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.

Horace Mann Educational Assoc., Inc (NPI 1518187608)

Field	Value
Entity Type	Organization
Organization	Horace Mann Educational Assoc., Inc
Address	153 Clinton Rd
City	Sterling
State	MA
ZIP	01564
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 30, 2007

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	25,180	$130	$3.3M
H2014	Skills training and development, per 15 minutes	33,460	$90	$3M
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…	8,730	$60	$480.1K
S5101	Day care services, adult; per half day	6,410	$60	$410.2K

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

Horace Mann Educational Assoc., Inc — 0 of 4 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

4 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…	65	140	7,990	$90	$61.6M
S5102	Day care services, adult; per diem	176	340	25,780	$110	$4.1M
H2014	Skills training and development, per 15 minutes	57	190	21,080	$110	$3M
S5101	Day care services, adult; per half day	98	270	4,060	$60	$401.4K

Nearby Providers

Other providers in the same ZIP code as Horace Mann Educational Assoc., Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marie Francis	—	Family Nurse Practitioner	$173.4K	$0
James Shenko	MA	Specialist	$46.2K	$0

Horace Mann Educational Assoc., Inc — Billing Profile & Reimbursement Data

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Horace Mann Educational Assoc., Inc — 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