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.

Edward M. Kennedy Community Health Center, Inc (NPI 1609842152)

Field	Value
Entity Type	Organization
Organization	Edward M. Kennedy Community Health Center, Inc
Address	19 Tacoma St
City	Worcester
State	MA
ZIP	01605
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 24, 2006

Payer Source	Total Paid
Medicaid	$55.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

180 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	200,950	$150	$30.9M
D9450	N/A	136,500	$20	$3.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	15,200	$140	$2.1M
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…	10,460	$170	$1.7M
99391	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…	10,410	$150	$1.5M
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…	8,260	$150	$1.2M
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…	15,320	$80	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,500	$150	$1.1M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,640	$150	$1M
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	5,210	$150	$792.4K

Showing 1–10 of 180

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

Edward M. Kennedy Community Health Center, Inc — 15 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

180 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	25	170	950	$200	$1.8M
T1015	Clinic visit/encounter, all-inclusive	7	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…	11	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.	73	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…	109	1,620	580	$80	$599.6K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	14	20	480	$640	$583.9K
D9450	N/A	4	150	2,450	$30	$506.8K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	92	120	200	$180	$352.7K
D2740	N/A	48	410	280	$660	$338.1K
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…	23	110	3,490	$40	$309.9K

Showing 1–10 of 180

Related Providers

Other providers that share a Tax Identification Number (TIN) with Edward M. Kennedy Community Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Schechter	MA	Podiatrist	$94.9K	$11.7K
Vasilios Chrisostomidis	MA	Family Medicine Physician	$36.9K	$0
Elizabeth Dobles	MA	Family Medicine Physician	$40	$19.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Health Systems, Inc	MA	Addiction (Substance Use Disorder) Counselor	$6M	$187.4M
Prestige Adult Foster Care LLC.	MA	In Home Supportive Care Agency	$0	$54.1M
Autism Therapuetic Services LLC	MA	Early Intervention Provider Agency	$0	$23M
Catholic Charities Of The Diocese Of Worcester	MA	Developmentally Disabled Services Day Training Agency	$0	$17.2M
City Home Care, LLC	MA	Home Health Agency	$0	$15.9M
Autism Intervention Specialists	MA	Behavior Analyst	$0	$13.4M
Pinnacle Home Healthcare Services, Inc	MA	Home Health Agency	$0	$13.3M
Adcare Hospital Of Worcester, Inc.	MA	General Acute Care Hospital	$0	$13.2M
The Bridge Of Central Massachusetts, Inc.	MA	Community/Behavioral Health Agency	$0	$5.5M
Notre Dame Health Care Center, Inc.	MA	Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician	$0	$5.4M

Edward M. Kennedy Community Health Center, Inc — Billing Profile & Reimbursement Data

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Edward M. Kennedy 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

Related Providers

Nearby Providers

Frequently Asked Questions

References