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.

Elizabeth Partain (NPI 1700245354)

Field	Value
Entity Type	Individual
Organization	Elizabeth Partain
Address	132 Robbs Hill Rd
City	Lunenburg
State	MA
ZIP	01462
Taxonomy	Behavior Analyst
NPI Enumerated	February 10, 2016

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	15,360	$320	$4.9M
H0032	Mental health service plan development by non-physician	2,830	$520	$1.5M
H0031	Mental health assessment, by non-physician	2,750	$140	$371.4K
H2012	Behavioral health day treatment, per hour	2,630	$120	$305.3K

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

Elizabeth Partain — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	80	290	3,680	$150	$2.9M
H2012	Behavioral health day treatment, per hour	28	110	840	$70	$575.6K
H0032	Mental health service plan development by non-physician	22	160	430	$180	$269.5K
H0031	Mental health assessment, by non-physician	32	250	380	$140	$200.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shapiro Educational & Behavioral Consultants, LLC	MA	Developmentally Disabled Services Day Training Agency	$0	$15M
Wal-mart Stores East LP	MA	Community/Retail Pharmacy	$66.3K	$0

Elizabeth Partain — Billing Profile & Reimbursement Data

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Elizabeth Partain — Billing Profile & Reimbursement Data

Sign up for Elizabeth Partain — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References