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    OpenPayerNPI Medicare & MedicaidBay Cove Human Services, Inc
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    Bay Cove Human Services, Inc — Billing Profile & Reimbursement Data

    NPI 1386702264 · Boston, MA · Community/Behavioral Health Agency

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    Bay Cove Human Services, Inc is a community/behavioral health agency provider located in Boston, Massachusetts. This profile covers 1 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBay Cove Human Services, Inc
    Address31 Bowker St
    CityBoston
    StateMA
    ZIP02114
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedDecember 5, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$36.4M
    Medicare$630.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…2,610$240$631.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G20676102,510$250$2M

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)148,840$50$7.4M
    S9485Crisis intervention mental health services, per diem10,240$580$5.9M
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…37,380$150$5.6M
    S5102Day care services, adult; per diem30,010$140$4.2M
    H0040Assertive community treatment program, per diem66,740$50$3.5M
    H2014Skills training and development, per 15 minutes8,260$340$2.8M
    H2011Crisis intervention service, per 15 minutes18,820$110$2M
    H0011Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem1,080$1,500$1.6M
    H2016Comprehensive community support services, per diem46,360$20$973.5K
    T1040Medicaid certified community behavioral health clinic services, per diem1,620$240$379.5K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…581407,990$90$61.6M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)144026,400$10$9.7M
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…9308,280$140$8M
    H2015Comprehensive community support services, per 15 minutes1271507,770$140$4.8M
    S5102Day care services, adult; per diem15134025,780$110$4.1M
    H0011Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem15301,210$760$3.9M
    H0010Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)25301,910$480$3.5M
    S9485Crisis intervention mental health services, per diem171101,250$540$3.2M
    H2014Skills training and development, per 15 minutes14819021,080$110$3M
    H0040Assertive community treatment program, per diem52022,090$50$2.8M

    Showing 1–10 of 24

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bay Cove Human Services, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bay Cove Human Services, IncMACommunity/Behavioral Health Agency$0$7.4M

    Nearby Providers

    Other providers in the same ZIP code as Bay Cove Human Services, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The General Hospital CorporationMAGeneral Acute Care Hospital$0$438M
    Massachusetts Eye And Ear InfirmaryMAGeneral Acute Care Hospital$0$68.1M
    Massachusetts General Physicians Organization IncMADermatology Physician$0$60.2M
    Jewish Family & Children's ServiceMACase Management Agency$0$12.5M
    Commonwealth Of MassachusettsMACase Management Agency$0$10.4M
    Torsten WiegandMARetina Specialist (Ophthalmology) Physician$7.6M$0
    Massachusetts Eye And Ear Associates, Inc.MAOphthalmology Physician$0$6.6M
    Chirag ShahMARetina Specialist (Ophthalmology) Physician$5M$0
    Miriam Englander-paschalis IliosMARetina Specialist (Ophthalmology) Physician$4.5M$0
    Jeffrey HeierMARetina Specialist (Ophthalmology) Physician$3.6M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Bay Cove Human Services, Inc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Bay Cove Human Services, Inc — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts