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.

Commonwealth Of Massachusetts (NPI 1134250475)

Field	Value
Entity Type	Organization
Organization	Commonwealth Of Massachusetts
Address	65 Sprague St
City	Hyde Park
State	MA
ZIP	02136
Taxonomy	Case Management Agency
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$1.1B
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused operator: it has no Medicare billing on file and reports Total Medicaid revenue of $1.1B, indicating a single-payer concentration in public behavioral/long-term services rather than mixed Medicare/Medicaid practice. The absence of Medicare activity means competitive and regulatory dynamics for this provider will be driven almost entirely by Medicaid policy and managed-care contracting in Massachusetts.

Medicaid revenue is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 92.9% of this provider's total Medicaid revenue, with one code (T2016) alone representing a very large share. That degree of concentration suggests the provider’s financial performance and growth are highly dependent on reimbursement and utilization trends for a small set of waiver and habilitation services.

T2016 (Habilitation, residential, waiver; per diem) is the dominant revenue driver, with 82.6K claims, $11249 avg paid/claim, and $929.6M revenue, accounting for 84.7% of this provider's total Medicaid revenue and ranking #1 of 25 providers in-state (100th percentile). This profile indicates the organization operates substantial residential habilitation/waiver programs and is the leading in-state provider for high-value per-diem residential waiver services.

S5100 (Day care services, adult; per 15 minutes) is a secondary but still material service line with 193.4K claims, $318 avg paid/claim, and $61.5M revenue (5.6% of total Medicaid revenue); it ranks #1 of 189 providers in-state and is labeled an extreme outlier. The provider’s unusually large volume for adult day care implies a broad community-based day-services footprint and could reflect scale-driven advantages in serving adults who require supervised day supports.

T2023 (Targeted case management; per month) contributes $28.1M (2.6% of Medicaid revenue) from 83K claims at $339 avg paid/claim and also ranks #1 of 70 providers in-state (100th percentile, extreme outlier). High placement on targeted case management suggests the organization combines intensive care coordination with its residential and day services, positioning it as an integrated service provider for populations requiring ongoing case management.

Other Medicaid codes show both breadth and typical participation: H2015 (Comprehensive community support services, per 15 minutes) generated $24.1M from 64.9K claims ($372 avg paid/claim) and ranks #16 of 147 providers in-state (90th percentile), while T2003 (Non-emergency transportation; encounter/trip) produced $22.7M from 841.4K claims ($27 avg paid/claim) and ranks #3 of 245 providers in-state (99th percentile). These volumes indicate the provider also delivers substantial ancillary support services (transportation and community supports) at scale, with transportation showing especially large encounter counts relative to peers.

Competitive standing within Massachusetts is dominant for multiple high-revenue codes: the provider ranks #1 for T2016, S5100, and T2023 (all 100th percentile or labeled extreme outlier), and ranks near the top for other codes such as T2003 (#3 of 245, 99th percentile) and H2023 (#2 of 23, 95th percentile). This statewide leadership across residential habilitation, day services, and case management signals a major market position in waiver and community-based services for populations served under Medicaid.

The provider’s NPI was enumerated on 2007-03-08 (~19 years ago), indicating long-tenured enrollment in the Medicare/Medicaid system. That longevity, coupled with concentrated Medicaid revenue and top statewide ranks, suggests an established operational footprint that is highly specialized in waiver-residential and community habilitation services, though it also implies sensitivity to policy or rate changes affecting the core T2016 reimbursement stream.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	82,640	$11,250	$929.6M
S5100	Day care services, adult; per 15 minutes	193,390	$320	$61.5M
T2023	Targeted case management; per month	82,960	$340	$28.1M
H2015	Comprehensive community support services, per 15 minutes	64,920	$370	$24.1M
T2003	Non-emergency transportation; encounter/trip	841,430	$30	$22.7M
H2023	Supported employment, per 15 minutes	60,040	$230	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	37,200	$210	$7.7M
S5125	Attendant care services; per 15 minutes	22,930	$250	$5.8M
T2019	Habilitation, supported employment, waiver; per 15 minutes	44,610	$90	$4.2M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	2,770	$130	$351.3K

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

Commonwealth Of Massachusetts — 5 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	1	30	29,930	$10,070	$358.9M
T2023	Targeted case management; per month	1	70	8,210	$510	$8.6M
H2023	Supported employment, per 15 minutes	2	20	28,450	$190	$5.6M
H2015	Comprehensive community support services, per 15 minutes	16	150	7,770	$140	$4.8M
S5125	Attendant care services; per 15 minutes	7	40	3,390	$300	$4.7M
T2021	Day habilitation, waiver; per 15 minutes	3	20	20,590	$210	$4.5M
S5100	Day care services, adult; per 15 minutes	1	190	2,000	$230	$3.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	3	20	24,690	$120	$3.1M
T2003	Non-emergency transportation; encounter/trip	3	250	40,490	$30	$2.2M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	38	70	2,890	$90	$1.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forever Young Adult Day Health Center	MA	Adult Day Care Clinic/Center	$0	$16.2M
Secure Home Health Care Incorporated	MA	Home Health Agency	$0	$13.4M
Tcfwc - The Child And Family Wellness Center LLC	MA	Community/Behavioral Health Agency	$0	$13.2M
Fuente De Vida Adult Day Care Services, LLC	MA	Adult Day Care Clinic/Center	$0	$12.8M
Light House Behavioral Health And Wellness Center Inc.	MA	Community/Behavioral Health Agency	$0	$6.9M
Gregory Talalayevsky	MA	Internal Medicine Physician	$194.2K	$53.5K
Ary-lex Auguste	MA	Certified Registered Nurse Anesthetist	$45.7K	$0
Janice Buziak-smith	MA	Speech-Language Pathologist	$42K	$0

Commonwealth Of Massachusetts — Billing Profile & Reimbursement Data

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Commonwealth Of Massachusetts — 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