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 (NPI 1730302829)

Field	Value
Entity Type	Organization
Organization	Commonwealth Of Massachusetts
Address	One Roundhouse Plaza
City	Northhampton
State	MA
ZIP	01060
Taxonomy	Case Management Agency
NPI Enumerated	April 10, 2007

Payer Source	Total Paid
Medicaid	$204.8M
Medicare	$0

Key Findings

COMMONWEALTH OF MASSACHUSETTS reports $204.8M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) operator in this dataset. The provider's Medicaid volume is highly concentrated: the top three Medicaid codes by revenue account for 88.2% of this provider's total Medicaid revenue, indicating a narrow set of high-value service lines.

T2016 is the dominant revenue driver with $148.5M in revenue and 16.7K claims (72.5% of the provider's Medicaid revenue). Despite the dollar concentration, the code-specific competitive metrics show T2016 ranks #23 of 25 providers in-state (8th percentile; typical, unremarkable volume for this code), suggesting the provider’s large absolute T2016 revenue sits within a peer context where several other organizations report larger or more concentrated activity for that code.

S5100 is the provider's second-largest Medicaid code with $19.4M in revenue from 67K claims (9.5% of Medicaid revenue) and an average paid/claim of $289. This service (Day care services, adult) ranks #18 of 189 providers in-state (91th percentile; notably above typical state volume for this code), indicating a statewide strength in adult day-care delivery relative to peers and a meaningful competitive foothold in that service line.

H2015 (Comprehensive community support services) contributes $12.9M and 42.5K claims (6.3% of Medicaid revenue) with an average paid/claim of $303, and it ranks #34 of 147 providers in-state (77th percentile; typical, unremarkable volume for this code). The presence of H2015 alongside T2016 and S5100 reinforces an operating model centered on community-based habilitation, residential waiver supports, and adult day/community services rather than acute clinical care.

Operational breadth is visible through high-frequency, low-dollar services: T2003 (Non-emergency transportation) shows 110.3K claims at $27 avg paid/claim producing $3M (1.5% of Medicaid revenue), indicating substantial trip/encounter volume that supports other service lines operationally but contributes a small share of revenue. Similarly, codes such as T2021, T2019, and S5125 appear with lower revenue shares but reflect a diversified set of waiver, supported employment, and attendant care offerings.

Mid-tier case management and supported employment lines provide meaningful tails to revenue: T2023 (Targeted case management) generated $8.9M from 26.4K claims (4.4% of Medicaid revenue) and ranks #22 of 70 providers in-state (70th percentile; typical, unremarkable volume), while H2023 (Supported employment) produced $8.3M from 32.4K claims (4.1% of Medicaid revenue) and ranks #8 of 23 providers in-state (68th percentile; typical, unremarkable volume). These positions indicate the provider participates solidly in case management and employment support markets without being a dominant statewide leader across those specific codes.

The taxonomy (Case Management Agency) and long tenure — NPI enumerated 2007-04-10 (~19 years ago) — align with the observed code mix of habilitation, community support, case management, and day services, suggesting an established Medicaid-focused social services operator rather than a clinical provider. This longevity combined with concentrated revenue lines implies operational specialization in waiver/residential and community support services.

From a competitive-risk perspective, the provider’s extreme revenue concentration in a few codes (top three = 88.2% of Medicaid revenue) creates sensitivity to reimbursement or policy changes for those specific services, while strong standing in S5100 (91th percentile; notably above typical) provides a resilient revenue pillar in adult day care. Analysts should treat the entity as a specialized Medicaid provider with a large absolute Medicaid footprint but mixed statewide rankings that show both pockets of outperformance and areas where larger peers dominate.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	16,740	$8,870	$148.5M
S5100	Day care services, adult; per 15 minutes	67,000	$290	$19.4M
H2015	Comprehensive community support services, per 15 minutes	42,460	$300	$12.9M
T2023	Targeted case management; per month	26,430	$340	$8.9M
H2023	Supported employment, per 15 minutes	32,360	$260	$8.3M
T2003	Non-emergency transportation; encounter/trip	110,250	$30	$3M
T2021	Day habilitation, waiver; per 15 minutes	9,630	$210	$2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	13,430	$100	$1.3M
S5125	Attendant care services; per 15 minutes	920	$410	$380.1K
H0038	Self‑help/peer services, per 15 minutes	2,570	$50	$128.5K

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 — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	23	30	29,930	$10,070	$358.9M
T2023	Targeted case management; per month	22	70	8,210	$510	$8.6M
H2023	Supported employment, per 15 minutes	8	20	28,450	$190	$5.6M
H2015	Comprehensive community support services, per 15 minutes	34	150	7,770	$140	$4.8M
S5125	Attendant care services; per 15 minutes	30	40	3,390	$300	$4.7M
T2021	Day habilitation, waiver; per 15 minutes	21	20	20,590	$210	$4.5M
S5100	Day care services, adult; per 15 minutes	18	190	2,000	$230	$3.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	20	20	24,690	$120	$3.1M
T2003	Non-emergency transportation; encounter/trip	63	250	40,490	$30	$2.2M
H0038	Self‑help/peer services, per 15 minutes	22	40	4,420	$80	$471.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nonotuck Resource Associates, Inc	MA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$154.6M
Department Of Mental Health	MA	Community/Behavioral Health Agency	$0	$153M
Cooley Dickinson Hospital Inc	MA	General Acute Care Hospital	$0	$34.9M
Servicenet Inc	MA	Early Intervention Provider Agency	$0	$10M
Servicenet Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.5M
Mass General Brigham Medical Group Western Massachusetts Inc	MA	Family Medicine Physician	$0	$8M
City Of Northampton	MA	Land Ambulance	$831.4K	$2.7M
Shields Pet Ct At Cooley Dickinson Hospital LLC	MA	Mobile Radiology Clinic/Center	$685K	$6.7K
Steven Weinsier	MA	Cardiovascular Disease Physician	$338.5K	$400
Derek Davidson	MA	Physical Medicine & Rehabilitation Physician	$331.7K	$0

Commonwealth Of Massachusetts — Billing Profile & Reimbursement Data

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Commonwealth Of Massachusetts — 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