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.

North Shore Adult Day Health Care Center LLC (NPI 1144470089)

Field	Value
Entity Type	Organization
Organization	North Shore Adult Day Health Care Center LLC
Address	191 N Commons St
City	Lynn
State	MA
ZIP	01905
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	September 29, 2008

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	142,610	$70	$10.4M
T2003	Non-emergency transportation; encounter/trip	208,160	$20	$4.2M
S5101	Day care services, adult; per half day	8,390	$40	$352.2K
S5100	Day care services, adult; per 15 minutes	500	$50	$23K

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

North Shore Adult Day Health Care Center LLC — 2 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	9	340	25,780	$110	$4.1M
S5100	Day care services, adult; per 15 minutes	133	190	2,000	$230	$3.1M
T2003	Non-emergency transportation; encounter/trip	13	250	40,490	$30	$2.2M
S5101	Day care services, adult; per half day	70	270	4,060	$60	$401.4K

North Shore Adult Day Health Care Center LLC — Billing Profile & Reimbursement Data

Sign up for North Shore Adult Day Health Care Center LLC — Billing Profile & Reimbursement Data policy alerts

North Shore Adult Day Health Care Center LLC — Billing Profile & Reimbursement Data

Sign up for North Shore Adult Day Health Care Center LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References