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 Arc Of The South Shore, Inc. (NPI 1447306089)

Field	Value
Entity Type	Organization
Organization	The Arc Of The South Shore, Inc.
Address	20 Pond Park Rd.
City	Hingham
State	MA
ZIP	02043
Taxonomy	Supports Brokerage Agency
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	92,640	$50	$5M
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.	6,750	$150	$1M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	530	$110	$57.7K

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 Arc Of The South Shore, Inc. — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	12	80	7,230	$50	$2.6M
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.	11	30	4,380	$160	$946K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	39	60	900	$100	$197.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Cesario	MA	Behavior Analyst	$0	$28.3M
New England Hospice Ii LLC	MA	Community Based Hospice Care Agency	$0	$23.8M
The Arc Of The South Shore, Inc	MA	Community/Behavioral Health Agency	$0	$13.3M
Greater Boston Aba Associates	MA	Behavior Analyst	$0	$11.4M
Road To Responsibility, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$6.9M
Road To Responsibility, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$6.8M
Town Of Hingham	MA	Ambulance	$599.4K	$317.3K
Michael Ayers	MA	Orthopaedic Surgery Physician	$484.8K	$0
Casey O'donnell	MA	Physical Medicine & Rehabilitation Physician	$406.9K	$0
Michael Marchetti	MA	Orthopaedic Surgery Physician	$323.4K	$0

The Arc Of The South Shore, Inc. — Billing Profile & Reimbursement Data

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The Arc Of The South Shore, Inc. — Billing Profile & Reimbursement Data

Sign up for The Arc Of The South Shore, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References