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.

Hospicecare In The Berkshires, Inc. (NPI 1457358533)

Field	Value
Entity Type	Organization
Organization	Hospicecare In The Berkshires, Inc.
Address	877 South St
City	Pittsfield
State	MA
ZIP	01201
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	July 5, 2005

Payer Source	Total Paid
Medicaid	$13.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	4,160	$3,320	$13.8M
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	80	$40	$2.7K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	4,820	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	10,380	$0	$0
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	17,100	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	2,970	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	1,550	$0	$0
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	1,930	$0	$0

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

Hospicecare In The Berkshires, Inc. — 0 of 2 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2046	Hospice long term care, room and board only; per diem	30	70	2,980	$550	$10.3M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	108	190	14,240	$110	$3.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	120	310	8,710	$40	$1.6M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	92	170	3,500	$40	$757.2K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	78	100	310	$30	$40.2K
Q5001	Hospice or home health care provided in patient's home/residence	29	80	720	$1	$4.1K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	17	70	1,210	$1	$310
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	12	40	1,120	$0	$0

Nearby Providers

Other providers in the same ZIP code as Hospicecare In The Berkshires, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusets	MA	Case Management Agency	$0	$275M
Berkshire Medical Center, Inc	MA	General Acute Care Hospital	$0	$150M
The Brien Center For Mental Health And Substance Abuse Services Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$50.7M
Elder Services Of Berkshire County Inc.	MA	Case Management Agency	$0	$35.9M
Hillcrest Educational Centers Inc	MA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$21.6M
Berkshire County Arc, Inc.	MA	Foster Care Agency	$0	$19.8M
Berkshire Medical Center, Inc	MA	Substance Abuse Rehabilitation Facility	$0	$15.4M
Ucp Of Western Massachusetts Inc	MA	Early Intervention Provider Agency	$0	$14.9M
Berkshire Faculty Services Inc	MA	Multi-Specialty Clinic/Center	$0	$13.1M
Alc Corp	MA	Addiction (Substance Use Disorder) Counselor	$0	$9.5M

Hospicecare In The Berkshires, Inc. — Billing Profile & Reimbursement Data

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Hospicecare In The Berkshires, 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