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.

Brigham & Womens Physicians Organization Inc (NPI 1033535497)

Brigham & Womens Physicians Organization Inc is a internal medicine physician provider located in Boston, Massachusetts. This profile covers 0 Medicare and 311 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Brigham & Womens Physicians Organization Inc
Address	75 Francis St
City	Boston
State	MA
ZIP	02115
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 10, 2014

Payer Source	Total Paid
Medicaid	$43.6M
Medicare	$0

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

311 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	191,730	$40	$8.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	81,590	$80	$6.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	39,420	$70	$2.6M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	81,140	$30	$2.5M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	52,420	$40	$2.1M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80,830	$20	$1.9M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	48,690	$30	$1.7M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	39,690	$40	$1.4M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	251,970	$1	$1M
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	19,460	$50	$953.7K

Showing 1–10 of 311

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

Brigham & Womens Physicians Organization Inc — 21 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

311 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	12	520	120	$130	$1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	85	550	110	$120	$865.5K
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.	194	410	140	$110	$742.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	88	120	530	$450	$681.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	44	830	130	$120	$671K
J0585	Injection, onabotulinumtoxina, 1 unit	17	40	430	$490	$616K
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…	867	1,620	580	$80	$599.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	56	100	260	$550	$524.4K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2	220	280	$100	$491.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	112	160	270	$130	$469.1K

Showing 1–10 of 311

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brigham & Womens Hospital, Inc.	MA	General Acute Care Hospital	$0	$252.7M
Brigham & Women's Physicians Organization Inc	MA	Radiation Oncology Clinic/Center	$2.7M	$760
Roman Klufas	MA	Neuroradiology Physician	$475.7K	$441.9K
Andrew Matson	RI	Orthopaedic Hand Surgery Physician	$39.5K	$746.1K
Emad Attallah-wasif	OK	Pain Medicine (Anesthesiology) Physician	$742K	$0
Shalini Moningi	OH	Radiation Oncology Physician	$723.2K	$0
Paul Massey	MA	MOHS-Micrographic Surgery Physician	$621.3K	$0
Kenneth Yu	MA	MOHS-Micrographic Surgery Physician	$589.6K	$0
Seth Mcclennen	MA	Clinical Cardiac Electrophysiology Physician	$548.9K	$0
Dennis Kim	NY	MOHS-Micrographic Surgery Physician	$521K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Corporation	MA	Children's Hospital	$0	$330.9M
Children's Hospital Pediatric Associates, Inc	MA	Pediatrics Physician	$0	$19.1M
John Chi	MA	Neurological Surgery Physician	$444.6K	$0
An Bui	MA	Internal Medicine Physician	$410.9K	$0
Mohammadali Mojarrad	MA	Diagnostic Radiology Physician	$343.4K	$40.3K
James Kang	MA	Orthopaedic Surgery Physician	$371.1K	$0
Monica Krishnan	MA	Radiation Oncology Physician	$340.4K	$0
Kee Chung	MA	Pediatric Radiology Physician	$207.1K	$107.4K
Joseph Kavolus	MA	Orthopaedic Surgery Physician	$306.9K	$0
Michael Kearney	MA	Urology Physician	$302.9K	$0

Brigham & Womens Physicians Organization Inc — Billing Profile & Reimbursement Data

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Brigham & Womens Physicians Organization 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

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