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.

Bay State Community Services, Inc. (NPI 1134126865)

Field	Value
Entity Type	Organization
Organization	Bay State Community Services, Inc.
Address	1120 Hancock St
City	Quincy
State	MA
ZIP	02169
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicaid	$28.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0023	Alcohol and/or drug outreach	201,330	$50	$10.7M
H2019	Therapeutic behavioral services, per 15 minutes	58,910	$140	$8.2M
T1027	Family training and counseling for child development, per 15 minutes	49,460	$100	$4.9M
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…	22,750	$90	$1.9M
H0038	Self‑help/peer services, per 15 minutes	12,130	$80	$982.8K
H2016	Comprehensive community support services, per diem	29,180	$20	$612.7K
T1017	Targeted case management, each 15 minutes	3,570	$100	$356.7K
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…	3,280	$100	$318.5K
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…	4,730	$30	$141.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	720	$120	$87.2K

Showing 1–10 of 15

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

Bay State Community Services, Inc. — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0023	Alcohol and/or drug outreach	10	40	127,370	$50	$8.2M
H2019	Therapeutic behavioral services, per 15 minutes	26	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	13	130	4,300	$110	$2.1M
H2016	Comprehensive community support services, per diem	20	80	4,550	$30	$1.6M
T1017	Targeted case management, each 15 minutes	16	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…	83	1,620	580	$80	$599.6K
H0038	Self‑help/peer services, per 15 minutes	5	40	4,420	$80	$471.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	24	30	3,380	$50	$460K
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…	204	230	470	$60	$221.1K
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…	565	5,040	200	$70	$209.5K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Bay State Community Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$447.5M
South Shore Mental Health Center, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.4M
Nextmargin Corporation	MA	In Home Supportive Care Agency	$0	$72.3M
Caring Bees Healthcare Inc.	MA	Home Health Agency	$0	$20.8M
Fallon Service, Inc.	MA	Land Ambulance	$0	$11.8M
Anodyne Homemaker Services Corp	MA	Home Health Agency	$0	$11.6M
Rainbow Adhc Of Quincy LLC	MA	Adult Day Care Clinic/Center	$0	$10.3M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$9.4M
Allied Home Health Care, Inc.	MA	Home Health Agency	$0	$7.9M
Advantage Imaging Solutions, LLC	MA	Sonography Radiologic Technologist	$44.7K	$3.4M

Bay State Community Services, Inc. — Billing Profile & Reimbursement Data

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Bay State Community Services, 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