Showing 1–10 of 12

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

Children's Services Of Roxbury, Inc. — 4 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0023	Alcohol and/or drug outreach	2	40	127,370	$50	$8.2M
H2019	Therapeutic behavioral services, per 15 minutes	17	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	19	130	4,300	$110	$2.1M
T1017	Targeted case management, each 15 minutes	2	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…	94	1,620	580	$80	$599.6K
H0038	Self‑help/peer services, per 15 minutes	1	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…	716	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…	12	230	470	$60	$221.1K
H0031	Mental health assessment, by non-physician	248	250	380	$140	$200.8K
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.	27	250	470	$50	$162.5K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Children's Services Of Roxbury, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Boston Elder Services, Inc.	MA	Case Management Agency	$0	$186.9M
Dimock Community Health Center, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$29.3M
Dimock Community Services Corporation	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
Hope House Inc.	MA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$23.8M
Central Boston Elder Services, Inc.	MA	Home Health Agency	$0	$11M
Central Boston Elder Services, Inc.	MA	Case Management Agency	$0	$9.5M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$9.1M
Anubha Sacheti	MA	General Practice Dentistry	$0	$7M
Paulina Heywood	MA	Clinical Social Worker	$77.5K	$0
Marybeth Meservey	MA	Obstetrics & Gynecology Nurse Practitioner	$5.1K	$15.1K

Children's Services Of Roxbury, Inc. — Billing Profile & Reimbursement Data

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Children's Services Of Roxbury, 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