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 1518096411)

Field	Value
Entity Type	Organization
Organization	Commonwealth Of Massachusets
Address	100 Cummings Center
City	Beverly
State	MA
ZIP	01915
Taxonomy	Case Management Agency
NPI Enumerated	March 5, 2007

Payer Source	Total Paid
Medicaid	$1.1B
Medicare	$0

Key Findings

COMMONWEALTH OF MASSACHUSETTS reports no Medicare billing on file and is effectively a single-payer Medicaid operation, with lifetime Medicaid revenue of $1.14B. Its NPI was enumerated on 2007-03-05 (~19 years ago), indicating an established presence in the state Medicaid market rather than a recent entrant.

Revenue for this provider is extremely concentrated: the precomputed top three Medicaid codes account for 94.7% of total Medicaid revenue, driven by T2016 ($1.03B, 90.1% of Medicaid revenue), T2003 ($31.5M, 2.8%), and H2015 ($21.2M, 1.9%). This concentration means a small set of service lines dominates the provider’s financial profile and any rate or policy changes that affect those codes could have outsized revenue impact.

The service mix points to a core business in residential habilitation and waiver services: T2016 is labeled Habilitation, residential, waiver; per diem and represents $1.03B of revenue, consistent with an operator running large-scale residential habilitation programs. The provider’s taxonomy as a Case Management Agency aligns with managing waiver and community support services rather than acute or episodic clinical care.

On competitive standing for its top revenue driver, T2016 ranks #3 of 25 providers in-state and sits in the 92th percentile, described as notably above typical state volume. That rank and percentile position this provider as a major state player in residential habilitation/waiver per diem services rather than a marginal participant.

T2003 (Non-emergency transportation; encounter/trip) is an outlier: with 1.2M claims, $27 avg paid/claim, and $31.5M revenue it ranks #2 of 245 providers in-state and is labeled an "extreme outlier." This suggests the provider operates (or contracts) a very large NEMT program relative to peers, making transportation a distinct and unusual volume driver compared with typical state activity.

Other meaningful Medicaid lines show a broader package of community supports: H2015 (Comprehensive community support services) generated $21.2M and ranks #27 of 147 (82th percentile, characterized as typical), while S5100 (Day care services, adult) produced $19.4M and ranks #12 of 189 (94th percentile, notably above typical). T2023 (Targeted case management) also contributes $16.4M and ranks #5 of 70 (94th percentile), indicating the provider has substantial activity in day services and case management on top of residential care.

Given that T2016 alone accounts for 90.1% of Medicaid revenue, the provider’s financial and operational risk profile is concentrated in waiver/residential per diem funding and large-scale transportation encounters. Payers and analysts should treat changes in waiver eligibility, per diem rates, or NEMT policies as material levers that could significantly shift this provider’s revenue and network footprint.

The combination of a long-tenured NPI (~19 years) and top-state rankings on multiple codes (including a #3 rank for T2016 and #2 rank on an extreme-outlier T2003) supports the assessment that this organization is an entrenched Medicaid service provider in Massachusetts with outsized share in specific non-acute service lines rather than a diversified clinical billing enterprise.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	76,530	$13,460	$1B
T2003	Non-emergency transportation; encounter/trip	1,167,500	$30	$31.5M
H2015	Comprehensive community support services, per 15 minutes	49,220	$430	$21.2M
S5100	Day care services, adult; per 15 minutes	72,380	$270	$19.4M
T2023	Targeted case management; per month	48,440	$340	$16.4M
S5125	Attendant care services; per 15 minutes	29,870	$270	$8.2M
T2021	Day habilitation, waiver; per 15 minutes	28,940	$220	$6.4M
T2019	Habilitation, supported employment, waiver; per 15 minutes	44,780	$110	$4.9M
H2023	Supported employment, per 15 minutes	33,430	$140	$4.5M
H0038	Self‑help/peer services, per 15 minutes	4,630	$130	$578.9K

Showing 1–10 of 13

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 — 2 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	3	30	29,930	$10,070	$358.9M
T2023	Targeted case management; per month	5	70	8,210	$510	$8.6M
H2023	Supported employment, per 15 minutes	7	20	28,450	$190	$5.6M
H2015	Comprehensive community support services, per 15 minutes	27	150	7,770	$140	$4.8M
S5125	Attendant care services; per 15 minutes	4	40	3,390	$300	$4.7M
T2021	Day habilitation, waiver; per 15 minutes	7	20	20,590	$210	$4.5M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	3	10	320	$6,480	$3.3M
S5100	Day care services, adult; per 15 minutes	12	190	2,000	$230	$3.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	2	20	24,690	$120	$3.1M
T2003	Non-emergency transportation; encounter/trip	2	250	40,490	$30	$2.2M

Showing 1–10 of 13

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
Northeast Behavioral Health Corporation	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$430.2K	$128.3M
Northeast Hospital Corporation	MA	General Acute Care Hospital	$0	$67.9M
Associated Home Care	MA	Home Health Agency	$0	$34.1M
Standards Care Staffing, Inc	MA	Home Health Agency	$0	$15.1M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$11.3M
Fbtc Transitional Sub, LLC	MA	Community/Behavioral Health Agency	$0	$9.5M
Bass River Day Activity Program, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$8.8M
Pediatric Associates Of Greater Salem, Inc	MA	Pediatrics Physician	$0	$7M
Communitas, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$6.7M
Futures Behavior Therapy Center LLC	MA	Community/Behavioral Health Agency	$0	$6.3M

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