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.

Riverside Community Care (NPI 1346464823)

Field	Value
Entity Type	Organization
Organization	Riverside Community Care
Address	255 Highland Ave
City	Needham
State	MA
ZIP	02494
Taxonomy	State or Local Public Health Clinic/Center
NPI Enumerated	April 13, 2007

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	38,960	$110	$4.4M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	4,820	$230	$1.1M
H2019	Therapeutic behavioral services, per 15 minutes	3,050	$140	$432.8K
H0023	Alcohol and/or drug outreach	8,260	$50	$396.2K
96153	N/A	1,020	$50	$51.9K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	1,040	$40	$40.4K
T1027	Family training and counseling for child development, per 15 minutes	380	$90	$33.8K
H0031	Mental health assessment, by non-physician	190	$150	$27.9K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	1,460	$20	$27.7K
H0032	Mental health service plan development by non-physician	80	$210	$16.7K

Showing 1–10 of 11

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

Riverside Community Care — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0023	Alcohol and/or drug outreach	28	40	127,370	$50	$8.2M
H2015	Comprehensive community support services, per 15 minutes	35	150	7,770	$140	$4.8M
H2019	Therapeutic behavioral services, per 15 minutes	158	290	3,680	$150	$2.9M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	21	50	3,060	$240	$2.4M
T1027	Family training and counseling for child development, per 15 minutes	112	130	4,300	$110	$2.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	301	310	8,710	$40	$1.6M
96153	N/A	26	40	1,620	$60	$280.1K
H0032	Mental health service plan development by non-physician	131	160	430	$180	$269.5K
H0031	Mental health assessment, by non-physician	163	250	380	$140	$200.8K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	16	30	930	$50	$182.7K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Riverside Community Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Community Care, Inc.	MA	Community/Behavioral Health Agency	$0	$108.4M
Pamela Hoyt	MA	Psychiatry Physician	$72.3K	$0
Richard Goggin	MA	Clinical Social Worker	$20.7K	$0

Nearby Providers

Other providers in the same ZIP code as Riverside Community Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatria Healthcare, LLC	MA	Home Health Agency	$0	$47.8M
Perfect Dental, LLC	MA	General Practice Dentistry	$0	$25.7M
Zdorovie Adh Needham	MA	Adult Day Care Clinic/Center	$0	$11.2M
Cohen Dermatopathology, P.C.	MA	Clinical Medical Laboratory	$7.5M	$3.5M
Best Home Health Care Inc	MA	Home Health Agency	$0	$9M
West River Hospice LLC	MA	Community Based Hospice Care Agency	$0	$6.4M
Mehdi Najafi	MA	Ophthalmology Physician	$1.8M	$0
Mahmoud Goodarzi	MA	Anatomic Pathology & Clinical Pathology Physician	$761K	$0
Elsa Velazquez-mcguirk	MA	Anatomic Pathology & Clinical Pathology Physician	$381K	$0
Daniel Rutowicz	MA	Foot & Ankle Surgery Podiatrist	$348.6K	$0

Riverside Community Care — Billing Profile & Reimbursement Data

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Riverside Community Care — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References