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.

Behavior Services Of Western Massachusetts (NPI 1770938755)

Field	Value
Entity Type	Organization
Organization	Behavior Services Of Western Massachusetts
Address	1441 Main St
City	Springfield
State	MA
ZIP	01103
Taxonomy	Behavior Analyst
NPI Enumerated	April 27, 2016

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	20,820	$130	$2.7M
H0031	Mental health assessment, by non-physician	11,430	$130	$1.4M
H0032	Mental health service plan development by non-physician	6,480	$210	$1.3M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	5,030	$140	$704.5K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	850	$220	$184.5K
H2012	Behavioral health day treatment, per hour	1,250	$150	$180.7K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	1,340	$110	$148.5K

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

Behavior Services Of Western Massachusetts — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	69	290	3,680	$150	$2.9M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	30	150	1,270	$220	$845K
H2012	Behavioral health day treatment, per hour	42	110	840	$70	$575.6K
H0032	Mental health service plan development by non-physician	10	160	430	$180	$269.5K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	44	140	410	$210	$213.3K
H0031	Mental health assessment, by non-physician	6	250	380	$140	$200.8K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	18	110	310	$110	$88.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Services Institute, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$32.1M
Metrocare Of Springfield	MA	Home Health Agency	$0	$31.3M
Caring Health Center, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$23.2M
Baystate Dental Practice, LLC	MA	General Practice Dentistry	$0	$22.5M
A Better Life Homecare LLC	MA	Home Health Agency	$0	$21.8M
Sunrise Behavioral Health Clinic, LLC	MA	Community/Behavioral Health Agency	$0	$19.1M
Allied Health Systems. LLC	MA	Home Health Agency	$0	$17.3M
A Better Life Homecare LLC	MA	Foster Care Agency	$0	$16.7M
Metrocare Of Springfield LLC	MA	Home Health Agency	$0	$16.5M
Right Choice Health Group LLC	MA	Addiction Medicine (Internal Medicine) Physician	$0	$11.9M

Behavior Services Of Western Massachusetts — Billing Profile & Reimbursement Data

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Behavior Services Of Western Massachusetts — Billing Profile & Reimbursement Data

Sign up for Behavior Services Of Western Massachusetts — 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