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.

Michael Kennedy (NPI 1295767614)

Field	Value
Entity Type	Individual
Organization	Michael Kennedy
Address	6 Union St
City	Natick
State	MA
ZIP	01760
Taxonomy	Orthopaedic Trauma Physician
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicare	$28.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	170	$70	$12.5K
J7325	Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,390	$10	$9.7K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	90	$50	$4.7K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	300	$10	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Michael Kennedy — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7325	7	20	1,150	$10	$10.8K
99213	3,364	13,700	70	$60	$8.8K
20610	347	980	60	$50	$5.8K
J0702	34	130	140	$1	$1.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zdorovie Adult Day Health Center	MA	Adult Day Care Clinic/Center	$0	$9.1M
William Tang	MA	Ophthalmology Physician	$1.9M	$0
Town Of Natick	MA	Land Ambulance	$502.5K	$783.4K
Natick Surgery Center, LLC	MA	Ambulatory Surgical Clinic/Center	$814.4K	$0
Helen Raynham	MA	MOHS-Micrographic Surgery Physician	$619.3K	$0
Steven Spiegel	MA	Nephrology Physician	$328.7K	$0
Symeon Zannikos	MA	Orthopaedic Surgery Physician	$310.4K	$0
Sean Rockett	MA	Orthopaedic Surgery Physician	$271.2K	$0
Kevin Sullivan	MA	Physical Medicine & Rehabilitation Physician	$260.4K	$0
Ravi Kacker	MA	Urology Physician	$243.1K	$250

Michael Kennedy — Billing Profile & Reimbursement Data

Sign up for Michael Kennedy — Billing Profile & Reimbursement Data policy alerts

Michael Kennedy — Billing Profile & Reimbursement Data

Sign up for Michael Kennedy — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References