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.

Counseling & Assessment Clinic Of Worcester LLC (NPI 1487863494)

Counseling & Assessment Clinic Of Worcester LLC is a community/behavioral health agency provider located in Worcester, Massachusetts. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Counseling & Assessment Clinic Of Worcester LLC
Address	255 Park Ave Ste 804
City	Worcester
State	MA
ZIP	01609
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	124,130	$80	$10.3M
H2019	Therapeutic behavioral services, per 15 minutes	25,190	$180	$4.5M
T1027	Family training and counseling for child development, per 15 minutes	5,250	$110	$583K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,330	$160	$515.4K
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…	4,760	$80	$356.8K
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…	5,120	$50	$266.4K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	4,400	$50	$202.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	6,080	$30	$188.5K
90882	In this service, the provider works with outside agencies, employers, or other healthcare providers regarding the patient’s physical environment to help manage a psychiatric patient’s medical care.	3,920	$40	$160.8K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	2,010	$70	$132.9K

Showing 1–10 of 18

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

Counseling & Assessment Clinic Of Worcester LLC — 1 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	178	190	21,080	$110	$3M
H2019	Therapeutic behavioral services, per 15 minutes	60	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	61	130	4,300	$110	$2.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	34	60	2,800	$110	$659.4K
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…	23	1,620	580	$80	$599.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	337	1,020	460	$100	$293.7K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	42	230	470	$60	$221.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	378	950	90	$100	$212.9K
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…	406	5,040	200	$70	$209.5K
H0031	Mental health assessment, by non-physician	244	250	380	$140	$200.8K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wells Health Care LLC	MA	Home Health Agency	$0	$11.5M
Worcester Hills Dental PC	MA	General Practice Dentistry	$0	$11.4M
Jewish Healthcare Center, Inc.	MA	Community Based Hospice Care Agency	$0	$8.2M
Prestige Health Care Services Inc	MA	Home Health Agency	$0	$7.4M
Family Care Adh	MA	Adult Day Care Clinic/Center	$0	$7.3M
Anas Al Najjar	MA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$6.3M
Worcester Pediatric Dental Group LLC	MA	Pediatric Dentistry	$0	$5.9M
Melinda Thacker	MA	Otolaryngology Physician	$122.6K	$3K
Jonathon Sillman	MA	Otolaryngology Physician	$61.1K	$4.4K
Susan Foley	MA	Audiologist	$22K	$0

Counseling & Assessment Clinic Of Worcester LLC — Billing Profile & Reimbursement Data

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Counseling & Assessment Clinic Of Worcester LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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