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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNotre Dame Health Care Center, Inc.
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    Notre Dame Health Care Center, Inc. — Billing Profile & Reimbursement Data

    NPI 1689703068 · Worcester, MA · Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician

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    Notre Dame Health Care Center, Inc. is a hospice and palliative medicine (physical medicine & rehabilitation) physician provider located in Worcester, Massachusetts. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    • Billing CodesCPT, HCPCS, DRG & more
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    • ModifiersCPT modifiers & usage
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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNotre Dame Health Care Center, Inc.
    Address555 Plantation St
    CityWorcester
    StateMA
    ZIP01605
    TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
    NPI EnumeratedMarch 3, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2046Hospice long term care, room and board only; per diem1,340$4,060$5.4M
    G0155Services of clinical social worker in home health or hospice settings, each 15 minutes2,320$0$0
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes9,850$0$0
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes9,740$0$0
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes960$0$0
    Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)1,070$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2046Hospice long term care, room and board only; per diem47702,980$550$10.3M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes11119014,240$110$3.7M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes1473108,710$40$1.6M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes1181703,500$40$757.2K
    G0155Services of clinical social worker in home health or hospice settings, each 15 minutes28701,210$1$310
    Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)19401,120$0$0

    Nearby Providers

    Other providers in the same ZIP code as Notre Dame Health Care Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health Systems, IncMAAddiction (Substance Use Disorder) Counselor$6M$187.4M
    Edward M. Kennedy Community Health Center, IncMAFederally Qualified Health Center (FQHC)$0$55.2M
    Prestige Adult Foster Care LLC.MAIn Home Supportive Care Agency$0$54.1M
    Autism Therapuetic Services LLCMAEarly Intervention Provider Agency$0$23M
    Catholic Charities Of The Diocese Of WorcesterMADevelopmentally Disabled Services Day Training Agency$0$17.2M
    City Home Care, LLCMAHome Health Agency$0$15.9M
    Autism Intervention SpecialistsMABehavior Analyst$0$13.4M
    Pinnacle Home Healthcare Services, IncMAHome Health Agency$0$13.3M
    Adcare Hospital Of Worcester, Inc.MAGeneral Acute Care Hospital$0$13.2M
    The Bridge Of Central Massachusetts, Inc.MACommunity/Behavioral Health Agency$0$5.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Notre Dame Health Care Center, Inc. — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts