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.

Fallon Service, Inc. (NPI 1316047236)

Field	Value
Entity Type	Organization
Organization	Fallon Service, Inc.
Address	111 Brook Rd
City	Quincy
State	MA
ZIP	02169
Taxonomy	Land Ambulance
NPI Enumerated	September 22, 2006

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	79,330	$80	$6.1M
A0130	Non-emergency transportation: wheelchair van	58,690	$30	$1.8M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	12,970	$130	$1.7M
A0425	Ground mileage, per statute mile	93,040	$10	$1.3M
S0215	Non-emergency transportation; mileage, per mile	57,530	$10	$690.3K
A0999	Unlisted ambulance service	1,130	$80	$88.3K
A0434	Specialty care transport (sct)	160	$470	$76.6K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	180	$210	$36.8K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	60	$140	$8.6K
A0998	Ambulance response and treatment, no transport	40	$150	$6.6K

Showing 1–10 of 15

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

Fallon Service, Inc. — 1 of 13 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	4	60	9,300	$90	$2.1M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	17	240	980	$180	$1.2M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	169	220	1,290	$180	$740.6K
A0130	Non-emergency transportation: wheelchair van	6	80	5,670	$30	$449K
A0434	Specialty care transport (sct)	20	30	210	$390	$404.6K
A0425	Ground mileage, per statute mile	7	300	2,300	$20	$267.6K
S0215	Non-emergency transportation; mileage, per mile	9	100	8,500	$10	$253.8K
A0999	Unlisted ambulance service	8	20	690	$30	$155.8K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	33	40	510	$140	$137K
A0998	Ambulance response and treatment, no transport	6	10	180	$120	$105.5K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Fallon Service, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$447.5M
South Shore Mental Health Center, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.4M
Nextmargin Corporation	MA	In Home Supportive Care Agency	$0	$72.3M
Bay State Community Services, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.4M
Caring Bees Healthcare Inc.	MA	Home Health Agency	$0	$20.8M
Anodyne Homemaker Services Corp	MA	Home Health Agency	$0	$11.6M
Rainbow Adhc Of Quincy LLC	MA	Adult Day Care Clinic/Center	$0	$10.3M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$9.4M
Allied Home Health Care, Inc.	MA	Home Health Agency	$0	$7.9M
Advantage Imaging Solutions, LLC	MA	Sonography Radiologic Technologist	$44.7K	$3.4M

Fallon Service, Inc. — Billing Profile & Reimbursement Data

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Fallon Service, 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