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.

Abelard Psychotherapy Inc. (NPI 1215295597)

Abelard Psychotherapy Inc. is a prescribing (medical) psychologist provider located in Stoughton, Massachusetts. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Abelard Psychotherapy Inc.
Address	450 Pearl St
City	Stoughton
State	MA
ZIP	02072
Taxonomy	Prescribing (Medical) Psychologist
NPI Enumerated	April 24, 2012

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	28,400	$200	$5.7M
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…	11,130	$90	$968.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	6,290	$80	$509.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	9,040	$50	$479.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,990	$120	$240.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	6,040	$40	$217.3K
T1027	Family training and counseling for child development, per 15 minutes	1,070	$130	$142.7K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	1,610	$60	$89.9K
90832	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…	610	$50	$27.8K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	300	$80	$24.3K

Showing 1–10 of 15

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

Abelard Psychotherapy Inc. — 1 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	53	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	90	130	4,300	$110	$2.1M
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…	137	1,620	580	$80	$599.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	224	1,020	460	$100	$293.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	308	5,040	200	$70	$209.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	280	5,300	230	$60	$164.5K
90882	In this service, the provider works with outside agencies, employers, or other healthcare providers regarding the patient’s physical environment to help manage a psychiatric patient’s medical care.	159	250	470	$50	$162.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	291	600	90	$110	$106.8K
90832	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…	236	570	400	$40	$106.7K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	134	240	210	$90	$101.2K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tempus Unlimited, Inc.	MA	Voluntary or Charitable Agency	$0	$5.5B
Tempus Unlimited, Inc.	MA	Voluntary or Charitable Agency	$0	$555M
Tempus Unlimited, Inc.	MA	Voluntary or Charitable Agency	$0	$292.2M
Tempus Unlimited, Inc.	MA	Voluntary or Charitable Agency	$0	$113.4M
Tempus Unlimited, Inc.	MA	Voluntary or Charitable Agency	$0	$62.7M
Tempus Unlimited, Inc.	MA	Voluntary or Charitable Agency	$0	$26.3M
Charles Leonard	MA	Psychiatry Physician	$29.6K	$7.9M
Boston Home Infusion Inc	MA	Pharmacy	$0	$6.5M
Premier Diagnostic Services, Inc	MA	Sonography Radiologic Technologist	$124.5K	$5.7M
Town Of Stoughton	MA	Land Ambulance	$455.8K	$1.8M

Abelard Psychotherapy Inc. — Billing Profile & Reimbursement Data

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Abelard Psychotherapy 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

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