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.

The May Institute, Inc (NPI 1356318125)

Field	Value
Entity Type	Organization
Organization	The May Institute, Inc
Address	41 Pacella Park Dr
City	Randolph
State	MA
ZIP	02368
Taxonomy	Behavior Analyst
NPI Enumerated	March 1, 2006

Payer Source	Total Paid
Medicaid	$71.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	194,450	$150	$29M
H2014	Skills training and development, per 15 minutes	234,360	$110	$26.2M
H2019	Therapeutic behavioral services, per 15 minutes	28,650	$170	$4.8M
S5101	Day care services, adult; per half day	49,530	$70	$3.3M
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…	41,620	$70	$2.7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	11,600	$230	$2.7M
H0032	Mental health service plan development by non-physician	6,350	$160	$997K
H0031	Mental health assessment, by non-physician	6,780	$130	$909.1K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	2,550	$200	$500.6K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	1,470	$110	$155.3K

Showing 1–10 of 12

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

The May Institute, Inc — 4 of 12 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

12 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…	37	140	7,990	$90	$61.6M
H2015	Comprehensive community support services, per 15 minutes	103	150	7,770	$140	$4.8M
S5102	Day care services, adult; per diem	2	340	25,780	$110	$4.1M
H2014	Skills training and development, per 15 minutes	1	190	21,080	$110	$3M
H2019	Therapeutic behavioral services, per 15 minutes	51	290	3,680	$150	$2.9M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	10	150	1,270	$220	$845K
H2012	Behavioral health day treatment, per hour	46	110	840	$70	$575.6K
S5101	Day care services, adult; per half day	1	270	4,060	$60	$401.4K
H0032	Mental health service plan development by non-physician	11	160	430	$180	$269.5K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	15	140	410	$210	$213.3K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as The May Institute, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maturing Gracefully, LLC	MA	Case Management Agency	$0	$17.4M
Soley Leve Adult Day Health	MA	Adult Day Care Clinic/Center	$0	$16.4M
21st Century Management Services, Inc	MA	Home Health Agency	$0	$8.2M
Town Of Randolph	MA	Land Ambulance	$397.8K	$2M
Joel Chariton	MA	Podiatrist	$187.4K	$13.7K
Carine Luxama	MA	Psychiatric/Mental Health Nurse Practitioner	$52K	$41.4K

The May Institute, Inc — Billing Profile & Reimbursement Data

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The May Institute, 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