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.

Total Wellness Centers, LLC (NPI 1770816506)

Field	Value
Entity Type	Organization
Organization	Total Wellness Centers, LLC
Address	900 Memorial Ave
City	West Springfield
State	MA
ZIP	01089
Taxonomy	Addiction Medicine (Internal Medicine) Physician
NPI Enumerated	September 11, 2009

Payer Source	Total Paid
Medicaid	$38.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	365,410	$70	$25.2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	186,090	$50	$9.3M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	51,710	$40	$2.2M
90832	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…	13,710	$50	$630.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	6,950	$60	$437.7K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	20,930	$10	$125.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,640	$30	$73.9K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	59,400	$1	$59.4K
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…	630	$90	$58.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	470	$120	$56K

Showing 1–10 of 32

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

Total Wellness Centers, LLC — 6 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	114	130	34,780	$60	$7.4M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	304	310	8,710	$40	$1.6M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	14	370	500	$40	$605.1K
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…	776	1,620	580	$80	$599.6K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	47	200	450	$30	$511.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	502	1,020	460	$100	$293.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	69	950	90	$100	$212.9K
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…	5	5,040	200	$70	$209.5K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	56	110	590	$10	$207.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	13	5,300	230	$60	$164.5K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Total Wellness Centers, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Total Wellness Centers, LLC	MA	Clinical Medical Laboratory	$1.9M	$77.2M
Boris Skurkovich	RI	Pediatrics Physician	$0	$1.2M
Suzanne Smith	MA	Addiction Medicine (Internal Medicine) Physician	$78.7K	$587.5K
Robert Gianfrocco	RI	Emergency Medicine Physician	$14.7K	$633.9K
Gregory Talalayevsky	MA	Internal Medicine Physician	$194.2K	$53.5K
Hillary Du	MA	Physician Assistant	$36.3K	$196.7K
Stephanie Ayan	NH	Family Nurse Practitioner	$38.4K	$189.8K
Sharon Jarmolowicz	MA	Physician Assistant	$27.2K	$176.5K
Donald Middleton Jr.	MA	Emergency Medicine Physician	$161.8K	$39.2K
Joanne Pomeranz	NH	Family Nurse Practitioner	$12.2K	$116.5K

Nearby Providers

Other providers in the same ZIP code as Total Wellness Centers, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Savida Health, PC	MA	Addiction Medicine (Internal Medicine) Physician	$0	$36.2M
Compassionate Healthcare Systems LLC	MA	Home Health Agency	$0	$21.6M
Centerwell Certified Healthcare Corp.	MA	Home Health Agency	$0	$17.3M
West Central Family & Counseling, Ltd	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.9M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$11.5M
Reen & Reen Dmd PC	MA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$11.4M
Galileo Ventures LLC	MA	Adult Day Care Clinic/Center	$0	$11.2M
Rise Behavioral Health Services	MA	In Home Supportive Care Agency	$0	$10.5M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$9.1M
Baroco Corporation	MA	Developmentally Disabled Services Day Training Agency	$0	$7M

Total Wellness Centers, LLC — Billing Profile & Reimbursement Data

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Total Wellness Centers, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References