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 1780862193)

Field	Value
Entity Type	Organization
Organization	Commonwealth Of Massachusetts
Address	40 Broad Street
City	Boston
State	MA
ZIP	02109
Taxonomy	Case Management Agency
NPI Enumerated	February 7, 2008

Payer Source	Total Paid
Medicaid	$12.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2032	Activity therapy, per 15 minutes	20,870	$180	$3.7M
T2013	Habilitation, educational, waiver; per hour	12,940	$260	$3.3M
H2027	Psychoeducational service, per 15 minutes	10,040	$230	$2.3M
S5110	Home care training, family; per 15 minutes	3,570	$200	$699.7K
T2025	Waiver services; not otherwise specified (nos)	1,860	$260	$488.9K
T2029	Specialized medical equipment, not otherwise specified, waiver	1,950	$220	$436.4K
T1005	Respite care services, up to 15 minutes	3,000	$140	$426K
T2027	Specialized childcare, waiver; per 15 minutes	3,400	$100	$329.5K
S5165	Home modifications; per service	290	$530	$152.3K
S5108	Home care training to home care client, per 15 minutes	1,440	$100	$146.4K

Showing 1–10 of 12

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 — 1 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	2	10	230	$160	$86.5M
H2032	Activity therapy, per 15 minutes	1	10	20,870	$180	$3.7M
T2013	Habilitation, educational, waiver; per hour	1	10	12,940	$260	$3.3M
H2027	Psychoeducational service, per 15 minutes	1	10	10,040	$230	$2.3M
S5131	Homemaker service, nos; per diem	69	70	2,770	$120	$1.8M
T1005	Respite care services, up to 15 minutes	4	10	3,000	$150	$406.1K
S5165	Home modifications; per service	23	40	610	$320	$384.2K
S5110	Home care training, family; per 15 minutes	1	10	1,860	$190	$350.8K
T2027	Specialized childcare, waiver; per 15 minutes	1	10	3,400	$100	$331.1K
H2021	Community-based wrap-around services, per 15 minutes	2	10	2,890	$90	$267.2K

Showing 1–10 of 12

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
Public Partnerships-colorado, Inc.	MA	Supports Brokerage Agency	$0	$885.3M
Commonwealth Of Massachusetts	MA	Community/Behavioral Health Agency	$0	$35.2M
Dara Pumphrey-ruiz	MA	Psychiatry Physician	$19.9K	$625.6K
Stephany Gyasi	MA	Family Nurse Practitioner	$297.5K	$0
Steven Afrow	MA	Gerontology Nurse Practitioner	$212.2K	$0
Corey Baechel	MA	Clinical Psychologist	$165.1K	$0
Erica Visco	MA	Family Nurse Practitioner	$142K	$0
Tatum Siebert	MA	Clinical Psychologist	$94.3K	$0
Arlie Sterling	MA	Clinical Psychologist	$82.4K	$0
Kelly Lincoln	MA	Family Nurse Practitioner	$57.2K	$0

Commonwealth Of Massachusetts — Billing Profile & Reimbursement Data

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Commonwealth Of Massachusetts — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References