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.

Northeast Health Services, LLC (NPI 1225067481)

Key Findings

Field	Value
Entity Type	Organization
Organization	Northeast Health Services, LLC
Address	30 Taunton Green
City	Taunton
State	MA
ZIP	02780
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$121.1M
Medicare	$0

This provider reports none for Medicare billing and $121.1M in lifetime Medicaid revenue, making its operating footprint effectively single-payer (Medicaid) in scale. Analysts should therefore prioritize Medicaid reimbursement policy and utilization trends when assessing financial exposure and growth opportunities for this entity.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 84.2% of the provider’s total Medicaid revenue. The top individual contributors are 90837 ($46.4M, 38.3%), 90834 ($42.1M, 34.8%), and 99214 ($13.4M, 11.0%), indicating the vast majority of cash flow is tied to a small set of psychotherapy and E/M services.

The code mix is strongly weighted toward psychotherapy: large volumes in 90837 and 90834 indicate the operation is structured around high-throughput individual psychotherapy sessions of long and mid lengths. The presence of substantial 99214 and 90791 activity ($13.4M and $5M respectively) shows integrated evaluation and moderate-complexity E/M visits are routine alongside ongoing therapy.

Competitive standing in-state is dominant for the largest psychotherapy codes: 90837 ranks #1 of 1019 providers (100th percentile, labeled an extreme outlier) and 90834 ranks #4 of 1617 providers (100th percentile, labeled an extreme outlier). 99214 also ranks highly (#18 of 5039, 100th percentile, extreme outlier), positioning this provider as a leading statewide player for both psychotherapy and higher-complexity outpatient visits.

Several additional codes underscore breadth beyond one-on-one therapy: 90791 ($5M, 4.1%) ranks #1 of 602 (100th percentile, extreme outlier) and 90833 ($2.4M, 2.0%) ranks #1 of 403 (100th percentile, extreme outlier). These top ranks for initial psychiatric evaluation and E/M add-on psychotherapy suggest operational capacity for combined evaluation-plus-therapy encounters and rapid intake throughput.

The provider offers transcranial magnetic stimulation (TMS) services but at much smaller scale relative to psychotherapy: 90868 accounts for $835.6K (0.7%) and ranks #1 of 2 providers in-state (100th percentile; described as typical, unremarkable volume), while 90867 generates only $3.1K. TMS appears to be an available but minor revenue stream rather than a core service line.

Other secondary services and counseling codes show notable statewide standing: 99404 ($702.1K) ranks #1 of 72 (100th percentile, extreme outlier) and 90792 ($608.1K) ranks #1 of 230 (100th percentile, extreme outlier), indicating the provider also captures significant volume for preventive counseling and psychiatric evaluations that include medical services. These ranked outlier positions reinforce that the provider’s Medicaid role extends across several related behavioral health service types.

The NPI was enumerated 2006-07-01 (~20 years ago), indicating long-tenure market presence. Combined with the concentrated Medicaid revenue base and multiple 100th-percentile code rankings, payer negotiations, network strategy, and risk assessments should focus on preserving Medicaid reimbursement for the few dominant psychotherapy and E/M codes that drive the business.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	339,040	$140	$46.4M
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…	501,360	$80	$42.1M
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…	173,720	$80	$13.4M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	34,310	$150	$5M
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…	54,410	$50	$2.6M
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…	54,060	$50	$2.4M
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…	52,770	$40	$2.1M
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	7,540	$190	$1.4M
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…	9,360	$100	$926.8K
90868	In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…	4,350	$190	$835.6K

Showing 1–10 of 31

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

Northeast Health Services, LLC — 13 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	4	1,620	580	$80	$599.6K
90868	In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…	1	10	3,170	$150	$485.4K
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	1,020	460	$100	$293.7K
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…	21	230	470	$60	$221.1K
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…	18	5,040	200	$70	$209.5K
H0031	Mental health assessment, by non-physician	160	250	380	$140	$200.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	670	120	$100	$169.2K
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…	45	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.	13	250	470	$50	$162.5K
H0046	Mental health services, not otherwise specified	28	140	600	$40	$127.5K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colette Tefft	NH	Psychiatric/Mental Health Nurse Practitioner	$920	$211.3K
Rodrigo Nardi	RI	Psychiatry Physician	$173.5K	$31.1K
Ryan Wakim	WV	Psychiatry Physician	$44.7K	$80.7K
Dawn Decosta	MA	Psychiatric/Mental Health Nurse Practitioner	$74.3K	$0
Tanya White	MA	Psychiatric/Mental Health Nurse Practitioner	$38.5K	$24.1K
Jennifer Lehto	ME	Nurse Practitioner	$10.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$326.7M
Community Counseling Of Bristol County, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$77.9M
Morton Hospital, A Steward Family Hospital, Inc.	MA	General Acute Care Hospital	$0	$41.7M
Associates For Human Services, Inc.	MA	Adult Day Care Clinic/Center	$0	$20M
Preparatory Rehabilitation For Individual Development & Employment, In	MA	Adult Care Home Facility	$0	$16.9M
Nightingale Home Healthcare Of Massachusetts, Inc.	MA	Home Health Agency	$0	$14.5M
Northeast Dental Anesthesia Associates, PLLC	MA	Dental Clinic/Center	$0	$9.5M
Community Counseling Of Bristol County, Inc.	MA	Community/Behavioral Health Agency	$0	$9.1M
Atg Massachusetts Inc	MA	Customized Equipment (DME)	$0	$8.8M
Department Of Mental Health	MA	Substance Abuse Rehabilitation Facility	$0	$7.3M

Northeast Health Services, LLC — Billing Profile & Reimbursement Data

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Northeast Health Services, LLC — 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