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.

The Arc Of Opportunity In No. Central Mass., Inc. (NPI 1790044352)

Field	Value
Entity Type	Organization
Organization	The Arc Of Opportunity In No. Central Mass., Inc.
Address	564 Main St
City	Fitchburg
State	MA
ZIP	01420
Taxonomy	Foster Care Agency
NPI Enumerated	May 16, 2012

Payer Source	Total Paid
Medicaid	$14.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	200,550	$70	$14.6M

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

The Arc Of Opportunity In No. Central Mass., Inc. — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	36	160	48,640	$110	$19.5M

Nearby Providers

Other providers in the same ZIP code as The Arc Of Opportunity In No. Central Mass., Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$352.1M
Community Health Connections, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$31.7M
Department Of Mental Health	MA	Case Management Agency	$0	$9.9M
Active Life Health Care Management, LLC	MA	Adult Day Care Clinic/Center	$0	$8.4M
Arc Community Services, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Luk Crisis Center Inc.	MA	Community/Behavioral Health Agency	$0	$7.5M
Ick -assurance Home Health Care. Inc.	MA	Home Health Agency	$0	$6.7M
Hannah Yamin	MA	Hematology & Oncology Physician	$1.1M	$0
Umass Memorial Mri & Imaging Center, LLC	MA	Mobile Radiology Clinic/Center	$394.2K	$297.6K
Omar Qureshi	MA	Interventional Pain Medicine Physician	$406.5K	$242.1K

The Arc Of Opportunity In No. Central Mass., Inc. — Billing Profile & Reimbursement Data

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The Arc Of Opportunity In No. Central Mass., Inc. — 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