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.

Stavros Center For Independent Living, Inc. (NPI 1518098359)

Field	Value
Entity Type	Organization
Organization	Stavros Center For Independent Living, Inc.
Address	210 Old Farm Rd
City	Amherst
State	MA
ZIP	01002
Taxonomy	Case Management Agency
NPI Enumerated	March 7, 2007

Payer Source	Total Paid
Medicaid	$1B
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and $1.04B in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation based on the available claims data. Its NPI was enumerated 2007-03-07 (~19 years ago), indicating long-tenured activity in the market.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and a single code, T1019, represents $1.03B or 99.3% of that Medicaid revenue. That concentration indicates the provider’s financial performance is overwhelmingly driven by one service type.

The top codes are service-oriented home care activities: T1019 is billed as personal care services per 15 minutes and 99509 covers in-home visits to assist with ADLs and self-care. This mix points to an operational model centered on high-volume personal care and supportive home-based services rather than skilled Medicare home health or facility-based care.

T1019 shows very large utilization: 11.1M claims at a $93 avg paid/claim producing $1.03B in revenue; the provider ranks #2 of 137 in-state for this code and is described as notably above typical state volume (99th percentile). This ranking and volume position the provider as a major statewide provider for per-15-minute personal care services.

99509 is a much smaller contributor: 106.1K claims at a $71 avg paid/claim generating $7.5M in revenue, which is 0.7% of the provider’s Medicaid revenue. The provider ranks #5 of 15 in-state for 99509 (71th percentile) and the data characterizes that volume as typical and unremarkable relative to peers, indicating a modest presence in ADL-focused home visits.

Competitive standing is therefore split: the provider is a dominant or major player statewide for T1019-level personal care services but only a modest participant for other home-visit ADL codes. Rankings (#2 of 137 for T1019 versus #5 of 15 for 99509) underline dominance in a single high-volume code combined with limited breadth across additional service lines.

Operational implications of the concentration are material: dependence on high-volume, per-15-minute personal care billing (T1019) implies scale in frontline direct-care staffing, scheduling and dispatch capacity, and exposure to reimbursement or policy changes affecting that specific code. A shift in Medicaid coverage, rate methodology, or audit focus on time-based personal-care billing could have outsized revenue impact given the 99.3% share of T1019.

The provider’s long tenure (NPI enumerated 2007-03-07 (~19 years ago)) together with $1.04B in Medicaid revenue suggests an established service footprint and capacity to manage large-scale personal care programs; however, the extreme revenue concentration means strategic diversification would materially change its risk profile if pursued.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	11,100,470	$90	$1B
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	106,110	$70	$7.5M

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

Stavros Center For Independent Living, Inc. — 1 of 2 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

2 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…	2	140	7,990	$90	$61.6M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	5	20	39,290	$50	$29.3M

Nearby Providers

Other providers in the same ZIP code as Stavros Center For Independent Living, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stavros Center For Independent Living, Inc.	MA	Home Health Agency	$0	$146.8M
Stavros Center For Independent Living, Inc.	MA	Case Management Agency	$0	$54.6M
Stavros Center For Independent Living, Inc.	MA	Case Management Agency	$0	$23.5M
Stavros Center For Independent Living	MA	Case Management Agency	$0	$7.7M
Town Of Amherst	MA	Land Ambulance	$550.9K	$1.4M
Katherine Atkinson	MA	Family Medicine Physician	$466K	$9.2K
Cvs Pharmacy Inc	MA	Pharmacy	$366.6K	$0
Richard Wyatt	MA	Dermatology Physician	$316K	$2.3K
Valley Medical Group, P.C.	MA	Ambulatory Surgical Clinic/Center	$280.8K	$10K
Paul Walting	MA	Sleep Medicine (Psychiatry & Neurology) Physician	$285.9K	$0

Stavros Center For Independent Living, Inc. — Billing Profile & Reimbursement Data

Sign up for Stavros Center For Independent Living, Inc. — Billing Profile & Reimbursement Data policy alerts

Stavros Center For Independent Living, Inc. — Billing Profile & Reimbursement Data

Sign up for Stavros Center For Independent Living, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References