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.

Medford Adhc (NPI 1932566056)

Field	Value
Entity Type	Organization
Organization	Medford Adhc
Address	101 Mystic Ave
City	Medford
State	MA
ZIP	02155
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	January 20, 2016

Payer Source	Total Paid
Medicaid	$10.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	76,360	$90	$6.6M
T2003	Non-emergency transportation; encounter/trip	82,810	$40	$3.5M
S5101	Day care services, adult; per half day	6,500	$40	$260K
S5105	Day care services, center-based; services not included in program fee, per diem	10	$2,000	$26K
S5100	Day care services, adult; per 15 minutes	530	$40	$18.9K

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

Medford Adhc — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	51	340	25,780	$110	$4.1M
S5100	Day care services, adult; per 15 minutes	129	190	2,000	$230	$3.1M
T2003	Non-emergency transportation; encounter/trip	84	250	40,490	$30	$2.2M
S5101	Day care services, adult; per half day	95	270	4,060	$60	$401.4K
S5105	Day care services, center-based; services not included in program fee, per diem	9	10	20	$2,010	$38.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Innovive Health Of Massachusetts LLC	MA	Home Health Agency	$0	$364.6M
Melrosewakefield Healthcare, Inc.	MA	General Acute Care Hospital	$0	$37.8M
Dcs Mental Health, Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.5M
Medford Surgery Center LLC	MA	Ambulatory Surgical Clinic/Center	$470.6K	$0
Laurence Conway	MA	Cardiovascular Disease Physician	$461.8K	$480
Michael Stevens	MA	Family Medicine Physician	$318.6K	$0
David Samenuk	MA	Cardiovascular Disease Physician	$303K	$0
Dan Seligman	MA	Podiatrist	$234.1K	$19.5K
Nancy Kim	MA	Ophthalmology Physician	$186.1K	$4K
Tara Hamilton	MA	Endocrinology, Diabetes & Metabolism Physician	$179.7K	$0

Medford Adhc — Billing Profile & Reimbursement Data

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Medford Adhc — Billing Profile & Reimbursement Data

Sign up for Medford Adhc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References