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 Massachusets (NPI 1508089699)

Field	Value
Entity Type	Organization
Organization	Commonwealth Of Massachusets
Address	333 East Street
City	Pittsfield
State	MA
ZIP	01201
Taxonomy	Case Management Agency
NPI Enumerated	April 10, 2007

Payer Source	Total Paid
Medicaid	$275M
Medicare	$0

Key Findings

COMMONWEALTH OF MASSACHUSETTS is effectively a single-payer entity in the available data: there is no Medicare billing on file and lifetime Medicaid revenue totals $275M, indicating the provider’s operations are concentrated entirely in the Medicaid program. The organization’s NPI was enumerated on 2007-04-10 (~19 years ago), reflecting an established presence in the state Medicaid market.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 88.9% of the provider’s total Medicaid revenue, with the single code T2016 generating $213M (77.4% of Medicaid revenue). This level of concentration signals material dependence on a few high-revenue waiver and habilitation services, which is important for risk assessment and contract negotiations.

The provider’s code mix—dominated by T2016 (Habilitation, residential, waiver; per diem), S5100 (Day care services, adult; per 15 minutes), and H2023 (Supported employment, per 15 minutes)—points to an operational focus on long-term services and supports, residential waiver programs, adult day services, and employment supports. This combination implies the organization runs program-based, time- and per-diem-billed services rather than episodic medical care.

Despite the very large absolute dollar volume for T2016 ($213M), the provider’s competitive standing on that specific code is modest within the state: T2016 ranks #19 of 25 providers in-state (25th percentile; typical, unremarkable volume for this code). In other words, T2016 dominates the provider’s internal revenue mix but does not make the provider a top filer of T2016 relative to the small peer set.

H2023 is a clear area of relative strength: the provider reported $12.4M on H2023 and ranks #3 of 23 providers in-state (91th percentile; notably above typical state volume for this code). This ranking indicates the organization is a regional leader in supported employment services, a service line where it performs well above typical peer volume.

S5100 and T2023 represent meaningful secondary revenue lines that support the core residential habilitation business: S5100 generated $19M (58.6K claims, $324 avg paid/claim) and ranks #20 of 189 providers in-state (90th percentile; typical, unremarkable volume), while T2023 produced $11.9M (35K claims, $339 avg paid/claim) and ranks #11 of 70 providers in-state (86th percentile; typical, unremarkable volume). H2015 ($10.7M) and other per-15-minute codes also contribute sizable but more distributed revenue, reflecting a multi-service community support footprint rather than dependence on many small, fringe codes.

Operationally, the dominant payment units are per diem and per 15-minute increments (T2016, S5100, H2023, H2015), which implies staffing- and program-capacity drivers are the primary cost and utilization levers. For payers and analysts, these characteristics highlight where utilization management, rate negotiation, or program audits would most impact spend given the provider’s concentrated revenue base and program-oriented delivery model.

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
T2016	Habilitation, residential, waiver; per diem	24,830	$8,580	$213M
S5100	Day care services, adult; per 15 minutes	58,600	$320	$19M
H2023	Supported employment, per 15 minutes	54,390	$230	$12.4M
T2023	Targeted case management; per month	34,970	$340	$11.9M
H2015	Comprehensive community support services, per 15 minutes	44,220	$240	$10.7M
T2021	Day habilitation, waiver; per 15 minutes	16,040	$220	$3.5M
T2003	Non-emergency transportation; encounter/trip	92,580	$30	$2.5M
T2019	Habilitation, supported employment, waiver; per 15 minutes	15,480	$130	$2.1M

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 Massachusets — 0 of 8 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
T2016	Habilitation, residential, waiver; per diem	19	30	29,930	$10,070	$358.9M
T2023	Targeted case management; per month	11	70	8,210	$510	$8.6M
H2023	Supported employment, per 15 minutes	3	20	28,450	$190	$5.6M
H2015	Comprehensive community support services, per 15 minutes	33	150	7,770	$140	$4.8M
T2021	Day habilitation, waiver; per 15 minutes	16	20	20,590	$210	$4.5M
S5100	Day care services, adult; per 15 minutes	20	190	2,000	$230	$3.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	19	20	24,690	$120	$3.1M
T2003	Non-emergency transportation; encounter/trip	75	250	40,490	$30	$2.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Hospicecare In The Berkshires, Inc.	MA	Community Based Hospice Care Agency	$0	$13.8M
Berkshire Faculty Services Inc	MA	Multi-Specialty Clinic/Center	$0	$13.1M
Alc Corp	MA	Addiction (Substance Use Disorder) Counselor	$0	$9.5M

Commonwealth Of Massachusets — 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