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.

Southwest Boston Senior Services, Inc (NPI 1386789840)

Field	Value
Entity Type	Organization
Organization	Southwest Boston Senior Services, Inc
Address	555 Amory St
City	Jamaica Plain
State	MA
ZIP	02130
Taxonomy	Point of Service
NPI Enumerated	February 21, 2007

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	121,810	$50	$6.3M
99456	A provider other than the patient’s treating physician provides a work–related or medical disability exam such as that required for a workers’ compensation claim.	7,990	$170	$1.3M
S5130	Homemaker service, nos; per 15 minutes	7,840	$60	$486.3K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	3,790	$110	$420.2K
S5170	Home delivered meals, including preparation; per meal	7,190	$40	$302K
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…	4,180	$50	$221.5K
H0046	Mental health services, not otherwise specified	1,140	$40	$45.4K
S5102	Day care services, adult; per diem	840	$50	$39.6K
T2003	Non-emergency transportation; encounter/trip	650	$60	$37.6K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	610	$30	$17K

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

Southwest Boston Senior Services, Inc — 0 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…	93	140	7,990	$90	$61.6M
T1020	Personal care services, per diem, 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…	38	50	11,820	$40	$4.4M
S5102	Day care services, adult; per diem	325	340	25,780	$110	$4.1M
S5130	Homemaker service, nos; per 15 minutes	81	160	7,330	$90	$3.8M
T2022	Case management, per month	7	80	7,230	$50	$2.6M
S5170	Home delivered meals, including preparation; per meal	40	60	50,010	$20	$2.5M
T2003	Non-emergency transportation; encounter/trip	228	250	40,490	$30	$2.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	51	60	19,060	$20	$2.1M
99456	A provider other than the patient’s treating physician provides a work–related or medical disability exam such as that required for a workers’ compensation claim.	8	30	4,380	$160	$946K
S5175	Laundry service, external, professional; per order	36	40	15,510	$30	$911K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Southwest Boston Senior Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Boston Senior Services, Inc.	MA	Point of Service	$0	$65.6M
Brigham And Women's Faulkner Hospital, Inc	MA	General Acute Care Hospital	$0	$45.8M
Family Caregivers	MA	Foster Care Agency	$0	$41M
Victory Programs, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$29.1M
Pinestreet Inn	MA	Addiction (Substance Use Disorder) Counselor	$0	$17.2M
Middlesex Human Service Agency, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$15.9M
Guardian Healthcare, LLC	MA	Home Health Agency	$0	$13.4M
Arbour Inc	MA	Psychiatric Hospital	$0	$12.3M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$7.7M
Italian Home For Children Inc	MA	Mental Illness Community Based Residential Treatment Facility	$0	$5.7M

Southwest Boston Senior Services, Inc — Billing Profile & Reimbursement Data

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Southwest Boston Senior Services, 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