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.

Metrocare LLC. (NPI 1295083087)

Field	Value
Entity Type	Organization
Organization	Metrocare LLC.
Address	290 Centre St
City	Newton
State	MA
ZIP	02458
Taxonomy	Foster Care Agency
NPI Enumerated	August 27, 2012

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0043	Supported housing, per diem	209,830	$50	$9.4M

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

Metrocare LLC. — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0043	Supported housing, per diem	7	110	22,180	$90	$5.3M

Nearby Providers

Other providers in the same ZIP code as Metrocare LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zdorovie Senior Services, LLC	MA	Adult Day Care Clinic/Center	$0	$12.5M
Metrocare, LLC	MA	Foster Care Agency	$0	$10.3M
Ashley Moriarty	MA	Physical Therapist	$111.8K	$0
Isabel Morais	MA	Obstetrics & Gynecology Physician	$34.6K	$2.3K
Jessica Shursky	MA	Contractor	$32.3K	$0
Benjamin Grace	MA	Chiropractor	$24.1K	$0

Metrocare LLC. — Billing Profile & Reimbursement Data

Sign up for Metrocare LLC. — Billing Profile & Reimbursement Data policy alerts

Metrocare LLC. — Billing Profile & Reimbursement Data

Sign up for Metrocare LLC. — 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