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.

Northeast Hospital Corporation (NPI 1316917941)

Northeast Hospital Corporation is a general acute care hospital provider located in Beverly, Massachusetts. This profile covers 0 Medicare and 438 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	Northeast Hospital Corporation
Address	85 Herrick St
City	Beverly
State	MA
ZIP	01915
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 25, 2006

Payer Source	Total Paid
Medicaid	$67.9M
Medicare	$0

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

438 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.	44,260	$150	$6.4M
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.	38,380	$150	$5.6M
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.	13,340	$340	$4.6M
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.	27,190	$160	$4.3M
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…	47,280	$60	$3M
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…	17,280	$130	$2.3M
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…	17,040	$130	$2.2M
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…	12,030	$150	$1.8M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	16,580	$110	$1.7M
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.	9,620	$120	$1.1M

Showing 1–10 of 438

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

Northeast Hospital Corporation — 7 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

438 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.	31	90	7,560	$350	$4.2M
S9485	Crisis intervention mental health services, per diem	54	110	1,250	$540	$3.2M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	14	20	310	$260	$2.1M
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…	27	50	1,870	$210	$1.4M
G0378	Hospital observation service, per hour	18	70	7,250	$100	$1.3M
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	6	10	1,720	$430	$1.2M
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.	30	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	19	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.	50	520	120	$130	$1M
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.	22	60	1,750	$260	$907.4K

Showing 1–10 of 438

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Maguire	MA	Internal Medicine Physician	$503.6K	$37.5K
Shawn Pawson	MA	Internal Medicine Physician	$358K	$85.3K
Michael Arsenian	MA	Cardiovascular Disease Physician	$305K	$12K
David Rabin	MA	Cardiovascular Disease Physician	$247.3K	$630
Alexander Doumas	MA	Cardiovascular Disease Physician	$182.5K	$2.4K
Scott Gonzales	MA	Anesthesiology Physician	$177.5K	$0
Kimberly Markuns	MA	Emergency Medicine Physician	$165.8K	$0
Henry Frissora	MA	Vascular Surgery Physician	$111.8K	$0
Maura Copeland	MA	Geriatric Psychiatry Physician	$55.6K	$0
Robert Henriques	MA	Nurse Practitioner	$46.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusets	MA	Case Management Agency	$0	$1.1B
Northeast Behavioral Health Corporation	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$430.2K	$128.3M
Associated Home Care	MA	Home Health Agency	$0	$34.1M
Standards Care Staffing, Inc	MA	Home Health Agency	$0	$15.1M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$11.3M
Fbtc Transitional Sub, LLC	MA	Community/Behavioral Health Agency	$0	$9.5M
Bass River Day Activity Program, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$8.8M
Pediatric Associates Of Greater Salem, Inc	MA	Pediatrics Physician	$0	$7M
Communitas, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$6.7M
Futures Behavior Therapy Center LLC	MA	Community/Behavioral Health Agency	$0	$6.3M

Northeast Hospital Corporation — Billing Profile & Reimbursement Data

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Northeast Hospital 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

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