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.

Mass General Brigham Medical Group Western Massachusetts Inc (NPI 1295787919)

Field	Value
Entity Type	Organization
Organization	Mass General Brigham Medical Group Western Massachusetts Inc
Address	30 Locust St
City	Northampton
State	MA
ZIP	01060
Taxonomy	Family Medicine Physician
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

128 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…	54,050	$50	$2.4M
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.	24,490	$60	$1.5M
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…	34,500	$40	$1.3M
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.	8,850	$70	$654.8K
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.	5,120	$30	$174.1K
99203	The provider sees a new 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 provider…	2,660	$60	$162.1K
99204	The provider sees a new 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 provider…	1,530	$90	$133.4K
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…	3,320	$40	$129.5K
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…	1,890	$50	$100.1K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	1,890	$50	$94.7K

Showing 1–10 of 128

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

Mass General Brigham Medical Group Western Massachusetts Inc — 2 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

128 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	132	150	7,770	$140	$4.8M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	228	240	980	$180	$1.2M
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.	82	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.	81	550	110	$120	$865.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	132	410	140	$110	$742.2K
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.	60	830	130	$120	$671K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	106	220	280	$100	$491.2K
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.	62	160	270	$130	$469.1K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	59	100	290	$120	$356.6K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	123	230	330	$70	$343.3K

Showing 1–10 of 128

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mass General Brigham Medical Group Western Massachusetts Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sidney Kahn Iv	MA	Vascular & Interventional Radiology Physician	$945K	$0
James Arcoleo	MA	Cardiovascular Disease Physician	$617.8K	$44K
Atif Khan	MA	Primary Care Nurse Practitioner	$76.8K	$472.1K
Joyce Williams	OH	Rheumatology Physician	$500.7K	$0
Lucian Neville	MA	Cardiovascular Disease Physician	$484.7K	$0
Michael Chill	MA	Diagnostic Radiology Physician	$372.2K	$410
Vikram Grewal	MA	Cardiovascular Disease Physician	$348.9K	$290
Steven Weinsier	MA	Cardiovascular Disease Physician	$338.5K	$400
Daniel Sage	MA	Orthopaedic Surgery Physician	$336K	$0
Amir Mohani	MA	Interventional Cardiology Physician	$297.7K	$0

Nearby Providers

Other providers in the same ZIP code as Mass General Brigham Medical Group Western Massachusetts Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$204.8M
Nonotuck Resource Associates, Inc	MA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$154.6M
Department Of Mental Health	MA	Community/Behavioral Health Agency	$0	$153M
Cooley Dickinson Hospital Inc	MA	General Acute Care Hospital	$0	$34.9M
Servicenet Inc	MA	Early Intervention Provider Agency	$0	$10M
Servicenet Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.5M
City Of Northampton	MA	Land Ambulance	$831.4K	$2.7M
Shields Pet Ct At Cooley Dickinson Hospital LLC	MA	Mobile Radiology Clinic/Center	$685K	$6.7K
Derek Davidson	MA	Physical Medicine & Rehabilitation Physician	$331.7K	$0
Darren Lynch	MA	Family Medicine Physician	$322.8K	$0

Mass General Brigham Medical Group Western Massachusetts Inc — Billing Profile & Reimbursement Data

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Mass General Brigham Medical Group Western Massachusetts 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