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.

North Shore Community Health, Inc (NPI 1366582090)

Field	Value
Entity Type	Organization
Organization	North Shore Community Health, Inc
Address	27 Congress St
City	Salem
State	MA
ZIP	01970
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 8, 2007

Payer Source	Total Paid
Medicaid	$32.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

134 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	147,710	$150	$22.3M
D9450	N/A	75,560	$30	$2M
T1040	Medicaid certified community behavioral health clinic services, per diem	9,220	$140	$1.3M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	3,470	$150	$503.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	22,270	$20	$489.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	5,570	$90	$473.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,870	$160	$465.3K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	11,270	$40	$450.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8,960	$40	$367.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,390	$40	$281.2K

Showing 1–10 of 134

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

North Shore Community Health, Inc — 6 of 25 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

134 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	33	170	950	$200	$1.8M
T1015	Clinic visit/encounter, all-inclusive	10	550	90	$140	$1.5M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	26	80	1,720	$150	$800.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	79	410	140	$110	$742.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	222	1,620	580	$80	$599.6K
D9450	N/A	12	150	2,450	$30	$506.8K
D2740	N/A	283	410	280	$660	$338.1K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	25	110	3,490	$40	$309.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	439	1,020	460	$100	$293.7K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	84	230	470	$60	$221.1K

Showing 1–10 of 134

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornelius Bela	MA	Adult Health Nurse Practitioner	$252.2K	$0
Bethany Saunders	MA	Physician Assistant	$112.8K	$0
Susan Ludwig	MA	Family Nurse Practitioner	$57.7K	$0
Michael Reich	MA	Obstetrics & Gynecology Physician	$16.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justice Resource Institute, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$186.1M
North Shore Medical Center, Inc.	MA	General Acute Care Hospital	$0	$137.7M
Mass General Brigham Medical Group Northern Massachusetts Inc	MA	Emergency Medicine Physician	$0	$30.2M
East Point Adhc	MA	Adult Day Care Clinic/Center	$0	$22.9M
North Shore Medical Center, Inc.	MA	Psychiatric Hospital Unit	$0	$9.8M
Stay Well Ahdc, Inc.	MA	Adult Care Home Facility	$0	$8.5M
Commonwealth Diagnostics International, Inc.	MA	Clinical Medical Laboratory	$609.6K	$73.7K
Ramakrishna Gaddipati	MA	Ophthalmology Physician	$393K	$0
Thomas Kingston	MA	Urology Physician	$341.3K	$0
Jannet Ung	MA	Ophthalmology Physician	$338.2K	$3K

North Shore Community Health, Inc — Billing Profile & Reimbursement Data

Sign up for North Shore Community Health, Inc — Billing Profile & Reimbursement Data policy alerts

North Shore Community Health, Inc — Billing Profile & Reimbursement Data

Sign up for North Shore Community Health, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References