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.

Elder Services Of The Merrimack Valley, Inc. (NPI 1174642490)

Field	Value
Entity Type	Organization
Organization	Elder Services Of The Merrimack Valley, Inc.
Address	360 Merrimack St
City	Lawrence
State	MA
ZIP	01843
Taxonomy	Home Health Agency
NPI Enumerated	March 28, 2007

Payer Source	Total Paid
Medicaid	$86.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	539,640	$60	$30.2M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	600,350	$50	$28.2M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	324,190	$30	$11M
T2022	Case management, per month	71,660	$60	$4M
S5102	Day care services, adult; per diem	67,270	$60	$3.7M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	88,050	$30	$2.4M
S5170	Home delivered meals, including preparation; per meal	241,450	$10	$2.2M
T2003	Non-emergency transportation; encounter/trip	50,310	$40	$2.1M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	777,620	$1	$1.6M
S5165	Home modifications; per service	3,960	$180	$725K

Showing 1–10 of 18

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

Elder Services Of The Merrimack Valley, Inc. — 5 of 17 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	6	140	7,990	$90	$61.6M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	15	20	39,290	$50	$29.3M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	3	50	11,820	$40	$4.4M
S5102	Day care services, adult; per diem	67	340	25,780	$110	$4.1M
S5130	Homemaker service, nos; per 15 minutes	2	160	7,330	$90	$3.8M
T2022	Case management, per month	16	80	7,230	$50	$2.6M
S5170	Home delivered meals, including preparation; per meal	9	60	50,010	$20	$2.5M
T2003	Non-emergency transportation; encounter/trip	112	250	40,490	$30	$2.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	7	60	19,060	$20	$2.1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1	70	2,890	$90	$1.4M

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Elder Services Of The Merrimack Valley, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$444M
Agespan, Inc.	MA	Case Management Agency	$0	$163.5M
Maestro-connections Health Systems, LLC	MA	Home Health Agency	$0	$52.7M
Column Health, LLC	MA	Clinic/Center	$72.6K	$32.7M
Fidelity House, Inc	MA	Foster Care Agency	$0	$26.3M
Fcp, Inc	MA	Community/Behavioral Health Agency	$0	$21.2M
Royal Comfort Home Care Inc	MA	Home Health Agency	$0	$20.5M
Gentle Home Care Services Inc	MA	Home Health Agency	$0	$17M
Northeast Independent Living Program Inc	MA	Counselor	$0	$15.8M
New England Family Dentistry, PC	MA	General Practice Dentistry	$0	$12.5M

Elder Services Of The Merrimack Valley, Inc. — Billing Profile & Reimbursement Data

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Elder Services Of The Merrimack Valley, 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