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 Henry (NPI 1346354222)

Field	Value
Entity Type	Individual
Organization	Michael Henry
Address	736 Cambridge St # Qn-3p
City	Brighton
State	MA
ZIP	02135
Taxonomy	Psychiatry Physician
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicare	$64.2K
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
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…	350	$100	$35.7K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	250	$90	$21.7K
99443	N/A	40	$110	$3.9K
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…	40	$70	$2.8K

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 Henry — 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
99214	2,214	15,410	110	$80	$15.6K
90870	5	40	100	$90	$12.6K
99213	9,458	13,700	70	$60	$8.8K
99443	686	1,960	30	$80	$3.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Hospital For Children, Inc.	MA	Children's Rehabilitation Hospital	$0	$62.3M
Steward St. Elizabeth's Medical Center Of Boston, Inc.	MA	General Acute Care Hospital	$0	$32.5M
Brightin Adhc, LLC	MA	Adult Day Care Clinic/Center	$0	$19.5M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$17.2M
Absolute Care, Inc.	MA	Home Health Agency	$0	$16M
Addiction Treatment Center Of New England, Inc.	MA	Case Management Agency	$227.1K	$11.5M
Charles River Community Health Inc	MA	Federally Qualified Health Center (FQHC)	$0	$10.3M
Family And Community Solutions Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9M
Steward Medical Group, Inc	MA	Specialist	$0	$8.4M
Vcare LLC	MA	Home Health Agency	$0	$7.1M

Michael Henry — Billing Profile & Reimbursement Data

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Michael Henry — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References