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.

South Shore Elder Services Inc (NPI 1427179076)

Field	Value
Entity Type	Organization
Organization	South Shore Elder Services Inc
Address	159 Bay State Dr
City	Braintree
State	MA
ZIP	02184
Taxonomy	Case Management Agency
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$60.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	167,960	$90	$15.6M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	25,640	$510	$13.1M
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…	126,890	$90	$11.2M
S5102	Day care services, adult; per diem	46,460	$170	$7.8M
T2003	Non-emergency transportation; encounter/trip	42,280	$100	$4.1M
S5170	Home delivered meals, including preparation; per meal	183,320	$20	$3.8M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	69,030	$30	$1.7M
S5175	Laundry service, external, professional; per order	42,650	$30	$1.2M
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…	94,550	$10	$567.3K
S5101	Day care services, adult; per half day	3,650	$90	$320.8K

Showing 1–10 of 25

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

South Shore Elder Services Inc — 1 of 25 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

25 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…	18	140	7,990	$90	$61.6M
S5125	Attendant care services; per 15 minutes	33	40	3,390	$300	$4.7M
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…	13	50	11,820	$40	$4.4M
S5102	Day care services, adult; per diem	97	340	25,780	$110	$4.1M
S5130	Homemaker service, nos; per 15 minutes	14	160	7,330	$90	$3.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	65	190	14,240	$110	$3.7M
T2022	Case management, per month	55	80	7,230	$50	$2.6M
S5170	Home delivered meals, including preparation; per meal	12	60	50,010	$20	$2.5M
T2003	Non-emergency transportation; encounter/trip	120	250	40,490	$30	$2.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	10	60	19,060	$20	$2.1M

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as South Shore Elder Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vitra Health, Inc.	MA	Adult Care Home Facility	$0	$108.8M
Peabody Resident Services Inc	MA	Adult Care Home Facility	$0	$105.7M
Medical Resources Home Health Corp	MA	Home Health Agency	$0	$26.6M
Vatra Adhc, LLC	MA	Adult Day Care Clinic/Center	$0	$12.9M
Habilitation Assistance Corporation	MA	Developmentally Disabled Services Day Training Agency	$0	$9.6M
South Shore Hospital Inc.	MA	Home Health Agency	$0	$7.9M
Encompass Health Rehabilitation Hospital Of Braintree, LLC	MA	Rehabilitation Hospital	$0	$6.6M
Marathon Health Solutions, LLC	MA	Home Health Agency	$0	$6.4M
Mehnaz Khan	MA	Ophthalmology Physician	$871.2K	$37.7K
Caroline Sizer	MA	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	$823.2K	$0

South Shore Elder Services Inc — Billing Profile & Reimbursement Data

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South Shore Elder 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