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 Massachusetts (NPI 1578680252)

Field	Value
Entity Type	Organization
Organization	Commonwealth Of Massachusetts
Address	170 Morton St
City	Jamaica Plain
State	MA
ZIP	02130
Taxonomy	Case Management Agency
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	6,810	$1,140	$7.7M

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 Massachusetts — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	43	70	8,210	$510	$8.6M

Nearby Providers

Other providers in the same ZIP code as Commonwealth Of Massachusetts, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Boston Senior Services, Inc.	MA	Point of Service	$0	$65.6M
Brigham And Women's Faulkner Hospital, Inc	MA	General Acute Care Hospital	$0	$45.8M
Family Caregivers	MA	Foster Care Agency	$0	$41M
Victory Programs, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$29.1M
Pinestreet Inn	MA	Addiction (Substance Use Disorder) Counselor	$0	$17.2M
Middlesex Human Service Agency, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$15.9M
Guardian Healthcare, LLC	MA	Home Health Agency	$0	$13.4M
Arbour Inc	MA	Psychiatric Hospital	$0	$12.3M
Southwest Boston Senior Services, Inc	MA	Point of Service	$0	$9.2M
Italian Home For Children Inc	MA	Mental Illness Community Based Residential Treatment Facility	$0	$5.7M

Commonwealth Of Massachusetts — Billing Profile & Reimbursement Data

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Commonwealth Of Massachusetts — Billing Profile & Reimbursement Data

Sign up for Commonwealth Of Massachusetts — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References