COMMONWEALTH OF MASSACHUSETTS in HOLYOKE is effectively a Medicaid-focused case management agency: it has no Medicare billing on file and reports $249.7M in lifetime Medicaid revenue, indicating operations concentrated in Medicaid-funded long-term services and supports rather than traditional Medicare services. The provider’s NPI was enumerated on 2007-04-11 (~19 years ago), signaling long tenure in the market and an established presence in state Medicaid networks. The provider’s revenue is highly concentrated in a single service line: T2016 (Habilitation, residential, waiver; per diem) accounts for $185.7M or 74.4% of total Medicaid revenue, and the precomputed top-3 codes together account for 86.4% of Medicaid revenue, so the organization depends heavily on residential habilitation per diem payments. Beyond T2016, two other codes contribute materially to revenue: S5100 (Day care services, adult; per 15 minutes) generates $18.1M (7.2% of Medicaid revenue) and H2015 (Comprehensive community support services, per 15 minutes) generates $12M (4.8%), confirming a service mix focused on habilitation, day services, and community support. Competitive standing is mixed: for its largest code T2016 the provider ranks #20 of 25 in-state (21th percentile), reflecting typical, unremarkable volume relative to peers for residential habilitation, while for S5100 it ranks #19 of 189 (90th percentile) and is described as notably above typical state volume for adult day care, indicating regional strength in day services. Several other Medicaid lines show above-typical presence: T2023 (Targeted case management; per month) ranks #15 of 70 (80th percentile) and H2023 (Supported employment, per 15 minutes) ranks #6 of 23 (77th percentile), both reflecting consistent participation in case management and employment support services. The claim counts and average paid per claim across top codes show operational scale and intensity: for example, 22.9K claims for T2016 with an average paid/claim of $8104 underscores that high per-diem residential services drive most dollars, while 155.4K claims for T2003 (Non-emergency transportation; encounter/trip) with $28 avg paid/claim (1.7% of revenue) indicate high-volume, low-dollar support services are also part of the delivery footprint. Overall, the provider presents as a long-standing, Medicaid-centered habilitation and community support operator with revenue heavily dependent on residential waiver per diems, pockets of above-typical activity in adult day services and case management, and modest statewide rankings for some of its largest lines that suggest it is not the dominant statewide leader for residential habilitation despite its large revenue share from that code.