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.

Arbour Inc (NPI 1821068818)

Field	Value
Entity Type	Organization
Organization	Arbour Inc
Address	49 Robinwood Ave
City	Boston
State	MA
ZIP	02130
Taxonomy	Psychiatric Hospital
NPI Enumerated	January 24, 2006

Payer Source	Total Paid
Medicaid	$12.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	66,490	$70	$4.7M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	40,360	$60	$2.5M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	5,990	$290	$1.7M
H2016	Comprehensive community support services, per diem	77,990	$20	$1.2M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	6,670	$90	$614K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,610	$110	$279.4K
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…	6,320	$40	$233.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	2,130	$110	$226.2K
G0410	Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes	5,890	$40	$212.1K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	370	$510	$191.9K

Showing 1–10 of 18

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

Arbour Inc — 2 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	90	150	7,770	$140	$4.8M
H2016	Comprehensive community support services, per diem	12	80	4,550	$30	$1.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	5	30	620	$310	$775.3K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	12	60	2,800	$110	$659.4K
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…	43	1,620	580	$80	$599.6K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	5	10	560	$290	$568.5K
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…	162	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…	3,147	5,040	200	$70	$209.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	63	5,300	230	$60	$164.5K
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.	98	250	470	$50	$162.5K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathan Nathan	MA	Clinical Social Worker	$92.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Boston Senior Services, Inc.	MA	Point of Service	$0	$65.6M
Brigham And Women's Faulkner Hospital, Inc	MA	General Acute Care Hospital	$0	$45.8M
Family Caregivers	MA	Foster Care Agency	$0	$41M
Victory Programs, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$29.1M
Pinestreet Inn	MA	Addiction (Substance Use Disorder) Counselor	$0	$17.2M
Middlesex Human Service Agency, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$15.9M
Guardian Healthcare, LLC	MA	Home Health Agency	$0	$13.4M
Southwest Boston Senior Services, Inc	MA	Point of Service	$0	$9.2M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$7.7M
Italian Home For Children Inc	MA	Mental Illness Community Based Residential Treatment Facility	$0	$5.7M

Arbour Inc — Billing Profile & Reimbursement Data

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Arbour 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