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.

Advocates, Inc (NPI 1811741739)

Field	Value
Entity Type	Organization
Organization	Advocates, Inc
Address	29 E Mountain St
City	Worcester
State	MA
ZIP	01606
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 16, 2024

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	9,890	$190	$1.9M
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…	10,160	$120	$1.2M
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…	12,110	$100	$1.2M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	6,350	$170	$1.1M
T1027	Family training and counseling for child development, per 15 minutes	3,730	$110	$424.6K
T1040	Medicaid certified community behavioral health clinic services, per diem	1,120	$240	$264.8K
H2016	Comprehensive community support services, per diem	8,100	$20	$170.1K
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…	3,400	$50	$166.4K
H2011	Crisis intervention service, per 15 minutes	950	$160	$151.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	990	$130	$133.2K

Showing 1–10 of 17

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

Advocates, Inc — 1 of 16 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	36	80	5,200	$370	$8.4M
H2019	Therapeutic behavioral services, per 15 minutes	101	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	68	130	4,300	$110	$2.1M
H2011	Crisis intervention service, per 15 minutes	31	40	3,970	$140	$2M
T1040	Medicaid certified community behavioral health clinic services, per diem	78	170	950	$200	$1.8M
H2016	Comprehensive community support services, per diem	33	80	4,550	$30	$1.6M
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…	125	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…	46	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…	148	230	470	$60	$221.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	848	5,040	200	$70	$209.5K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Advocates, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advocates, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$48.9M
Robert Johnston	MA	Psychiatry Physician	$10.9K	$11M

Nearby Providers

Other providers in the same ZIP code as Advocates, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$282.1M
Reliant Medical Group, Inc	MA	Family Medicine Physician	$0	$101.8M
Massachusetts Rehabilitation Commission	MA	Community/Behavioral Health Agency	$0	$64.6M
Epic Health Services Inc	MA	Home Health Agency	$0	$49.7M
Elder Services Of Worcester Area, Inc	MA	Case Management Agency	$0	$48.3M
Youth Opportunities Upheld, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$44.2M
Pediatric Services Of America, LLC	MA	Nursing Care Agency	$0	$29M
Abba Home Care, LLC	MA	Home Health Agency	$0	$18.9M
Vna Care Network, Inc.	MA	Home Health Agency	$0	$13.5M
Seven Hills Aspire, Inc.	MA	Respite Care	$0	$11.4M

Advocates, Inc — Billing Profile & Reimbursement Data

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Advocates, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References