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.

Somerville Cambridge Elder Services (NPI 1508990490)

Field	Value
Entity Type	Organization
Organization	Somerville Cambridge Elder Services
Address	61 Medford St
City	Somerville
State	MA
ZIP	02143
Taxonomy	Case Management Agency
NPI Enumerated	March 15, 2007

Payer Source	Total Paid
Medicaid	$90.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	8,340	$4,380	$36.5M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	32,890	$930	$30.6M
S5140	Foster care, adult; per diem	5,320	$1,850	$9.8M
S5130	Homemaker service, nos; per 15 minutes	50,420	$130	$6.8M
S5170	Home delivered meals, including preparation; per meal	92,410	$40	$3.4M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	9,710	$130	$1.2M
S5120	Chore services; per 15 minutes	3,200	$140	$438.4K
T2003	Non-emergency transportation; encounter/trip	6,780	$50	$359.2K
S5175	Laundry service, external, professional; per order	11,380	$30	$284.5K
S5165	Home modifications; per service	1,110	$190	$206.1K

Showing 1–10 of 19

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

Somerville Cambridge Elder Services — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	40	140	7,990	$90	$61.6M
S5140	Foster care, adult; per diem	124	160	48,640	$110	$19.5M
S5125	Attendant care services; per 15 minutes	40	40	3,390	$300	$4.7M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	49	50	11,820	$40	$4.4M
S5130	Homemaker service, nos; per 15 minutes	32	160	7,330	$90	$3.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	120	190	14,240	$110	$3.7M
S5170	Home delivered meals, including preparation; per meal	23	60	50,010	$20	$2.5M
T2003	Non-emergency transportation; encounter/trip	203	250	40,490	$30	$2.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	39	60	19,060	$20	$2.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	236	310	8,710	$40	$1.6M

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Somerville Cambridge Elder Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cataldo Ambulance Service Inc	MA	Land Ambulance	$11.6M	$66.7M
Somerville Cambridge Elder Services	MA	Case Management Agency	$0	$27.1M
Walnut Street Center, Inc	MA	Developmentally Disabled Services Day Training Agency	$0	$12M
Caspar, Inc.	MA	Community/Behavioral Health Agency	$0	$10.7M
Ahou Meydani-korb	MA	Dermatology Physician	$18.2K	$49K

Somerville Cambridge Elder Services — Billing Profile & Reimbursement Data

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Somerville Cambridge Elder Services — 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