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.

Child & Family Services, Inc. (NPI 1205813540)

Field	Value
Entity Type	Organization
Organization	Child & Family Services, Inc.
Address	1061 Pleasant St
City	New Bedford
State	MA
ZIP	02740
Taxonomy	Mental Health Counselor
NPI Enumerated	December 28, 2005

Payer Source	Total Paid
Medicaid	$169.5M
Medicare	$0

Key Findings

CHILD & FAMILY SERVICES, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the entity reports $169.5M in lifetime Medicaid revenue. Its NPI was enumerated on 2005-12-28 (~21 years ago), indicating long tenure in the market and sustained Medicaid activity over two decades.

Revenue is highly concentrated in a few service lines: the precomputed top three Medicaid codes — 90834, T1040, and S9485 — together account for 53.7% of the provider's total Medicaid revenue. Individually these codes generate $31.4M (90834, 18.5%), $31M (T1040, 18.3%), and $28.7M (S9485, 16.9%), which signals material dependence on a small set of high-revenue services.

The billed code mix points to a large community behavioral health operation that combines high-volume psychotherapy with clinic-level per-diem and crisis services. High-volume psychotherapy is represented by 90834 (468.8K claims, $67 avg paid/claim, $31.4M revenue), while system-level per-diem and crisis capacity is shown by T1040 (132.4K claims, $234 avg paid/claim, $31M revenue) and S9485 (45.3K claims, $633 avg paid/claim, $28.7M revenue).

Operational scale and throughput are substantial across time-based and per-diem modalities: T1027 has 292.1K claims ($86 avg paid/claim, $25.1M revenue), H0023 has 232.1K claims ($55 avg paid/claim, $12.8M revenue), and 90834 has 468.8K claims. These high claim counts combined with large dollar volumes indicate the organization delivers services at scale across both high-frequency short-duration units and daily clinic rates.

State-level competitive standing is dominant for several core behavioral services: the provider ranks #1 of 131 for T1027 (100th percentile, extreme outlier), #2 of 167 for T1040 (99th percentile, extreme outlier), and #3 of 113 for S9485 (98th percentile, extreme outlier). 90834 also ranks #6 of 1617 (100th percentile, extreme outlier), together demonstrating that this entity is a major statewide provider and an extreme outlier in volume for multiple high-revenue codes.

There is a diversified billing structure across unit types rather than reliance on a single modality: the portfolio includes per-diem clinic codes (T1040, S9485, H0037), time-interval family/skill training and therapeutic services (T1027, H2019, H2011), and individual psychotherapy CPTs (90834, 90832, 90837). This mix suggests integrated programming spanning crisis, clinic-day, family training, and direct psychotherapy delivery rather than a narrow outpatient-only model.

Despite dominance in core codes, some service lines are not equally dominant in-state: H0023 (rank #9 of 37, 78th percentile) and H2014 (rank #168 of 189, 11th percentile) are characterized as typical or unremarkable volumes. This contrast indicates strategic concentration on crisis, per-diem, family training, and psychotherapy services while other specialty or skills-training lines remain less central to the provider's revenue mix.

The payer concentration (no Medicare revenue and $169.5M from Medicaid) presents financial exposure to Medicaid policy, rate, and utilization changes; operational planners and payers should note the provider’s heavy reliance on a narrow set of high-volume Medicaid codes (90834, T1040, S9485) that collectively drive the majority of revenue.

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	468,820	$70	$31.4M
T1040	Medicaid certified community behavioral health clinic services, per diem	132,380	$230	$31M
S9485	Crisis intervention mental health services, per diem	45,290	$630	$28.7M
T1027	Family training and counseling for child development, per 15 minutes	292,100	$90	$25.1M
H2019	Therapeutic behavioral services, per 15 minutes	156,390	$120	$18.9M
H0023	Alcohol and/or drug outreach	232,060	$60	$12.8M
H2011	Crisis intervention service, per 15 minutes	40,910	$160	$6.5M
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	54,950	$40	$2.3M
H0037	Community psychiatric supportive treatment program, per diem	3,800	$580	$2.2M
H0046	Mental health services, not otherwise specified	51,790	$40	$2.1M

Showing 1–10 of 32

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

Child & Family Services, Inc. — 14 of 25 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0023	Alcohol and/or drug outreach	9	40	127,370	$50	$8.2M
S9485	Crisis intervention mental health services, per diem	3	110	1,250	$540	$3.2M
H2014	Skills training and development, per 15 minutes	168	190	21,080	$110	$3M
H2019	Therapeutic behavioral services, per 15 minutes	6	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	1	130	4,300	$110	$2.1M
H2011	Crisis intervention service, per 15 minutes	6	40	3,970	$140	$2M
T1040	Medicaid certified community behavioral health clinic services, per diem	2	170	950	$200	$1.8M
H2016	Comprehensive community support services, per diem	75	80	4,550	$30	$1.6M
H0037	Community psychiatric supportive treatment program, per diem	1	10	640	$870	$1.4M
T1017	Targeted case management, each 15 minutes	19	30	4,940	$110	$633.1K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Child & Family Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lucyna Czarnota-dolliver	MA	Psychiatry Physician	$182K	$176K
Vivienne Gomes	DC	Psychiatry Physician	$38.8K	$0

Nearby Providers

Other providers in the same ZIP code as Child & Family Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$226M
Southcoast Hospitals Group, Inc	MA	General Acute Care Hospital	$0	$172.9M
High Point Treatment Center Inc.	MA	Counselor	$516K	$98.4M
Greater New Bedford Community Health Center, Inc.	MA	Community Health Clinic/Center	$0	$42.5M
Boston Neurobehavioral Associates, LLC	MA	Psychiatry Physician	$0	$17.1M
City Of New Bedford	MA	Land Ambulance	$1.7M	$11.7M
Shokoohi & Vakili LLC	MA	Pediatric Dentistry	$0	$12M
Anchor Medical Group And Wellness Center PC	MA	Addiction Medicine (Internal Medicine) Physician	$0	$10.6M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$9.4M
Kennedy Donovan Center, Inc	MA	Developmentally Disabled Services Day Training Agency	$0	$7.6M

Child & Family Services, Inc. — Billing Profile & Reimbursement Data

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Child & Family Services, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References