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.

Community Healthlink Inc (NPI 1649293028)

Field	Value
Entity Type	Organization
Organization	Community Healthlink Inc
Address	12 Queen Street
City	Worcester
State	MA
ZIP	01610
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicaid	$127.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while lifetime Medicaid revenue totals $127.5M, indicating the organization’s entire reported public-reimbursement footprint in our data is driven by Medicaid. Analysts should treat Medicaid as the dominant and practically exclusive public payer when modeling reimbursement risk or network leverage for this entity.

Revenue is highly concentrated in a few community behavioral-health service lines: the top three Medicaid codes (S9485, H0023, H0040) account for 58.8% of the provider’s total Medicaid revenue. The single largest contributor is S9485 with $38.5M revenue (30.3% of this provider's total Medicaid revenue), followed by H0023 with $24.9M (19.6%) and H0040 with $11.3M (8.9%), so any reimbursement or policy changes affecting those codes would disproportionately impact overall revenue.

The code mix and volumes indicate an operational focus on community-based crisis and outreach services plus intensive team-based care: S9485 is Crisis intervention mental health services, per diem (71.9K claims), H0023 is Behavioral health outreach service (478.6K claims), and H0040 is Assertive community treatment program, per diem (239.8K claims). These high claim counts and per‑diem program revenues imply the organization runs large-scale crisis response, outreach, and ACT programs rather than a primarily office-based specialty practice.

Competitive standing in key Medicaid lines is strong and in some cases dominant: S9485 ranks #1 of 113 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), H0040 ranks #2 of 20 (95th percentile; notably above typical state volume), and H0023 ranks #3 of 37 (94th percentile; notably above typical state volume). These ranks position the provider as a statewide leader for crisis intervention and intensive community services, and indicate market share and operational scale advantages in those segments.

Alongside per‑diem and outreach programs the provider also reports very high outpatient psychotherapy and E/M activity, reflecting a broad continuum of care: 90834 shows 116.6K claims and $7M revenue (5.5% of this provider's total Medicaid revenue) and ranks #25 of 1617 providers (99th percentile; notably above typical state volume), while 99214 reports 52.2K claims and $2.6M revenue (2.0%) and also ranks in the 99th percentile. The combination of large psychotherapy claim volumes with high per‑diem program revenue suggests integrated services spanning crisis, community treatment teams, and routine outpatient care.

The portfolio includes residential and detoxification services but they are smaller contributors: H0019 (long‑term residential) generates $10.1M (7.9% of Medicaid revenue) and ranks #12 of 75 (85th percentile; typical), while H0011 and H0010 (detox services) produce more modest revenues ($601.5K and $281.8K respectively). This pattern implies the provider operates a mix of outpatient, community, and some residential capabilities, with residential/detox services supplementing rather than driving revenue.

This organization is long‑tenured in public programs, with its NPI enumerated 2006-07-26 (~20 years ago), and shows operational scale in claim volumes across multiple community mental health codes (for example H0023 478.6K claims, H0040 239.8K claims, S9485 71.9K claims). The combination of tenure and very large claim counts in targeted Medicaid service lines suggests established infrastructure and sustained capacity to deliver high-volume community mental health programs in-state.

Medicaid: Complete Services Breakdown

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9485	Crisis intervention mental health services, per diem	71,890	$540	$38.5M
H0023	Alcohol and/or drug outreach	478,590	$50	$24.9M
H0040	Assertive community treatment program, per diem	239,820	$50	$11.3M
T1040	Medicaid certified community behavioral health clinic services, per diem	50,260	$220	$11.3M
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	56,700	$180	$10.1M
H2011	Crisis intervention service, per 15 minutes	53,610	$190	$9.9M
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…	116,600	$60	$7M
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…	52,170	$50	$2.6M
H2019	Therapeutic behavioral services, per 15 minutes	18,010	$120	$2.1M
H2015	Comprehensive community support services, per 15 minutes	29,350	$50	$1.5M

Showing 1–10 of 49

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

Community Healthlink Inc — 9 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

49 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	12	80	5,200	$370	$8.4M
H0023	Alcohol and/or drug outreach	3	40	127,370	$50	$8.2M
H2015	Comprehensive community support services, per 15 minutes	46	150	7,770	$140	$4.8M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	13	30	1,210	$760	$3.9M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	18	30	1,910	$480	$3.5M
S9485	Crisis intervention mental health services, per diem	1	110	1,250	$540	$3.2M
H2019	Therapeutic behavioral services, per 15 minutes	72	290	3,680	$150	$2.9M
H0040	Assertive community treatment program, per diem	2	20	22,090	$50	$2.8M
T1027	Family training and counseling for child development, per 15 minutes	53	130	4,300	$110	$2.1M
H2011	Crisis intervention service, per 15 minutes	2	40	3,970	$140	$2M

Showing 1–10 of 49

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Healthlink, Inc	MA	Developmental Disabilities Clinic/Center	$0	$7.9M
Mustafa Syed	MA	Psychiatry Physician	$87.6K	$5.4K
Terry Davies	MA	Adult Health Nurse Practitioner	$48.3K	$1.7K
Adedoyin Adeniji	DC	Psychiatric/Mental Health Nurse Practitioner	$8.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Center Of Worcester, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$70.2M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$10M
Christopher Vinton	MA	Orthopaedic Surgery Physician	$322.7K	$0
Stella Adu-gyamfi	MA	Nurse Practitioner	$26.8K	$81.1K
Philip Lahey	MA	Orthopaedic Surgery Physician	$98.3K	$0
Quang Le	MA	Family Medicine Physician	$62.2K	$18.2K

Community Healthlink Inc — Billing Profile & Reimbursement Data

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Community Healthlink 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