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.

Kenneth Rice (NPI 1144291741)

Field	Value
Entity Type	Individual
Organization	Kenneth Rice
Address	1180 Beacon St
City	Brookline
State	MA
ZIP	02446
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	January 31, 2006

Payer Source	Total Paid
Medicare	$41.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

16 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…	100	$100	$10K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	120	$50	$6.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	130	$40	$5.5K
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…	60	$80	$4.4K
99443	N/A	40	$110	$3.9K
93350	In this procedure, the provider performs transthoracic echocardiography both at rest and after exercise to review images. He evaluates and assesses global and ventricular performance and cardiac…	60	$50	$3.2K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	80	$20	$1.6K
99442	N/A	30	$60	$1.5K
99441	N/A	30	$30	$1.1K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	70	$10	$910

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Kenneth Rice — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	456	540	310	$80	$26.3K
99214	8,209	15,410	110	$80	$15.6K
99213	7,812	13,700	70	$60	$8.8K
99443	708	1,960	30	$80	$3.8K
93351	126	150	20	$110	$3.5K
99442	503	1,200	20	$60	$2.6K
99212	265	2,660	30	$40	$2.4K
93350	3	60	20	$70	$2.1K
93000	731	2,030	30	$10	$1.6K
99441	118	390	20	$30	$1.3K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kenneth Rice, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Biocardia Diagnostics Inc	MA	Radiology Clinic/Center	$59.2K	$456.9K

Nearby Providers

Other providers in the same ZIP code as Kenneth Rice, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hri Hospital, Inc	MA	Psychiatric Hospital	$0	$6.2M
Delia Sang	MA	Ophthalmology Physician	$2.7M	$0
Johnelle Smith	MA	Physical Medicine & Rehabilitation Physician	$219.5K	$175.5K
Brian Boyle	MA	Psychiatry Physician	$311.9K	$0
Miaoyuan Wang	MA	Dermatology Physician	$302.8K	$0
Glenn Kehlmann	MA	Internal Medicine Physician	$276.8K	$0
Kenneth Lawton	MA	Foot Surgery Podiatrist	$233.3K	$14K
Reena Gupta	MA	Ophthalmology Physician	$152K	$7.4K
Megan Webb	MA	Physician Assistant	$153.1K	$0
Suzanne Gleysteen	MA	Internal Medicine Physician	$134.1K	$0

Kenneth Rice — Billing Profile & Reimbursement Data

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Kenneth Rice — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References