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.

Henry Heywood Memorial Hospital (NPI 1205823879)

Henry Heywood Memorial Hospital is a general acute care hospital provider located in Gardner, Massachusetts. This profile covers 0 Medicare and 445 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	Henry Heywood Memorial Hospital
Address	242 Green St
City	Gardner
State	MA
ZIP	01440
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 29, 2005

Payer Source	Total Paid
Medicaid	$54.5M
Medicare	$0

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

445 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	40,860	$110	$4.3M
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.	37,960	$110	$4.3M
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.	31,650	$130	$4M
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…	22,880	$150	$3.5M
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,…	18,960	$150	$2.8M
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…	20,870	$140	$2.8M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	7,560	$320	$2.4M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	33,790	$60	$1.9M
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…	33,940	$50	$1.7M
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	9,960	$170	$1.7M

Showing 1–10 of 445

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

Henry Heywood Memorial Hospital — 8 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

445 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	44	90	7,560	$350	$4.2M
S9485	Crisis intervention mental health services, per diem	90	110	1,250	$540	$3.2M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	42	50	1,870	$210	$1.4M
G0378	Hospital observation service, per hour	35	70	7,250	$100	$1.3M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	34	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	17	110	5,660	$30	$1.1M
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.	44	520	120	$130	$1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	13	130	1,830	$60	$974.3K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	43	60	1,750	$260	$907.4K
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.	38	550	110	$120	$865.5K

Showing 1–10 of 445

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Athol Memorial Hospital Incorporated	MA	Critical Access Hospital	$0	$30.8M
Lawrence Proano	RI	Emergency Medicine Physician	$48.4K	$2.3M
Thomas Miller	MA	Family Medicine Physician	$364.5K	$448.2K
Ashok Joshi	MA	Internal Medicine Physician	$188.9K	$530.5K
Tricia Vorderstrasse	MA	Family Medicine Physician	$256.7K	$217.4K
Payam Aghassi	MA	Pulmonary Disease Physician	$340.5K	$9.4K
Joshua Albrektson	MN	Diagnostic Radiology Physician	$264.9K	$2K
Eugene Kim	MN	Diagnostic Radiology Physician	$248.2K	$16.1K
Mansoor Zaidi	MA	Internal Medicine Physician	$147.4K	$114.1K
Kevin Floyd	MA	Clinical Cardiac Electrophysiology Physician	$220.4K	$2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Massachusetts Correctional Industries	MA	Eyewear Supplier	$0	$52.8M
Gaamha, Inc	MA	Non-emergency Medical Transport (VAN)	$0	$11.8M
Community Health Connections, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$9M
Wood's Ambulance Inc.	MA	Ambulance	$1.1M	$4.8M
Cataract Laser Centercentral LLC	MA	Ophthalmologic Surgery Clinic/Center	$1.6M	$489.7K
Shields Imaging At Heywood Healthcare LLC	MA	Magnetic Resonance Imaging (MRI) Clinic/Center	$115.6K	$194K
Victor Zota	MA	Anatomic Pathology & Clinical Pathology Physician	$101.3K	$59.1K
Jared Toman	MA	Orthopaedic Surgery Physician	$63.7K	$48.1K
Chair City Pharmacy, LLC	MA	Community/Retail Pharmacy	$76.9K	$70
Benjamin Fakharzadeh	MA	Diagnostic Radiology Physician	$64K	$4.3K

Henry Heywood Memorial Hospital — 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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