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.

Gosnold, Inc. (NPI 1639219314)

Field	Value
Entity Type	Organization
Organization	Gosnold, Inc.
Address	200 Ter Heun Dr
City	Falmouth
State	MA
ZIP	02540
Taxonomy	Children's Substance Abuse Rehabilitation Facility
NPI Enumerated	February 8, 2007

Payer Source	Total Paid
Medicaid	$27.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 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…	131,650	$80	$11.1M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	2,170	$1,870	$4.1M
H2016	Comprehensive community support services, per diem	22,230	$170	$3.7M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	5,030	$450	$2.3M
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…	23,600	$90	$2.2M
H2015	Comprehensive community support services, per 15 minutes	9,650	$90	$868.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6,640	$120	$796.7K
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…	15,680	$50	$768.2K
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…	11,730	$40	$480.8K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	9,830	$40	$353.8K

Showing 1–10 of 25

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

Gosnold, Inc. — 4 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	50	80	5,200	$370	$8.4M
H2015	Comprehensive community support services, per 15 minutes	70	150	7,770	$140	$4.8M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	8	30	1,210	$760	$3.9M
H2016	Comprehensive community support services, per diem	23	80	4,550	$30	$1.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	31	30	620	$310	$775.3K
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.	82	410	140	$110	$742.2K
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…	3	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…	21	1,620	580	$80	$599.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	27	30	3,380	$50	$460K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	20	230	470	$60	$221.1K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lynne Gomes	MA	Family Nurse Practitioner	$46.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Falmouth Hospital Association Inc	MA	General Acute Care Hospital	$0	$25.4M
Trinity Hospice LLC	MA	Community Based Hospice Care Agency	$0	$11.5M
Town Of Falmouth	MA	Land Ambulance	$1.1M	$1.9M
James Bleiler	MA	Urology Physician	$941K	$0
Cvs Pharmacy Inc	MA	Pharmacy	$756.9K	$0
John Hostetter	MA	Cardiovascular Disease Physician	$397.1K	$0
Paul Dimond	MA	Orthopaedic Surgery Physician	$346.8K	$0
Mir Shuttari	MA	Pulmonary Disease Physician	$194.9K	$130.8K
David Rancourt	MA	Internal Medicine Physician	$315.4K	$0
David Whitney	MA	Primary Podiatric Medicine Podiatrist	$300.2K	$0

Gosnold, Inc. — Billing Profile & Reimbursement Data

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Gosnold, 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