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.

Trinity Care Associate (NPI 1366909665)

Trinity Care Associate is a multi-specialty clinic/center provider located in Lowell, Massachusetts. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Trinity Care Associate
Address	100 Merrimack St Ste 201
City	Lowell
State	MA
ZIP	01852
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	February 23, 2019

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

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
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…	31,380	$130	$4.2M
H2019	Therapeutic behavioral services, per 15 minutes	5,260	$220	$1.2M
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…	8,250	$90	$775.3K
T1027	Family training and counseling for child development, per 15 minutes	2,590	$150	$378.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,830	$100	$286.1K
90882	In this service, the provider works with outside agencies, employers, or other healthcare providers regarding the patient’s physical environment to help manage a psychiatric patient’s medical care.	3,050	$50	$161.5K
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…	1,990	$50	$95.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	450	$130	$57.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	420	$130	$54.3K
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…	360	$30	$12.2K

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

Trinity Care Associate — 1 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
H2019	Therapeutic behavioral services, per 15 minutes	131	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	73	130	4,300	$110	$2.1M
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…	176	1,620	580	$80	$599.6K
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…	14	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…	127	230	470	$60	$221.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	635	5,040	200	$70	$209.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	190	670	120	$100	$169.2K
90882	In this service, the provider works with outside agencies, employers, or other healthcare providers regarding the patient’s physical environment to help manage a psychiatric patient’s medical care.	51	250	470	$50	$162.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	174	600	90	$110	$106.8K
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…	128	570	400	$40	$106.7K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas A. Thom Clinic, Inc.	MA	Developmental Disabilities Clinic/Center	$0	$132.9M
Lowell Community Health Center, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$86.8M
Bridgewell, Inc	MA	Community/Behavioral Health Agency	$0	$43.3M
Lowell House, Inc.	MA	Community/Behavioral Health Agency	$0	$20.7M
Tufts Medicine Care At Home, Inc.	MA	Community Based Hospice Care Agency	$0	$11.9M
Merrimack Valley Oral Surgeons, Inc.	MA	Oral and Maxillofacial Surgery (Dentist)	$0	$10.6M
Md Consultants	MA	Dental Clinic/Center	$0	$10.5M
Accucare, Inc.	MA	Home Health Agency	$0	$8.9M
Home Away From Home	MA	Adult Day Care Clinic/Center	$0	$7.4M
Bio-medical Applications Of Massachusetts, Inc.	MA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.3M

Trinity Care Associate — Billing Profile & Reimbursement Data

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Trinity Care Associate — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Frequently Asked Questions

References