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.

Healthfirst Family Care Center Inc. (NPI 1962435933)

Field	Value
Entity Type	Organization
Organization	Healthfirst Family Care Center Inc.
Address	387 Quarry St
City	Fall River
State	MA
ZIP	02723
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$18.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

152 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	77,880	$140	$10.8M
D9450	N/A	63,790	$30	$1.7M
T1040	Medicaid certified community behavioral health clinic services, per diem	5,320	$140	$734K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	11,130	$30	$356.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,310	$120	$286.7K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	2,010	$130	$261.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	11,340	$20	$260.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,270	$50	$247.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,790	$130	$231K
D0274	N/A	10,980	$20	$197.6K

Showing 1–10 of 152

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

Healthfirst Family Care Center Inc. — 12 of 25 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

152 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	123	150	7,770	$140	$4.8M
T1040	Medicaid certified community behavioral health clinic services, per diem	45	170	950	$200	$1.8M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	257	310	8,710	$40	$1.6M
T1015	Clinic visit/encounter, all-inclusive	20	550	90	$140	$1.5M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	200	240	980	$180	$1.2M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	37	80	1,720	$150	$800.5K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	168	170	3,500	$40	$757.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	108	410	140	$110	$742.2K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	189	220	1,290	$180	$740.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	292	370	500	$40	$605.1K

Showing 1–10 of 152

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthfirst Family Care Center, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$6.8M
Healthfirst Family Care Center, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$5.1M
Healthfirst Family Care Center, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$198.8K
Patricia Tucker	NH	Addiction (Substance Use Disorder) Counselor	$0	$145.5K
Marvin Berman	MA	Gastroenterology Physician	$121.9K	$0
Cheryl Pimentel	MA	Adult Health Nurse Practitioner	$96.3K	$0
Caitlin Odonnell	NH	Family Medicine Physician	$26.6K	$0

Nearby Providers

Other providers in the same ZIP code as Healthfirst Family Care Center Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$218.1M
Beacon Hospice, LLC	MA	Community Based Hospice Care Agency	$0	$75M
Bristol Elder Services, Inc.	MA	Case Management Agency	$0	$50.9M
People, Incorporated	MA	Home Health Agency	$0	$22.8M
Vistacare Of Boston, LLC	MA	Community Based Hospice Care Agency	$0	$12.2M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$7.7M
Christopher Tippins	MA	Physical Therapist	$83.3K	$0

Healthfirst Family Care Center Inc. — Billing Profile & Reimbursement Data

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Healthfirst Family Care Center 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