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.

Commonwealth Of Massachusetts (NPI 1447382817)

Field	Value
Entity Type	Organization
Organization	Commonwealth Of Massachusetts
Address	38 Industrial Park Road
City	Plymouth
State	MA
ZIP	02360
Taxonomy	Case Management Agency
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$316.5M
Medicare	$0

Key Findings

COMMONWEALTH OF MASSACHUSETTS (NPI enumerated 2007-03-12) has an almost exclusively Medicaid-facing billing profile: it reports no Medicare revenue on file and $316.5M in lifetime Medicaid revenue, indicating the organization operates effectively as a single-payer (Medicaid) provider rather than a mixed Medicare/Medicaid billing entity.

Revenue is highly concentrated in a small set of Medicaid service lines: the precomputed top three Medicaid codes account for 93.4% of this provider's total Medicaid revenue, signaling heavy dependence on a few programmatic service types rather than a broad, diversified billing mix.

The single largest revenue driver is T2016 (Habilitation, residential, waiver; per diem), which generates $257.8M or 81.5% of the provider's Medicaid revenue and ranks #10 of 25 in-state. This dominance suggests the organization runs substantial residential habilitation/waiver programs and that its financial stability is tied closely to per-diem residential habilitation reimbursements.

S5100 (Day care services, adult; per 15 minutes) is the provider's second-largest revenue source with $20.3M (6.4% of Medicaid revenue) and 68.2K claims; it ranks #15 of 189 in-state and is described as notably above typical state volume. That position indicates a significant footprint in adult day care services relative to other Massachusetts providers and a major operational emphasis beyond residential habilitation.

H2015 (Comprehensive community support services, per 15 minutes) contributes $17.5M (5.5% of Medicaid revenue) and 38.6K claims, ranking #36 of 147 in-state; its placement in the mid-to-upper range of peers suggests the provider offers meaningful community-based support services but is not a top statewide leader for this code. Together with S5100, H2015 points to a blended service model of residential and community support offerings.

Other Medicaid codes show a mix of specialty and support services with more modest revenue shares: T2023 (Targeted case management; per month) at $9.5M (3.0%) and T2003 (Non-emergency transportation; encounter/trip) at $2.6M (0.8%) reflect recurring case management and transportation components typical of long-term support programs; their rank percentiles (74th and 72th respectively) indicate typical, unremarkable volume compared with peers.

Competitive standing is mixed by code: the provider is not broadly dominant across Massachusetts but holds a top-quartile or better position on key lines — for example, S5100 is in the 93th percentile statewide (notably above typical volume), while T2016 sits at the 63th percentile for a high-dollar code, indicating substantial but not exceptional share among a smaller set of residential habilitation providers.

The provider’s long tenure (NPI enumerated ~19 years ago) suggests established operations and sustained participation in Medicaid waiver and supportive service programs, which aligns with the large lifetime Medicaid revenue and the concentration in habilitation and day services.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	36,310	$7,100	$257.8M
S5100	Day care services, adult; per 15 minutes	68,210	$300	$20.3M
H2015	Comprehensive community support services, per 15 minutes	38,580	$450	$17.5M
T2023	Targeted case management; per month	28,010	$340	$9.5M
S5125	Attendant care services; per 15 minutes	4,710	$560	$2.6M
T2003	Non-emergency transportation; encounter/trip	98,540	$30	$2.6M
T2021	Day habilitation, waiver; per 15 minutes	12,600	$190	$2.4M
T2019	Habilitation, supported employment, waiver; per 15 minutes	21,210	$110	$2.2M
H2023	Supported employment, per 15 minutes	13,050	$90	$1.2M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	3,040	$80	$243.2K

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

Commonwealth Of Massachusetts — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	30	29,930	$10,070	$358.9M
T2023	Targeted case management; per month	19	70	8,210	$510	$8.6M
H2023	Supported employment, per 15 minutes	20	20	28,450	$190	$5.6M
H2015	Comprehensive community support services, per 15 minutes	36	150	7,770	$140	$4.8M
S5125	Attendant care services; per 15 minutes	17	40	3,390	$300	$4.7M
T2021	Day habilitation, waiver; per 15 minutes	18	20	20,590	$210	$4.5M
S5100	Day care services, adult; per 15 minutes	15	190	2,000	$230	$3.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	16	20	24,690	$120	$3.1M
T2003	Non-emergency transportation; encounter/trip	69	250	40,490	$30	$2.2M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	36	70	2,890	$90	$1.4M

Nearby Providers

Other providers in the same ZIP code as Commonwealth Of Massachusetts, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centrus Premier Home Care Inc	MA	Home Health Agency	$0	$201.1M
Pediatric Services Of America, LLC	MA	Home Health Agency	$0	$21.9M
The Arc Of Greater Plymouth	MA	Foster Care Agency	$0	$12M
Beth Israel Deaconess Hospital Plymouth, Inc.	MA	Community Based Hospice Care Agency	$0	$11.5M
David Reed	MA	Retina Specialist (Ophthalmology) Physician	$7.7M	$0
Harbor Health Services, Inc.	MA	Community Health Clinic/Center	$0	$7.7M
Habilitation Assistance Corporation	MA	Developmentally Disabled Services Day Training Agency	$0	$7.6M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$6.6M
Plymouth Laser Center, P.C.	MA	Ambulatory Surgical Clinic/Center	$2.2M	$157.2K
Bernard Durante	MA	Otolaryngic Allergy Physician	$1.1M	$185.3K

Commonwealth Of Massachusetts — Billing Profile & Reimbursement Data

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Commonwealth Of Massachusetts — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References