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.

Boston Senior Home Care (NPI 1568583235)

Field	Value
Entity Type	Organization
Organization	Boston Senior Home Care
Address	89 South St Ste 501
City	Boston
State	MA
ZIP	02111
Taxonomy	Case Management Agency
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$118.8M
Medicare	$0

Key Findings

BOSTON SENIOR HOME CARE is effectively a Medicaid-focused provider: it has no Medicare billing on file while reporting $118.8M in lifetime Medicaid revenue, indicating a single‑payer operational footprint concentrated on state Medicaid programs rather than Medicare fee‑for‑service lines. This payer mix implies strategic dependence on Medicaid policies, rates, and HCBS program design in Massachusetts.

Revenue is highly concentrated in a small set of Medicaid service codes: the precomputed top three codes account for 58.5% of the provider's total Medicaid revenue, with S5130 ($26.9M, 22.7%), G0156 ($21.7M, 18.3%), and T1019 ($20.9M, 17.6%) together driving the majority of receipts. That concentration suggests business risk if reimbursement or utilization for these core personal/home care services shifts.

The service-line mix (S5130, G0156, T1019) points to an operational model built around home- and community-based long‑term services and supports: heavy volumes of per‑15‑minute homemaker services (274.6K claims) and personal care (140.4K claims) plus aide services (17.3K claims) imply large field staff, granular scheduling, and throughput-focused delivery rather than episodic skilled nursing care. High counts of short-interval units indicate operational emphasis on frequent, time‑based direct care visits and care coordination.

BOSTON SENIOR HOME CARE is a strong in-state competitor for several high-volume codes: it ranks #4 of 162 for S5130 (98th percentile, described as notably above typical state volume) and #3 of 62 for S5170 (547.4K claims, $18.1M, 97th percentile, also notably above typical state volume), indicating market leadership in homemaker services and home-delivered meals. By contrast, G0156 (rank #88 of 193, 55th percentile) is a mid‑tier position statewide, indicating the provider is not dominant across all aide/skilled-home codes.

S5165 (home modifications) is an explicit statistical outlier for this provider: it ranks #1 of 35 providers in-state and is labeled an extreme outlier (100th percentile) with $957.9K in revenue. That #1 position for a relatively niche code indicates either a unique service capability or a strong referral footprint for home modification work compared to peers.

High-volume non‑medical support services are a meaningful revenue stream: S5170 (home delivered meals) generated $18.1M from 547.4K claims and S5130 (homemaker service) generated $26.9M from 274.6K claims, showing that non-clinical HCBS supports (meals, homemaking, attendant/personal care) are core to the business model and likely require logistics, supply chain and large-scale scheduling capacity in addition to caregiving staff.

While several codes show leadership, the provider’s competitive standing varies by service. T1019 ranks #16 of 137 (89th percentile) indicating above‑typical volume for personal care, whereas several lower-revenue codes (e.g., T2003 rank #162 of 245, 34th percentile) reflect more modest participation; this mixed profile suggests the organization concentrates resources on a subset of high-volume HCBS lines while participating to a lesser extent in broader ancillary services.

The provider has an established market presence with an NPI enumerated on 2007-04-02 (~19 years ago), signaling long tenure in the state market. Combined with the concentrated Medicaid revenue base and leading ranks on multiple HCBS codes, this longevity supports the interpretation of a well‑entrenched Medicaid home‑care operator with specialized strengths in homemaker services, meal delivery, and home modification work.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	274,640	$100	$26.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	17,280	$1,260	$21.7M
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…	140,360	$150	$20.9M
S5170	Home delivered meals, including preparation; per meal	547,370	$30	$18.1M
S5125	Attendant care services; per 15 minutes	6,210	$1,440	$8.9M
S5102	Day care services, adult; per diem	26,920	$220	$6M
S5140	Foster care, adult; per diem	1,960	$2,460	$4.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	15,490	$180	$2.9M
T2003	Non-emergency transportation; encounter/trip	18,350	$120	$2.2M
S5175	Laundry service, external, professional; per order	68,740	$30	$2.1M

Showing 1–10 of 23

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

Boston Senior Home Care — 4 of 23 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

23 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…	16	140	7,990	$90	$61.6M
S5140	Foster care, adult; per diem	142	160	48,640	$110	$19.5M
T2023	Targeted case management; per month	61	70	8,210	$510	$8.6M
S5125	Attendant care services; per 15 minutes	15	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…	35	50	11,820	$40	$4.4M
S5102	Day care services, adult; per diem	168	340	25,780	$110	$4.1M
S5130	Homemaker service, nos; per 15 minutes	4	160	7,330	$90	$3.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	88	190	14,240	$110	$3.7M
T2022	Case management, per month	57	80	7,230	$50	$2.6M
S5170	Home delivered meals, including preparation; per meal	3	60	50,010	$20	$2.5M

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Boston Senior Home Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tufts Medical Center, Inc.	MA	General Acute Care Hospital	$0	$164.6M
Boston Senior Home Care	MA	Case Management Agency	$0	$38.9M
South Cove Community Health Center, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$20.5M
Trustees Of Tufts College	MA	Dental Clinic/Center	$0	$18.2M
Pratt Pediatric Associates Inc	MA	Pediatrics Physician	$0	$7.7M
Boston Center For Independent Living, Inc.	MA	Personal Care Attendant	$0	$7.2M
Tufts Medical Center Ep LLC	MA	Emergency Medicine Physician	$0	$6.6M
Minping Liu	MA	Internal Medicine Physician	$14.7K	$6.6M
Andre Witkin	MA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Michelle Liang	MA	Ophthalmology Physician	$2.1M	$0

Boston Senior Home Care — Billing Profile & Reimbursement Data

Sign up for Boston Senior Home Care — Billing Profile & Reimbursement Data policy alerts

Boston Senior Home Care — Billing Profile & Reimbursement Data

Sign up for Boston Senior Home Care — 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