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.

Hri Clinics, Inc. (NPI 1598707002)

Field	Value
Entity Type	Organization
Organization	Hri Clinics, Inc.
Address	10-i Roessler Road
City	Woburn
State	MA
ZIP	01801
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicaid	$101.5M
Medicare	$0

Key Findings

HRI CLINICS, INC. is effectively a single-payer Medicaid provider with $101.5M in reported Medicaid revenue and no Medicare billing on file. The absence of Medicare activity means Medicaid dominates its payer mix and should be treated as the primary revenue and utilization driver for contracting or capacity planning decisions.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 65.4% of this provider's total Medicaid revenue. Those top three are 90834 ($42.3M, 41.7%), H2019 ($17.5M, 17.2%), and 90837 ($6.6M, 6.5%), indicating a heavy reliance on psychotherapy and therapeutic behavioral services for revenue.

The code mix strongly indicates an outpatient behavioral health operating model focused on high-volume psychotherapy and intensive community-based services. Large volumes of 90834, 90837, 90832, H2019 and related codes (plus sizable claims for family training T1027 and partial hospitalization H0035) point to a mix of individual psychotherapy, family training, therapeutic behavioral services and structured partial hospitalization programming rather than a primarily medical-somatic practice.

State-level competitive standing is dominant or highly elevated for multiple behavioral-health codes. For example, 90834 ranks #2 of 1617 providers in-state (100th percentile; extreme outlier) and H0035 ranks #1 of 33 providers in-state (100th percentile; extreme outlier), while H2019 ranks #9 of 294 providers (97th percentile; notably above typical state volume), signaling that HRI CLINICS is a major behavioral-health capacity in Massachusetts for these services.

Operational scale is reflected in very large claim volumes for core codes: 515.7K claims for 90834, 131.4K claims for H2019, and 58.5K claims for 90837. Those counts, together with the revenue amounts cited, imply a high-throughput outpatient delivery model that could reflect multi-site operations, large staff capacity, or both and will be relevant for network adequacy and utilization management.

Clinical service intensity is mixed across short and longer psychotherapy sessions plus evaluation/management visits, suggesting both therapy-focused encounters and clinician-led medical/diagnostic work. High-revenue E/M activity (99214: $5.4M, 5.3%; 99213: $3.4M, 3.3%) alongside 90791/90792 and psychotherapy add-ons indicates integrated behavioral health services that include diagnostic evaluation and medical decision making in outpatient settings.

Multiple codes are flagged as statistical outliers in-state, which underscores the provider's atypical market footprint rather than routine volume levels. Examples include 90834, 90837, 90791, 90832, 90847 and 90853 marked as "extreme outlier" and H2019 and 90882 described as "notably above typical," which should prompt payers and competitors to investigate operational capacity and referral patterns when assessing local market balance.

The provider has a long tenure in the billing system (NPI enumerated 2006-06-11 (~20 years ago)), pairing institutional longevity with concentrated Medicaid exposure. For payers and planners, that tenure combined with concentrated revenue in psychotherapy/behavioral codes represents both a stable large-volume partner for behavioral health capacity and a concentration risk if those service lines face reimbursement or regulatory changes.

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	515,680	$80	$42.3M
H2019	Therapeutic behavioral services, per 15 minutes	131,380	$130	$17.5M
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…	58,480	$110	$6.6M
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…	88,990	$60	$5.4M
T1027	Family training and counseling for child development, per 15 minutes	51,710	$100	$5.2M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	17,870	$280	$5M
H2015	Comprehensive community support services, per 15 minutes	58,910	$70	$4.4M
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…	71,710	$50	$3.4M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	25,550	$130	$3.3M
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…	54,480	$40	$2.3M

Showing 1–10 of 34

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

Hri Clinics, Inc. — 12 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	3	10	230	$160	$86.5M
H2015	Comprehensive community support services, per 15 minutes	20	150	7,770	$140	$4.8M
H2019	Therapeutic behavioral services, per 15 minutes	9	290	3,680	$150	$2.9M
T2022	Case management, per month	60	80	7,230	$50	$2.6M
T1027	Family training and counseling for child development, per 15 minutes	12	130	4,300	$110	$2.1M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	1	30	620	$310	$775.3K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	13	60	2,800	$110	$659.4K
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…	2	1,620	580	$80	$599.6K
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…	6	1,020	460	$100	$293.7K
H0032	Mental health service plan development by non-physician	164	160	430	$180	$269.5K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hri Clinics, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arbour Elder Services, Inc.	MA	Community/Behavioral Health Agency	$0	$6.9M
Francine Eisenman	MA	Clinical Social Worker	$68.6K	$119.8K

Nearby Providers

Other providers in the same ZIP code as Hri Clinics, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diligent Personal Care, Inc	MA	Adult Care Home Facility	$0	$50.3M
Compassionate Care Hospice Of Massachusetts, LLC	MA	Community Based Hospice Care Agency	$0	$31.7M
New England Home Health Services, Inc.	MA	Home Health Agency	$0	$28M
A Joyful Adult Health Care Center LLC	MA	Adult Day Care Clinic/Center	$0	$19.2M
Quality Care	MA	In Home Supportive Care Agency	$0	$18.3M
New England Life Care, Inc.	MA	Home Infusion Therapy Pharmacy	$20.9K	$11.6M
Alliance Home Care Visiting Nurse Agency, Inc.	MA	Home Health Agency	$0	$11M
Nupath Inc	MA	Developmentally Disabled Services Day Training Agency	$0	$9.4M
Communitas, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$7.4M
Evergreen Adult Day Health Center	MA	Adult Day Care Clinic/Center	$0	$7.3M

Hri Clinics, Inc. — Billing Profile & Reimbursement Data

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Hri Clinics, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References