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.

South End Community Health Center Inc (NPI 1558310052)

Field	Value
Entity Type	Organization
Organization	South End Community Health Center Inc
Address	1601 Washington Street
City	Boston
State	MA
ZIP	02118
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

102 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	38,160	$160	$6.1M
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	3,880	$50	$189.9K
D9450	N/A	25,020	$10	$175.1K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	4,830	$30	$149.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	18,330	$10	$146.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	4,840	$30	$135.5K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	6,660	$20	$119.8K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	2,540	$40	$109.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,430	$20	$109.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	580	$170	$98.5K

Showing 1–10 of 102

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

South End Community Health Center Inc — 1 of 25 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

102 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	30	550	90	$140	$1.5M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	30	80	1,720	$150	$800.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	50	410	140	$110	$742.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	433	1,620	580	$80	$599.6K
D9450	N/A	35	150	2,450	$30	$506.8K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	46	110	3,490	$40	$309.9K
J2315	Injection, naltrexone, depot form, 1 mg	15	20	70	$910	$297K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,004	1,020	460	$100	$293.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	154	950	90	$100	$212.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	319	5,040	200	$70	$209.5K

Showing 1–10 of 102

Nearby Providers

Other providers in the same ZIP code as South End Community Health Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boston Medical Center Corporation	MA	General Acute Care Hospital	$0	$768.7M
Commonwealth Of Massachusetts	MA	Community/Behavioral Health Agency	$0	$153.7M
Boston Public Health Commission	MA	Ambulance	$5.9M	$67.6M
Boston Emergency Services Team (bupa) Boston	MA	Community/Behavioral Health Agency	$0	$59.2M
Boston Health Care For The Homeless Program, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$54.8M
Boston Health Care For The Homeless Program, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$53.1M
Boston University Psychiatry Associates, Inc.	MA	Psychiatry Physician	$0	$40.9M
Evans Medical Foundation, Inc.	MA	Internal Medicine Physician	$0	$37.8M
Child Health Foundation Of Boston, Inc.	MA	Pediatrics Physician	$0	$26.6M
Boston Emergency Physician Foundation, Inc.	MA	Emergency Medicine Physician	$0	$24.3M

South End Community Health Center Inc — Billing Profile & Reimbursement Data

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South End Community Health Center 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