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.

Franciscan Hospital For Children, Inc. (NPI 1174542013)

Field	Value
Entity Type	Organization
Organization	Franciscan Hospital For Children, Inc.
Address	30 Warren St
City	Boston
State	MA
ZIP	02135
Taxonomy	Children's Rehabilitation Hospital
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicaid	$62.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	17,270	$3,140	$54.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	8,700	$180	$1.6M
H0046	Mental health services, not otherwise specified	14,330	$70	$974.5K
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…	9,200	$80	$773.1K
D1120	Prophylaxis–child	10,810	$50	$497.1K
D0120	Periodic oral evaluation - established patient	13,390	$30	$374.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,800	$60	$293K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	10,230	$30	$265.9K
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…	2,690	$90	$250.2K
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…	3,050	$80	$234.9K

Showing 1–10 of 75

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

Franciscan Hospital For Children, Inc. — 1 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

75 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1	10	470	$2,670	$6.3M
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…	155	1,620	580	$80	$599.6K
D2930	N/A	44	90	830	$180	$325.7K
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…	180	1,020	460	$100	$293.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	26	290	980	$70	$240.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	533	750	930	$40	$231.2K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	38	230	470	$60	$221.1K
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,…	280	950	90	$100	$212.9K
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…	1,736	5,040	200	$70	$209.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	361	670	120	$100	$169.2K

Showing 1–10 of 75

Related Providers

Other providers that share a Tax Identification Number (TIN) with Franciscan Hospital For Children, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rebecca Leong	MA	Anesthesiology Physician	$118.8K	$0
Clifford Bierman	MA	Anesthesiology Physician	$77.4K	$0

Nearby Providers

Other providers in the same ZIP code as Franciscan Hospital For Children, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steward St. Elizabeth's Medical Center Of Boston, Inc.	MA	General Acute Care Hospital	$0	$32.5M
Brightin Adhc, LLC	MA	Adult Day Care Clinic/Center	$0	$19.5M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$17.2M
Absolute Care, Inc.	MA	Home Health Agency	$0	$16M
Addiction Treatment Center Of New England, Inc.	MA	Case Management Agency	$227.1K	$11.5M
Charles River Community Health Inc	MA	Federally Qualified Health Center (FQHC)	$0	$10.3M
Family And Community Solutions Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9M
Steward Medical Group, Inc	MA	Specialist	$0	$8.4M
Vcare LLC	MA	Home Health Agency	$0	$7.1M
Irene Piryatinsky	MA	Psychologist	$169.6K	$1M

Franciscan Hospital For Children, Inc. — Billing Profile & Reimbursement Data

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Franciscan Hospital For Children, 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