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.

Elder Services Of Berkshire County Inc. (NPI 1609993401)

Field	Value
Entity Type	Organization
Organization	Elder Services Of Berkshire County Inc.
Address	73 S Church Street
City	Pittsfield
State	MA
ZIP	01201
Taxonomy	Case Management Agency
NPI Enumerated	March 25, 2007

Payer Source	Total Paid
Medicaid	$35.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	54,780	$280	$15.6M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	11,290	$710	$8M
S5130	Homemaker service, nos; per 15 minutes	88,590	$80	$7.3M
S5170	Home delivered meals, including preparation; per meal	90,060	$30	$2.3M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	13,030	$80	$990.4K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	11,150	$70	$803.1K
S5175	Laundry service, external, professional; per order	26,680	$20	$613.6K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	13,140	$30	$328.5K
A9279	Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified	2,100	$40	$73.6K
S5160	Emergency response system; installation and testing	70	$40	$3K

Showing 1–10 of 11

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

Elder Services Of Berkshire County Inc. — 0 of 11 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

11 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…	33	140	7,990	$90	$61.6M
S5130	Homemaker service, nos; per 15 minutes	24	160	7,330	$90	$3.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	106	190	14,240	$110	$3.7M
S5170	Home delivered meals, including preparation; per meal	25	60	50,010	$20	$2.5M
T2003	Non-emergency transportation; encounter/trip	242	250	40,490	$30	$2.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	34	60	19,060	$20	$2.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	132	310	8,710	$40	$1.6M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	18	70	2,890	$90	$1.4M
S5175	Laundry service, external, professional; per order	12	40	15,510	$30	$911K
A9279	Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified	8	30	1,130	$40	$55.9K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Elder Services Of Berkshire County Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusets	MA	Case Management Agency	$0	$275M
Berkshire Medical Center, Inc	MA	General Acute Care Hospital	$0	$150M
The Brien Center For Mental Health And Substance Abuse Services Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$50.7M
Hillcrest Educational Centers Inc	MA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$21.6M
Berkshire County Arc, Inc.	MA	Foster Care Agency	$0	$19.8M
Berkshire Medical Center, Inc	MA	Substance Abuse Rehabilitation Facility	$0	$15.4M
Ucp Of Western Massachusetts Inc	MA	Early Intervention Provider Agency	$0	$14.9M
Hospicecare In The Berkshires, Inc.	MA	Community Based Hospice Care Agency	$0	$13.8M
Berkshire Faculty Services Inc	MA	Multi-Specialty Clinic/Center	$0	$13.1M
Alc Corp	MA	Addiction (Substance Use Disorder) Counselor	$0	$9.5M

Elder Services Of Berkshire County Inc. — Billing Profile & Reimbursement Data

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Elder Services Of Berkshire County 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