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.

Charles River Community Health Inc (NPI 1487664884)

Field	Value
Entity Type	Organization
Organization	Charles River Community Health Inc
Address	495 Western Ave
City	Brighton
State	MA
ZIP	02135
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$10.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

107 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	34,540	$150	$5.3M
D9450	N/A	44,900	$20	$1M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,410	$150	$357.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,430	$150	$351.9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	5,870	$50	$293.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,570	$170	$263.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,740	$140	$250.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	14,490	$10	$188.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,260	$140	$178.1K
D9110	N/A	7,080	$20	$170K

Showing 1–10 of 107

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

Charles River Community Health Inc — 5 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

107 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	140	170	950	$200	$1.8M
T1015	Clinic visit/encounter, all-inclusive	35	550	90	$140	$1.5M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	43	80	1,720	$150	$800.5K
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…	665	1,620	580	$80	$599.6K
D9450	N/A	21	150	2,450	$30	$506.8K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	69	100	290	$120	$356.6K
D2740	N/A	227	410	280	$660	$338.1K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	67	110	3,490	$40	$309.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,927	5,040	200	$70	$209.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,367	5,300	230	$60	$164.5K

Showing 1–10 of 107

Related Providers

Other providers that share a Tax Identification Number (TIN) with Charles River Community Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles River Community Health, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$9.7M

Nearby Providers

Other providers in the same ZIP code as Charles River Community Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Hospital For Children, Inc.	MA	Children's Rehabilitation Hospital	$0	$62.3M
Steward St. Elizabeth's Medical Center Of Boston, Inc.	MA	General Acute Care Hospital	$0	$32.5M
Brightin Adhc, LLC	MA	Adult Day Care Clinic/Center	$0	$19.5M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$17.2M
Absolute Care, Inc.	MA	Home Health Agency	$0	$16M
Addiction Treatment Center Of New England, Inc.	MA	Case Management Agency	$227.1K	$11.5M
Family And Community Solutions Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9M
Steward Medical Group, Inc	MA	Specialist	$0	$8.4M
Vcare LLC	MA	Home Health Agency	$0	$7.1M
Irene Piryatinsky	MA	Psychologist	$169.6K	$1M

Charles River Community Health Inc — Billing Profile & Reimbursement Data

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Charles River Community Health 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