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.

Eliot Community Human Services (NPI 1225229958)

Field	Value
Entity Type	Organization
Organization	Eliot Community Human Services
Address	125 Hartwell Ave
City	Lexington
State	MA
ZIP	02421
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 7, 2007

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	202,100	$20	$4.9M
S9485	Crisis intervention mental health services, per diem	5,800	$570	$3.3M
H0023	Alcohol and/or drug outreach	40,020	$50	$2.1M
H2019	Therapeutic behavioral services, per 15 minutes	11,090	$180	$1.9M
H0040	Assertive community treatment program, per diem	31,950	$50	$1.6M
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…	17,030	$80	$1.4M
T1040	Medicaid certified community behavioral health clinic services, per diem	4,160	$240	$985.7K
H2011	Crisis intervention service, per 15 minutes	2,630	$250	$657.3K
T1027	Family training and counseling for child development, per 15 minutes	3,120	$70	$215.6K
H2012	Behavioral health day treatment, per hour	2,230	$50	$116K

Showing 1–10 of 23

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

Eliot Community Human Services — 0 of 22 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0023	Alcohol and/or drug outreach	24	40	127,370	$50	$8.2M
H2015	Comprehensive community support services, per 15 minutes	116	150	7,770	$140	$4.8M
S9485	Crisis intervention mental health services, per diem	26	110	1,250	$540	$3.2M
H2019	Therapeutic behavioral services, per 15 minutes	90	290	3,680	$150	$2.9M
H0040	Assertive community treatment program, per diem	8	20	22,090	$50	$2.8M
T1027	Family training and counseling for child development, per 15 minutes	71	130	4,300	$110	$2.1M
H2011	Crisis intervention service, per 15 minutes	25	40	3,970	$140	$2M
T1040	Medicaid certified community behavioral health clinic services, per diem	52	170	950	$200	$1.8M
H2016	Comprehensive community support services, per diem	6	80	4,550	$30	$1.6M
T1017	Targeted case management, each 15 minutes	22	30	4,940	$110	$633.1K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Eliot Community Human Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eliot Community Human Services	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$103.4M
Sheva Khalafbeigi	MA	Anatomic Pathology & Clinical Pathology Physician	$1M	$10K
Nils Becker	MA	Anatomic Pathology & Clinical Pathology Physician	$730.1K	$9.4K
Lisa Cohen	MA	Dermatopathology (Pathology) Physician	$678.2K	$2.5K
Yanlong Zhang	MA	Anatomic Pathology & Clinical Pathology Physician	$479.2K	$0
Jeremy Kieval	MA	Ophthalmology Physician	$340.8K	$0
R. Bohigian	MA	Otolaryngology Physician	$201.2K	$0
Joseph Sanford	MA	Physical Therapist	$124.4K	$0
Li-wei Lin	MA	Ophthalmology Physician	$120K	$0
Briana Gyr	MA	Occupational Therapist	$118.3K	$0

Eliot Community Human Services — Billing Profile & Reimbursement Data

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Eliot Community Human Services — 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