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.

Lowell House, Inc. (NPI 1407991409)

Field	Value
Entity Type	Organization
Organization	Lowell House, Inc.
Address	101 Jackson St
City	Lowell
State	MA
ZIP	01852
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 20, 2007

Payer Source	Total Paid
Medicaid	$20.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	105,500	$170	$17.5M
H2016	Comprehensive community support services, per diem	69,040	$20	$1.2M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	6,930	$120	$831.6K
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…	5,010	$90	$435.6K
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…	3,330	$120	$409.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,300	$120	$152K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	3,270	$30	$98.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	330	$110	$34.3K
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…	170	$40	$7.1K

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

Lowell House, Inc. — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	6	80	5,200	$370	$8.4M
H2016	Comprehensive community support services, per diem	13	80	4,550	$30	$1.6M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	11	60	2,800	$110	$659.4K
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…	241	1,620	580	$80	$599.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	20	30	3,380	$50	$460K
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…	144	1,020	460	$100	$293.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	91	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…	363	570	400	$40	$106.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	64	290	490	$30	$79K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lowell House, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Sampson	MA	Addiction Medicine (Psychiatry & Neurology) Physician	$55.2K	$23.5K

Nearby Providers

Other providers in the same ZIP code as Lowell House, Inc., ranked by combined Medicare and Medicaid revenue.

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
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
Trinity Care Associate	MA	Multi-Specialty Clinic/Center	$0	$7.2M
Bio-medical Applications Of Massachusetts, Inc.	MA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.3M

Lowell House, Inc. — Billing Profile & Reimbursement Data

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Lowell House, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References