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.

Commonwealth Of Massachusetts-dmh (NPI 1710006051)

Field	Value
Entity Type	Organization
Organization	Commonwealth Of Massachusetts-dmh
Address	165 Quincy St
City	Brockton
State	MA
ZIP	02302
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 28, 2007

Payer Source	Total Paid
Medicaid	$208.3M
Medicare	$0

Key Findings

COMMONWEALTH OF MASSACHUSETTS-DMH reports no Medicare billing on file and $208.3M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) billing entity in the Medicare/Medicaid mix. The absence of Medicare claims means all observed clinical and financial activity in our dataset is driven by Medicaid programs, concentrating analytic attention on Medicaid service lines and reimbursement patterns.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with H2018 alone representing 92.8% and H0019 accounting for the remaining 7.2% of Medicaid revenue. This extreme concentration indicates that a very small set of service lines drive nearly all reported Medicaid receipts for the provider.

The code mix and descriptions point to a behavioral-health operations profile centered on community and residential behavioral health services: H2018 (psychosocial rehabilitation services, per diem) dominates revenue, while H0019 (behavioral health long-term residential, without room and board, per diem) indicates provision of longer-stay residential treatment programs. Together these codes suggest the organization primarily delivers day-to-day psychosocial rehabilitation and extended residential behavioral health care rather than episodic medical services.

H2018 shows very large claim volume and revenue: 528.2K claims and $193.3M revenue with a $366 avg paid/claim, and it ranks #3 of 6 providers in-state (60th percentile). Despite the large absolute volume and dollar amount, the rank/percentile labeling and our data describe this as a typical, unremarkable volume relative to the small in-state peer set, so the provider is an important but not dominant H2018 performer in Massachusetts.

H0019 is a secondary revenue stream with 16.7K claims and $15M revenue at a $893 avg paid/claim, ranking #24 of 75 providers in-state (69th percentile). This placement is characterized as typical and unremarkable, indicating the provider maintains a meaningful footprint in long-term residential behavioral health but is not an outlier or statewide leader for this code.

Competitive standing across the two Medicaid codes is consistent with a specialized, Medicaid-centric operator: the provider is a meaningful participant in psychosocial rehabilitation and long-term residential services but does not appear to be a dominant statewide leader for either top code based on rank and percentile. The provider should be classified operationally as a significant regional behavioral health service provider rather than a market-leading system.

The provider has an NPI enumeration date of 2007-03-28 (~19 years ago), indicating long tenure in the market. Combined with $208.3M in Medicaid revenue and the concentrated service mix, the data depict an established community/behavioral health agency with sustained, specialized Medicaid activity focused on psychosocial rehabilitation and long-term residential programs.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2018	Psychosocial rehabilitation services, per diem	528,190	$370	$193.3M
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	16,740	$890	$15M

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

Commonwealth Of Massachusetts-dmh — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2018	Psychosocial rehabilitation services, per diem	3	10	483,500	$330	$139.9M
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	24	80	5,200	$370	$8.4M

Nearby Providers

Other providers in the same ZIP code as Commonwealth Of Massachusetts-dmh, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brockton Hospital, Inc.	MA	General Acute Care Hospital	$0	$160.8M
Beyond Independent Living LLC	MA	Foster Care Agency	$0	$29.2M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$8.8M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$7.4M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$6.1M
Apothecare Pharmacy LLC	MA	Long Term Care Pharmacy	$14.8K	$1.2M
Shields Signature Imaging, LLC	MA	Mobile Radiology Clinic/Center	$755K	$490.3K
Charles King	MA	Podiatrist	$219.8K	$263.7K
Maulshree Gupta	MA	Family Medicine Physician	$105.4K	$134.2K
Alex Teixeira	MA	Gastroenterology Physician	$170.3K	$0

Commonwealth Of Massachusetts-dmh — Billing Profile & Reimbursement Data

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Commonwealth Of Massachusetts-dmh — 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