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.

Nonotuck Resource Associates, Inc (NPI 1184769069)

Field	Value
Entity Type	Organization
Organization	Nonotuck Resource Associates, Inc
Address	425 Prospect St
City	Northampton
State	MA
ZIP	01060
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 20, 2007

Payer Source	Total Paid
Medicaid	$154.6M
Medicare	$0

Key Findings

This provider is effectively single-payer at present: there is no Medicare billing on file while Medicaid revenue totals $154.6M, so the organization’s entire recorded public-payer footprint in this dataset is driven by Medicaid. Analysts should treat Medicaid trends as synonymous with overall public-revenue trends for this entity.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and a single code, S5140, alone is listed with $154.5M in revenue (100.0% of this provider's total Medicaid revenue). This indicates nearly all Medicaid dollars for this NPI flow through one per-diem foster-care service line.

The dominant code S5140 (Foster care, adult; per diem) and the provider taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) together indicate the operation is primarily a long-term residential/foster care service for adults with developmental or intellectual disabilities, with revenue driven by per-diem bed-day billing rather than episodic medical procedures. The code mix suggests ongoing residential placement and daily support services are the core business model.

S5140 shows very high state-level standing: it ranks #2 of 158 providers in-state and is in the 99th percentile, described as notably above typical state volume for this code. That rank and percentile position this organization as a major, statewide provider of adult foster-care per-diem services rather than a marginal or occasional biller for that service.

Operational scale is substantial in utilization terms: S5140 is associated with 1.8M claims and an average paid per claim of $87, which aligns with a high-volume, daily-billed service model. This claim count implies a large aggregate of billed days or clients and suggests significant administrative throughput tied to daily per-diem billing cycles.

Ancillary services are minimal in revenue impact: T1028 (assessment of home, physical and family environment) appears with 203 claims, $245 avg paid/claim, and $49.7K revenue (0.0% of this provider's total Medicaid revenue), ranking #9 of 32 in-state at the 74th percentile. This code functions as a relatively small, support-level revenue stream and is not material to the provider’s overall Medicaid revenue base.

The provider’s heavy dependence on one per-diem code creates concentrated reimbursement exposure: policy, rate, or eligibility changes affecting S5140 would materially alter this provider’s topline Medicaid revenue given S5140’s $154.5M contribution and the 100.0% concentration across the top codes. Analysts should flag concentration risk and monitor state-level reimbursement or program changes for foster-care adult per-diem services.

The NPI has a longstanding enrollment (NPI enumerated 2007-02-20 (~19 years ago)), indicating established operations and a sustained Medicaid billing relationship over many years, which supports the interpretation that the current billing patterns reflect an entrenched service model rather than a short-term anomaly.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	1,776,240	$90	$154.5M
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	200	$250	$49.7K

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

Nonotuck Resource Associates, Inc — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	2	160	48,640	$110	$19.5M
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	9	30	50	$220	$87.4K

Nearby Providers

Other providers in the same ZIP code as Nonotuck Resource Associates, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$204.8M
Department Of Mental Health	MA	Community/Behavioral Health Agency	$0	$153M
Cooley Dickinson Hospital Inc	MA	General Acute Care Hospital	$0	$34.9M
Servicenet Inc	MA	Early Intervention Provider Agency	$0	$10M
Servicenet Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.5M
Mass General Brigham Medical Group Western Massachusetts Inc	MA	Family Medicine Physician	$0	$8M
City Of Northampton	MA	Land Ambulance	$831.4K	$2.7M
Shields Pet Ct At Cooley Dickinson Hospital LLC	MA	Mobile Radiology Clinic/Center	$685K	$6.7K
Steven Weinsier	MA	Cardiovascular Disease Physician	$338.5K	$400
Derek Davidson	MA	Physical Medicine & Rehabilitation Physician	$331.7K	$0

Nonotuck Resource Associates, Inc — Billing Profile & Reimbursement Data

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Nonotuck Resource Associates, Inc — 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