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.

Community Connections, Inc. (NPI 1174669675)

Field	Value
Entity Type	Organization
Organization	Community Connections, Inc.
Address	127 Whites Path
City	S Yarmouth
State	MA
ZIP	02664
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$65.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	313,740	$120	$38.3M
H2014	Skills training and development, per 15 minutes	95,350	$240	$22.8M
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…	26,540	$100	$2.7M
S5101	Day care services, adult; per half day	34,720	$60	$2M
S5100	Day care services, adult; per 15 minutes	2,250	$30	$69.6K
T2003	Non-emergency transportation; encounter/trip	2,330	$30	$65.2K

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

Community Connections, Inc. — 3 of 6 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

6 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…	43	140	7,990	$90	$61.6M
S5102	Day care services, adult; per diem	1	340	25,780	$110	$4.1M
S5100	Day care services, adult; per 15 minutes	92	190	2,000	$230	$3.1M
H2014	Skills training and development, per 15 minutes	5	190	21,080	$110	$3M
T2003	Non-emergency transportation; encounter/trip	220	250	40,490	$30	$2.2M
S5101	Day care services, adult; per half day	5	270	4,060	$60	$401.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$881.9M
Kennedy Donovan Center, Inc	MA	Adult Care Home Facility	$0	$15.7M
Transitions Centers Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$6.5M
Town Of Yarmouth	MA	Land Ambulance	$959.6K	$1.4M
Gerald Tanguilig	MA	Ophthalmology Physician	$492.9K	$0
Cvs Pharmacy Inc	MA	Pharmacy	$407.4K	$0
Jorge Alfonso	MA	Internal Medicine Physician	$297.5K	$0
Ann Gryboski	MA	Internal Medicine Physician	$238.5K	$0
Arthur Kalil	MA	Podiatrist	$210K	$24.2K
Danielle Leighton	MA	Nurse Practitioner	$152.7K	$0

Community Connections, Inc. — Billing Profile & Reimbursement Data

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Community Connections, 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