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.

Bristol Elder Services, Inc. (NPI 1255468963)

Field	Value
Entity Type	Organization
Organization	Bristol Elder Services, Inc.
Address	1 Father Devalles Blvd Ste 101
City	Fall River
State	MA
ZIP	02723
Taxonomy	Case Management Agency
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$50.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	227,990	$70	$15M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	134,600	$80	$11M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	53,140	$150	$8.1M
S5170	Home delivered meals, including preparation; per meal	195,380	$20	$4.7M
S5175	Laundry service, external, professional; per order	94,790	$30	$2.7M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	80,690	$20	$1.9M
S5102	Day care services, adult; per diem	5,670	$230	$1.3M
T2022	Case management, per month	23,550	$60	$1.3M
T2003	Non-emergency transportation; encounter/trip	14,350	$90	$1.3M
S5100	Day care services, adult; per 15 minutes	8,230	$150	$1.2M

Showing 1–10 of 26

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

Bristol Elder Services, Inc. — 2 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	17	140	7,990	$90	$61.6M
T2023	Targeted case management; per month	65	70	8,210	$510	$8.6M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	103	130	34,780	$60	$7.4M
S5125	Attendant care services; per 15 minutes	19	40	3,390	$300	$4.7M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	32	50	11,820	$40	$4.4M
S5102	Day care services, adult; per diem	290	340	25,780	$110	$4.1M
S5130	Homemaker service, nos; per 15 minutes	6	160	7,330	$90	$3.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	40	190	14,240	$110	$3.7M
S5100	Day care services, adult; per 15 minutes	42	190	2,000	$230	$3.1M
T2022	Case management, per month	29	80	7,230	$50	$2.6M

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Bristol Elder Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$218.1M
Beacon Hospice, LLC	MA	Community Based Hospice Care Agency	$0	$75M
People, Incorporated	MA	Home Health Agency	$0	$22.8M
Healthfirst Family Care Center Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$18.6M
Vistacare Of Boston, LLC	MA	Community Based Hospice Care Agency	$0	$12.2M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$7.7M
Christopher Tippins	MA	Physical Therapist	$83.3K	$0

Bristol Elder Services, Inc. — Billing Profile & Reimbursement Data

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Bristol Elder Services, 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

Nearby Providers

Frequently Asked Questions

References