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.

Massachusetts Mentor LLC (NPI 1811021090)

Field	Value
Entity Type	Organization
Organization	Massachusetts Mentor LLC
Address	1115 W Chestnut St Ste 202
City	Brockton
State	MA
ZIP	02301
Taxonomy	Foster Care Agency
NPI Enumerated	March 16, 2007

Payer Source	Total Paid
Medicaid	$95.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively single-payer at present: all recorded federal claims are Medicaid-based with total Medicaid revenue of $95.6M. The absence of Medicare activity means its financial footprint and regulatory exposure are tied almost entirely to state Medicaid policy and reimbursement structures.

Revenue is extremely concentrated: the top three Medicaid codes (S5140, T1027, and H2019) together account for 99.4% of this provider's total Medicaid revenue. S5140 alone generates $68M (71.2% of Medicaid revenue), T1027 generates $18.4M (19.3%), and H2019 generates $8.5M (8.9%), indicating the business is highly dependent on a very small set of service lines.

The code mix signals core operations consistent with a foster care agency: S5140 (Foster care, adult; per diem) points to per-diem residential or placement services as the primary revenue driver, while T1027 (Family training and counseling for child development, per 15 minutes) and H2019 (Therapeutic behavioral services, per 15 minutes) indicate integrated behavioral health and family-support programs delivered at scale. Together these codes suggest a service model combining placement capacity with intensive, short-interval therapeutic and training encounters.

On competitive standing for foster care per-diem, the provider ranks #6 of 158 in-state for S5140 (97th percentile) with 872.4K claims and $68M revenue. Although the peer-data label for this code reads "typical, unremarkable volume," the rank places the organization among the largest in-state billers for S5140, making it a leading local provider of foster care per-diem services.

T1027 is an outlier in the state: the provider ranks #3 of 131 (98th percentile) and is explicitly identified as an "extreme outlier," with 182.6K claims and $18.4M revenue. This indicates an unusually high intensity of family training and counseling relative to peers and suggests substantial operational capacity devoted to repeated, time-based counseling sessions.

H2019 activity (Therapeutic behavioral services) ranks #29 of 294 in-state (90th percentile) with 55.5K claims and $8.5M revenue. While the ranking is high, the peer-data characterizes this volume as typical for the code, implying the provider is a meaningful but not dominant statewide participant in therapeutic behavioral services.

The NPI was enumerated on 2007-03-16 (~19 years ago), which signals a long-established presence in the market. Combined with very large claim counts for core codes — for example, 872.4K claims for S5140 and 182.6K claims for T1027 — the provider appears to operate at substantial scale, with corresponding administrative, workforce, and care-management demands.

Because Medicaid drives virtually all revenue and three codes dominate 99.4% of billing, the provider's financial performance and strategic risk are concentrated around state policies and reimbursement for S5140, T1027, and H2019. Any changes to per-diem foster care rates, authorization of family training sessions, or reimbursement for therapeutic behavioral services would have outsized impacts, while the concentrated profile also presents opportunities to consider diversification or formalizing capacity around high-volume T1027 delivery.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	872,400	$80	$68M
T1027	Family training and counseling for child development, per 15 minutes	182,560	$100	$18.4M
H2019	Therapeutic behavioral services, per 15 minutes	55,520	$150	$8.5M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,590	$90	$228.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,780	$100	$177.6K
H0046	Mental health services, not otherwise specified	1,530	$50	$76.7K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	600	$40	$21.1K
90882	In this service, the provider works with outside agencies, employers, or other healthcare providers regarding the patient’s physical environment to help manage a psychiatric patient’s medical care.	370	$50	$17.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	200	$50	$9.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$140	$1.7K

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

Massachusetts Mentor LLC — 2 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	6	160	48,640	$110	$19.5M
H2019	Therapeutic behavioral services, per 15 minutes	29	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	3	130	4,300	$110	$2.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	386	1,620	580	$80	$599.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	242	1,020	460	$100	$293.7K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	108	230	470	$60	$221.1K
90882	In this service, the provider works with outside agencies, employers, or other healthcare providers regarding the patient’s physical environment to help manage a psychiatric patient’s medical care.	130	250	470	$50	$162.5K
H0046	Mental health services, not otherwise specified	48	140	600	$40	$127.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	575	600	90	$110	$106.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	345	570	400	$40	$106.7K

Nearby Providers

Other providers in the same ZIP code as Massachusetts Mentor LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$309.8M
Old Colony Elderly Services, Inc.	MA	Case Management Agency	$0	$137.5M
South Bay Mental Health Center, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$112M
Brockton Neighborhood Health Center	MA	Federally Qualified Health Center (FQHC)	$0	$91.2M
Sb Transitional Sub, LLC	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.8M
Steward Good Samaritan Medical Center, Inc.	MA	General Acute Care Hospital	$0	$64.2M
Pediatric Services Of America, LLC	MA	Nursing Care Agency	$0	$47.8M
South Bay Mental Health Center, Inc.	MA	Adolescent and Children Mental Health Clinic/Center	$0	$43.2M
Sb Transitional Sub, LLC	MA	Early Intervention Provider Agency	$0	$35.9M
Healthier You Wellness Nutrition Partners Of Greater Boston, LLC	MA	Health Maintenance Organization	$0	$33.8M

Massachusetts Mentor LLC — Billing Profile & Reimbursement Data

Sign up for Massachusetts Mentor LLC — Billing Profile & Reimbursement Data policy alerts

Massachusetts Mentor LLC — Billing Profile & Reimbursement Data

Sign up for Massachusetts Mentor LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References