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.

Duffy Health Center, Inc (NPI 1588616742)

Field	Value
Entity Type	Organization
Organization	Duffy Health Center, Inc
Address	94 Main St
City	Hyannis
State	MA
ZIP	02601
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	66,750	$150	$9.9M
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…	19,470	$120	$2.3M
T1040	Medicaid certified community behavioral health clinic services, per diem	10,900	$140	$1.5M
H2016	Comprehensive community support services, per diem	10,850	$110	$1.2M
90832	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…	12,430	$30	$385.3K
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…	13,250	$30	$384.1K
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…	5,160	$50	$278.6K
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…	3,510	$80	$263.1K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	9,070	$20	$145.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	860	$120	$100.5K

Showing 1–10 of 46

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

Duffy Health Center, Inc — 2 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	31	170	950	$200	$1.8M
H2016	Comprehensive community support services, per diem	30	80	4,550	$30	$1.6M
T1015	Clinic visit/encounter, all-inclusive	23	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…	6	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.	235	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…	320	1,620	580	$80	$599.6K
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…	17	110	3,490	$40	$309.9K
J2315	Injection, naltrexone, depot form, 1 mg	16	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…	94	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,…	317	950	90	$100	$212.9K

Showing 1–10 of 46

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cape Cod Hospital Inc	MA	General Acute Care Hospital	$0	$86.9M
Relief Home Health Services Inc	MA	Home Health Agency	$0	$37.2M
Harbor Health Services, Inc.	MA	Community Health Clinic/Center	$0	$21.8M
Capeabilities	MA	Developmentally Disabled Services Day Training Agency	$0	$18M
Coastal Medical Transportation Services LLC	MA	Land Ambulance	$5.2M	$10.2M
Coastal Ambulance LLC	MA	Land Ambulance	$5.1M	$8.2M
The Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$9M
Advantage Home Health Care Services LLC	MA	Home Health Agency	$0	$8.5M
Habilitation Assistance Corportation	MA	Developmentally Disabled Services Day Training Agency	$0	$7.3M
Cape Cod Emergency Associates, LLC	MA	Emergency Medicine Physician	$0	$7.2M

Duffy Health Center, Inc — Billing Profile & Reimbursement Data

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Duffy 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