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.

Our Family Circle (NPI 1225321847)

Field	Value
Entity Type	Organization
Organization	Our Family Circle
Address	99 Guion Street
City	Springfield
State	MA
ZIP	01104
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	May 17, 2011

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	122,780	$70	$8.8M
T2003	Non-emergency transportation; encounter/trip	183,090	$20	$4M
S5100	Day care services, adult; per 15 minutes	31,820	$50	$1.7M
S5101	Day care services, adult; per half day	15,810	$40	$664.1K

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

Our Family Circle — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	15	340	25,780	$110	$4.1M
S5100	Day care services, adult; per 15 minutes	25	190	2,000	$230	$3.1M
T2003	Non-emergency transportation; encounter/trip	18	250	40,490	$30	$2.2M
S5101	Day care services, adult; per half day	35	270	4,060	$60	$401.4K

Nearby Providers

Other providers in the same ZIP code as Our Family Circle, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health Network Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$238.6M
Gandara Mental Health Center Inc	MA	Mental Health Counselor	$0	$133.1M
Behavioral Health Network, Inc	MA	Methadone Clinic	$1.3M	$108.4M
The Mercy Hospital Inc	MA	General Acute Care Hospital	$0	$98.9M
Behavioral Health Network, Inc	MA	Adult Day Care Clinic/Center	$0	$76.5M
American Medical Response Of Massachusetts Inc	MA	Ambulance	$8.7M	$51.7M
Greater Springfield Senior Services, Inc.	MA	Case Management Agency	$0	$55.1M
Viability, Inc.	MA	Adult Care Home Facility	$0	$46.8M
Riverbend Medical Group, Inc.	MA	Internal Medicine Physician	$0	$38.8M
International Health Solutions,inc	MA	Home Health Agency	$0	$27.3M

Our Family Circle — Billing Profile & Reimbursement Data

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Our Family Circle — Billing Profile & Reimbursement Data

Sign up for Our Family Circle — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References