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.

Boston Public Health Commission (NPI 1063431492)

Boston Public Health Commission is a public health or welfare agency provider located in Boston, Massachusetts. This profile covers 0 Medicare and 12 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	Boston Public Health Commission
Address	774 Albany St
City	Boston
State	MA
ZIP	02118
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	24,800	$180	$4.4M
H2016	Comprehensive community support services, per diem	50,260	$20	$1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,500	$90	$413.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	4,550	$30	$127.3K
90832	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…	2,620	$40	$107.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	670	$110	$75.5K
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…	400	$70	$29.2K
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…	390	$60	$22.7K
H0005	Alcohol and/or drug services; group counseling by a clinician	1,140	$10	$16K
98968	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	320	$30	$9.2K

Showing 1–10 of 12

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

Boston Public Health Commission — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	18	80	5,200	$370	$8.4M
H2016	Comprehensive community support services, per diem	15	80	4,550	$30	$1.6M
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…	917	1,620	580	$80	$599.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	109	1,020	460	$100	$293.7K
H0005	Alcohol and/or drug services; group counseling by a clinician	11	20	2,320	$20	$244.9K
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…	2,207	5,300	230	$60	$164.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	138	600	90	$110	$106.8K
90832	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…	113	570	400	$40	$106.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	48	290	490	$30	$79K
98967	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	12	40	50	$70	$29.7K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boston Medical Center Corporation	MA	General Acute Care Hospital	$0	$768.7M
Commonwealth Of Massachusetts	MA	Community/Behavioral Health Agency	$0	$153.7M
Boston Public Health Commission	MA	Ambulance	$5.9M	$67.6M
Boston Emergency Services Team (bupa) Boston	MA	Community/Behavioral Health Agency	$0	$59.2M
Boston Health Care For The Homeless Program, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$54.8M
Boston Health Care For The Homeless Program, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$53.1M
Boston University Psychiatry Associates, Inc.	MA	Psychiatry Physician	$0	$40.9M
Evans Medical Foundation, Inc.	MA	Internal Medicine Physician	$0	$37.8M
Child Health Foundation Of Boston, Inc.	MA	Pediatrics Physician	$0	$26.6M
Boston Emergency Physician Foundation, Inc.	MA	Emergency Medicine Physician	$0	$24.3M

Boston Public Health Commission — Billing Profile & Reimbursement Data

Sign up for Boston Public Health Commission — Billing Profile & Reimbursement Data policy alerts

Boston Public Health Commission — Billing Profile & Reimbursement Data

Sign up for Boston Public Health Commission — 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