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.

Stavros Center For Independent Living, Inc. (NPI 1801927645)

Field	Value
Entity Type	Organization
Organization	Stavros Center For Independent Living, Inc.
Address	210 Old Farm Rd
City	Amherst
State	MA
ZIP	01002
Taxonomy	Home Health Agency
NPI Enumerated	March 7, 2007

Payer Source	Total Paid
Medicaid	$146.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer Medicaid operator: total Medicaid lifetime revenue is $146.8M and there is no Medicare revenue reported. Analysts should treat this entity as Medicaid-focused when modeling payer risk or network exposure.

Revenue is highly concentrated in a very small set of procedure lines: the precomputed top three Medicaid codes account for 92.8% of the provider’s total Medicaid revenue. The top code, T1019, represents $102.5M (69.8% of Medicaid revenue), followed by T2022 at $25.9M (17.6%) and T1020 at $7.9M (5.4%).

The code mix indicates the organization operates primarily as a direct personal-care and home-support provider: T1019 (personal care services, per 15 minutes) and T1020 (personal care services, per diem) together drive the majority of revenue and imply high-volume, hands-on assistance and recurring in-home visits rather than predominantly clinical skilled nursing. This suggests operational emphasis on workforce management for aides and caregivers and capacity to deliver frequent, time-based personal care.

Beyond direct personal care, the provider shows a significant emphasis on care coordination and program enrollment services: T2022 (case management, per month) accounts for $25.9M and S0280 (medical home program, initial plan) appears with $1.7M. The presence of T1023 (screening to determine program appropriateness) at $1.4M further supports a business model that combines personal care delivery with centralized case management and intake/screening workflows.

This provider is a dominant statewide outlier in several non-personal-care lines. T2022 ranks #1 of 75 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), S0280 ranks #1 of 17 providers in-state (100th percentile; extreme outlier), and T1023 ranks #2 of 61 providers in-state (98th percentile; extreme outlier), indicating an outsized role in case management and medical home program activity compared with peers.

Some high-revenue lines exhibit different competitive patterns: T1019, while accounting for $102.5M (69.8% of Medicaid revenue), ranks #5 of 137 providers in-state (97th percentile; typical, unremarkable volume for this code), which indicates that heavy T1019 billing is common across many in-state providers even though it is this provider’s principal revenue source. This suggests the provider’s market position is driven more by scale than by uniqueness of service type for direct personal care.

The provider also reports notable revenue in atypical ancillary services for a home health taxonomy: 99456 (work-related/medical disability exams) produced $4.8M (3.3% of Medicaid revenue) and ranks #1 of 32 providers in-state (100th percentile; extreme outlier). Coupled with 99509 (home health ADL support) at $2.6M, these lines suggest a mixed service offering that includes disability/work-related evaluations alongside standard personal-care delivery.

The organization has established tenure in the market, with NPI enumeration on 2007-03-07 (~19 years ago). Given the long-enumerated status plus $146.8M in Medicaid revenue and concentrated high-volume codes, the provider appears to be a mature, specialized Medicaid home-care operator with significant scale in both direct care and case-management program activity.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	3,794,970	$30	$102.5M
T2022	Case management, per month	461,870	$60	$25.9M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	134,150	$60	$7.9M
99456	A provider other than the patient’s treating physician provides a work–related or medical disability exam such as that required for a workers’ compensation claim.	31,120	$160	$4.8M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	39,290	$70	$2.6M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	14,160	$120	$1.7M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	12,530	$110	$1.4M
H0046	Mental health services, not otherwise specified	5,740	$20	$120.5K

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

Stavros Center For Independent Living, Inc. — 5 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	5	140	7,990	$90	$61.6M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	8	20	39,290	$50	$29.3M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	10	50	11,820	$40	$4.4M
T2022	Case management, per month	1	80	7,230	$50	$2.6M
99456	A provider other than the patient’s treating physician provides a work–related or medical disability exam such as that required for a workers’ compensation claim.	1	30	4,380	$160	$946K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	2	60	900	$100	$197.2K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	1	20	100	$120	$133.8K
H0046	Mental health services, not otherwise specified	27	140	600	$40	$127.5K

Nearby Providers

Other providers in the same ZIP code as Stavros Center For Independent Living, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stavros Center For Independent Living, Inc.	MA	Case Management Agency	$0	$1B
Stavros Center For Independent Living, Inc.	MA	Case Management Agency	$0	$54.6M
Stavros Center For Independent Living, Inc.	MA	Case Management Agency	$0	$23.5M
Stavros Center For Independent Living	MA	Case Management Agency	$0	$7.7M
Town Of Amherst	MA	Land Ambulance	$550.9K	$1.4M
Katherine Atkinson	MA	Family Medicine Physician	$466K	$9.2K
Cvs Pharmacy Inc	MA	Pharmacy	$366.6K	$0
Richard Wyatt	MA	Dermatology Physician	$316K	$2.3K
Valley Medical Group, P.C.	MA	Ambulatory Surgical Clinic/Center	$280.8K	$10K
Paul Walting	MA	Sleep Medicine (Psychiatry & Neurology) Physician	$285.9K	$0

Stavros Center For Independent Living, Inc. — Billing Profile & Reimbursement Data

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Stavros Center For Independent Living, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References