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.

First Physicians Corporation (NPI 1255493474)

Field	Value
Entity Type	Organization
Organization	First Physicians Corporation
Address	363 Highland Ave
City	Fall River
State	MA
ZIP	02720
Taxonomy	Emergency Medicine Physician
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	72,860	$80	$5.8M
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.	63,620	$70	$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.	38,310	$40	$1.4M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	8,350	$80	$668.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	56,080	$1	$224.3K
99220	N/A	1,890	$90	$172.2K
99217	N/A	1,960	$40	$70.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	220	$100	$22.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	340	$60	$20.6K
99224	N/A	600	$20	$11.4K

Showing 1–10 of 18

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

First Physicians Corporation — 5 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. Massachusetts median

18 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.	17	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.	37	550	110	$120	$865.5K
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.	21	830	130	$120	$671K
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.	86	160	270	$130	$469.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	13	150	420	$110	$255K
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…	4,424	5,040	200	$70	$209.5K
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…	374	390	270	$30	$124.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	109	280	110	$80	$100.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	693	720	200	$40	$60.2K
99220	N/A	3	50	170	$90	$47.6K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Fortier	MA	Medical Physician Assistant	$412.6K	$0
Mark Durfee	MA	Emergency Medicine Physician	$160.3K	$131.7K
Victoria Leytin	RI	Emergency Medicine Physician	$33.6K	$163.1K
Stephanie Aaron	RI	Emergency Medicine Physician	$150.4K	$44.6K
Mark Muetterties	RI	Emergency Medicine Physician	$159.9K	$0
Michael Kelly	RI	Emergency Medicine Physician	$147.5K	$0
Keith Chappell	MA	Emergency Medicine Physician	$126.7K	$0
Bryan Canterbury	OH	Emergency Medicine Physician	$106.8K	$0
Katie Chapman	RI	Emergency Medicine Physician	$89.1K	$1.4K
Catherine Pettit	RI	Emergency Medicine Physician	$73.7K	$7.1K

Nearby Providers

Other providers in the same ZIP code as First Physicians Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcoast Hospitals Group, Inc	MA	General Acute Care Hospital	$0	$97.6M
Stanley Street Treatment And Resources, Inc.	MA	Substance Abuse Rehabilitation Facility	$672.8K	$38.4M
Family Service Association Of Greater Fall River	MA	Case Management Registered Nurse	$0	$36.5M
Family Service Association Of Greater Fall River, Inc.	MA	Mental Health Counselor	$0	$32.9M
Steppingstone Inc	MA	Multi-Specialty Clinic/Center	$0	$29.9M
Stanley Street Treatment And Resources, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$18.4M
Bay State Afc, LLC	MA	Foster Care Agency	$0	$11.3M
Saint Vincent's Services, Inc.	MA	Adolescent and Children Mental Health Clinic/Center	$0	$10.3M
Alert Ambulance Service, Inc	MA	Land Ambulance	$2M	$6.5M
People, Incorporated	MA	Developmentally Disabled Services Day Training Agency	$0	$8.5M

First Physicians Corporation — Billing Profile & Reimbursement Data

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First Physicians Corporation — 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