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.

Greater New Bedford Community Health Center, Inc. (NPI 1982607537)

Field	Value
Entity Type	Organization
Organization	Greater New Bedford Community Health Center, Inc.
Address	874 Purchase St
City	New Bedford
State	MA
ZIP	02740
Taxonomy	Community Health Clinic/Center
NPI Enumerated	May 27, 2005

Payer Source	Total Paid
Medicaid	$42.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

173 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	194,350	$150	$28.8M
D9450	N/A	52,000	$30	$1.6M
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…	8,530	$140	$1.2M
99391	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…	6,650	$150	$977K
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…	30,700	$30	$951.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	5,000	$130	$659.3K
T1040	Medicaid certified community behavioral health clinic services, per diem	4,610	$140	$636.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,640	$130	$621.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	21,170	$20	$487K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	16,970	$30	$441.1K

Showing 1–10 of 173

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

Greater New Bedford Community Health 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

173 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	97	130	34,780	$60	$7.4M
H2015	Comprehensive community support services, per 15 minutes	141	150	7,770	$140	$4.8M
T1040	Medicaid certified community behavioral health clinic services, per diem	48	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	276	310	8,710	$40	$1.6M
T1015	Clinic visit/encounter, all-inclusive	8	550	90	$140	$1.5M
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…	41	80	1,720	$150	$800.5K
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.	66	410	140	$110	$742.2K
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.	336	370	500	$40	$605.1K
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…	716	1,620	580	$80	$599.6K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	74	80	3,320	$120	$566.9K

Showing 1–10 of 173

Related Providers

Other providers that share a Tax Identification Number (TIN) with Greater New Bedford Community Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Donald Middleton Jr.	MA	Emergency Medicine Physician	$161.8K	$39.2K
Nicole Tringali	MA	Adult Health Nurse Practitioner	$69.4K	$44.7K
Justin Thomas	MA	Physician Assistant	$410	$0

Nearby Providers

Other providers in the same ZIP code as Greater New Bedford Community Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$226M
Southcoast Hospitals Group, Inc	MA	General Acute Care Hospital	$0	$172.9M
Child & Family Services, Inc.	MA	Mental Health Counselor	$0	$169.5M
High Point Treatment Center Inc.	MA	Counselor	$516K	$98.4M
Boston Neurobehavioral Associates, LLC	MA	Psychiatry Physician	$0	$17.1M
City Of New Bedford	MA	Land Ambulance	$1.7M	$11.7M
Shokoohi & Vakili LLC	MA	Pediatric Dentistry	$0	$12M
Anchor Medical Group And Wellness Center PC	MA	Addiction Medicine (Internal Medicine) Physician	$0	$10.6M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$9.4M
Kennedy Donovan Center, Inc	MA	Developmentally Disabled Services Day Training Agency	$0	$7.6M

Greater New Bedford Community Health Center, Inc. — Billing Profile & Reimbursement Data

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Greater New Bedford Community Health 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