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.

Walnut Street Center, Inc (NPI 1962532861)

Field	Value
Entity Type	Organization
Organization	Walnut Street Center, Inc
Address	71 Linwood St
City	Somerville
State	MA
ZIP	02143
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 7, 2007

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	48,590	$130	$6.3M
H2014	Skills training and development, per 15 minutes	56,300	$70	$3.7M
S5101	Day care services, adult; per half day	24,280	$60	$1.4M
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…	5,520	$100	$574.2K

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

Walnut Street Center, Inc — 0 of 4 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

4 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…	84	140	7,990	$90	$61.6M
S5102	Day care services, adult; per diem	94	340	25,780	$110	$4.1M
H2014	Skills training and development, per 15 minutes	20	190	21,080	$110	$3M
S5101	Day care services, adult; per half day	17	270	4,060	$60	$401.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somerville Cambridge Elder Services	MA	Case Management Agency	$0	$90.2M
Cataldo Ambulance Service Inc	MA	Land Ambulance	$11.6M	$66.7M
Somerville Cambridge Elder Services	MA	Case Management Agency	$0	$27.1M
Caspar, Inc.	MA	Community/Behavioral Health Agency	$0	$10.7M
Ahou Meydani-korb	MA	Dermatology Physician	$18.2K	$49K

Walnut Street Center, Inc — Billing Profile & Reimbursement Data

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Walnut Street 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

Nearby Providers

Frequently Asked Questions

References