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 Community Family, Inc. (NPI 1376687681)

Field	Value
Entity Type	Organization
Organization	The Community Family, Inc.
Address	138 School St
City	Everett
State	MA
ZIP	02149
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	February 19, 2007

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	81,820	$100	$7.8M
T2003	Non-emergency transportation; encounter/trip	137,980	$20	$3M
S5100	Day care services, adult; per 15 minutes	3,730	$50	$197.9K
S5105	Day care services, center-based; services not included in program fee, per diem	10	$2,000	$24K
S5101	Day care services, adult; per half day	120	$50	$6.2K

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 Community Family, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	46	340	25,780	$110	$4.1M
S5100	Day care services, adult; per 15 minutes	67	190	2,000	$230	$3.1M
T2003	Non-emergency transportation; encounter/trip	37	250	40,490	$30	$2.2M
S5101	Day care services, adult; per half day	251	270	4,060	$60	$401.4K
S5105	Day care services, center-based; services not included in program fee, per diem	10	10	20	$2,010	$38.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Everett Childrens' Dental Center PC	MA	Dental Clinic/Center	$0	$9.5M
Best Healthcare Services Inc	MA	Home Health Agency	$0	$6.1M
Karim Salem Dmd PC	MA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.9M
Sean Connolly	MA	Foot Surgery Podiatrist	$176.2K	$0
Costco Wholesale Corporation	MA	Community/Retail Pharmacy	$70.9K	$0
Susan Martinson	MA	Psychiatric/Mental Health Nurse Practitioner	$49.6K	$0
German Crisostomo	MA	Psychiatry Physician	$42.3K	$0

The Community Family, Inc. — Billing Profile & Reimbursement Data

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The Community Family, 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