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.

Northeast Arc, Inc. (NPI 1912030917)

Field	Value
Entity Type	Organization
Organization	Northeast Arc, Inc.
Address	64 Holten Street
City	Danvers
State	MA
ZIP	01923
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 13, 2007

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	284,290	$60	$16.2M
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…	300	$680	$203.4K

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

Northeast Arc, Inc. — 0 of 2 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

2 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…	124	140	7,990	$90	$61.6M
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…	6	50	11,820	$40	$4.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Arc, Inc.	MA	Community/Behavioral Health Agency	$0	$732.6M
Northeast Arc Inc	MA	Home Health Agency	$0	$90.8M
Care Dimensions, Inc.	MA	Community Based Hospice Care Agency	$0	$66.1M
Northeast Arc, Inc.	MA	Case Management Agency	$0	$37.4M
Northeast Arc	MA	Community/Behavioral Health Agency	$0	$34.3M
Northeast Arc, Inc.	MA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.7M
Northeast Arc, Inc.	MA	Early Intervention Provider Agency	$0	$13.9M
North Shore Elder Services, Inc.	MA	Voluntary or Charitable Agency	$0	$12.7M
75 Lindall Street Opco LLC	MA	Substance Abuse Rehabilitation Facility	$0	$7.3M
Vine Homecare	MA	Home Health Agency	$0	$6M

Northeast Arc, Inc. — Billing Profile & Reimbursement Data

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Northeast Arc, 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

Nearby Providers

Frequently Asked Questions

References