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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Berry Family Services (NPI 1639299274)

Field	Value
Entity Type	Organization
Organization	Berry Family Services
Address	5700 Rowlett Rd
City	Rowlett
State	TX
ZIP	75089
Taxonomy	Case Management Agency
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$128.7M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused provider: there is no Medicare billing on file and lifetime Medicaid revenue is $128.7M, indicating a single-payer operational footprint concentrated on state Medicaid programs rather than dual Medicare/Medicaid operations. The lack of Medicare claims suggests its service mix and client base are oriented toward populations and services covered by Medicaid only.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three codes account for 66.3% of total Medicaid revenue, and a single code, H2016, represents $63.6M or 50.2% of Medicaid revenue. That level of concentration means changes to reimbursement or utilization for H2016 would materially affect overall revenue.

The top revenue-driving codes define the business model: H2016 (Comprehensive community support services, per diem) and H2014 (Skills training and development, per 15 minutes) point to community-based behavioral health and skills-training programs, while T2016 (Habilitation, residential, waiver; per diem) and T2020 (Day habilitation, waiver; per diem) indicate a substantial residential/day habilitation footprint. Together these per-diem and time-based habilitation/support codes suggest the organization operates high-volume, longitudinal support programs for Medicaid-eligible populations.

Operational scale is large by activity metrics: H2016 shows 121.3K claims at $524 avg paid/claim and H2014 shows 176.2K claims at $47 avg paid/claim, while T2016 reports 82.1K claims. These very high claim counts combined with per-diem or per-15-minute payment patterns are consistent with a sizable client census receiving frequent, recurring services rather than one-off episodic care.

State-level competitive standing is strong for multiple lines: H2016 ranks #14 of 430 providers in-state (97th percentile), making the provider a major participant for comprehensive community support services in Texas. Several habilitation and support codes are at or near the top of state rankings—T2016 ranks #9 of 109 (93rd percentile) and T2020 ranks #1 of 365 (100th percentile)—indicating the provider is a top-tier supplier of waiver habilitation services in the state.

Multiple service codes are statistical outliers relative to in-state peers: M0123, M0125, M0124, M0354, M0360, T2020 and several other M0xx entries are labeled as “100th percentile” or “extreme outlier” and many rank #1 of their peer sets. While several of these M0xx codes lack public descriptions, their combined revenue contributions (for example M0123 at $8.9M, M0125 at $4.7M, M0124 at $3.8M) and top ranks indicate unusually high, concentrated volumes in specific, possibly specialized Medicaid services.

The code mix and ranking pattern imply both market leadership and concentration risk: the provider’s dominance across numerous codes (many ranking in the 99th–100th percentiles) signals an entrenched operational footprint in these Medicaid service lines, but it also concentrates revenue in a handful of per-diem and habilitation services that could be sensitive to state policy, waiver changes, or rate adjustments. Monitoring reimbursement policy and utilization thresholds for H2016, T2016, and the top M0xx codes would be high priority for payers and partners.

Tenure supports an established presence: the NPI was enumerated on 2007-03-29 (~19 years ago), so this organization appears to be a long-standing participant in the Texas Medicaid network. Combined with the high-volume claims and top-state rankings, tenure reinforces that the provider is a sustained, prominent Medicaid service provider rather than a transient or emergent supplier.

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	121,320	$520	$63.6M
T2016	Habilitation, residential, waiver; per diem	82,110	$140	$11.5M
M0123	N/A	116,750	$80	$8.9M
H2014	Skills training and development, per 15 minutes	176,220	$50	$8.3M
M0125	N/A	49,630	$90	$4.7M
M0124	N/A	32,040	$120	$3.8M
M0122	N/A	51,090	$70	$3.7M
T2020	Day habilitation, waiver; per diem	84,490	$40	$3.5M
M0354	N/A	18,810	$170	$3.1M
M0360	N/A	23,040	$120	$2.7M

Showing 1–10 of 47

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Berry Family Services — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	9	110	6,810	$200	$8.1M
H2016	Comprehensive community support services, per diem	14	430	5,020	$270	$5.6M
M0150	N/A	56	80	6,450	$160	$1.4M
H2014	Skills training and development, per 15 minutes	2	560	9,630	$80	$1.4M
M0124	N/A	1	30	5,900	$120	$879.4K
M0123	N/A	1	190	7,520	$80	$861.3K
M0125	N/A	1	70	6,600	$90	$810.4K
M0122	N/A	2	120	6,320	$70	$648K
M0360	N/A	1	50	3,760	$80	$459.5K
M0354	N/A	1	40	3,630	$100	$459.4K

Showing 1–10 of 47

Nearby Providers

Other providers in the same ZIP code as Berry Family Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roseline Jones	TX	Family Nurse Practitioner	$2.3M	$0
Nicole Eggleston	TX	Nurse Practitioner	$645K	$0

Berry Family Services — Billing Profile & Reimbursement Data

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Berry Family Services — 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

Nearby Providers

Frequently Asked Questions

References