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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNorth Suffolk Community Services Inc.
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    North Suffolk Community Services Inc. — Billing Profile & Reimbursement Data

    NPI 1255481107 · East Boston, MA · Developmental Disabilities Clinic/Center

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    North Suffolk Community Services Inc. is a developmental disabilities clinic/center provider located in East Boston, Massachusetts. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorth Suffolk Community Services Inc.
    Address130 Condor St
    CityEast Boston
    StateMA
    ZIP02128
    TaxonomyDevelopmental Disabilities Clinic/Center
    NPI EnumeratedJanuary 11, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$11.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2015Comprehensive community support services, per 15 minutes66,450$110$7.1M
    T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter12,350$260$3.2M
    T1015Clinic visit/encounter, all-inclusive4,880$90$439.4K
    H2019Therapeutic behavioral services, per 15 minutes1,640$160$261.4K
    96153N/A3,420$50$160.5K
    T1027Family training and counseling for child development, per 15 minutes1,520$50$69.8K
    H0032Mental health service plan development by non-physician150$200$29.5K
    H0031Mental health assessment, by non-physician140$160$21.6K
    96165The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…250$40$9K
    96164The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…310$20$4.6K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2015Comprehensive community support services, per 15 minutes151507,770$140$4.8M
    H2019Therapeutic behavioral services, per 15 minutes1922903,680$150$2.9M
    T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter9503,060$240$2.4M
    T1027Family training and counseling for child development, per 15 minutes811304,300$110$2.1M
    T1015Clinic visit/encounter, all-inclusive9155090$140$1.5M
    96153N/A10401,620$60$280.1K
    H0032Mental health service plan development by non-physician120160430$180$269.5K
    H0031Mental health assessment, by non-physician184250380$140$200.8K
    96165The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…2730930$50$182.7K
    96164The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…2630940$20$76.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with North Suffolk Community Services Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Suffolk Community Services Inc.MAClinic/Center$0$50M
    Meredith JohnsonMAClinical Social Worker$59.2K$0

    Nearby Providers

    Other providers in the same ZIP code as North Suffolk Community Services Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Associates Of EbnhcMACommunity Health Clinic/Center$0$179.5M
    Neighborhealth CorporationMACommunity Health Clinic/Center$0$17M
    Rehabilitation & Health, Inc.MASubstance Abuse Rehabilitation Facility$0$14.8M
    Quest Diagnostics Massachusetts LLCMAClinical Medical Laboratory$27K$216.7K
    Adrianna D'auroraMAOccupational Therapist$210.1K$0
    Jeffrey SchapiroMAInternal Medicine Physician$17.5K$3.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Massachusetts Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    North Suffolk Community Services Inc. — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts