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.

North Shore Medical Center, Inc. (NPI 1417972647)

Field	Value
Entity Type	Organization
Organization	North Shore Medical Center, Inc.
Address	81 Highland Ave
City	Salem
State	MA
ZIP	01970
Taxonomy	Psychiatric Hospital Unit
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

142 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	46,340	$80	$3.9M
S9485	Crisis intervention mental health services, per diem	980	$690	$679.9K
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…	5,860	$100	$557.1K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	1,130	$460	$522.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,690	$140	$512.6K
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.	2,680	$160	$433.5K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	1,090	$400	$430.7K
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.	2,130	$150	$327.7K
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…	5,220	$60	$318.1K
96118	N/A	250	$960	$243.8K

Showing 1–10 of 142

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

North Shore Medical Center, 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

142 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.	61	90	7,560	$350	$4.2M
S9485	Crisis intervention mental health services, per diem	63	110	1,250	$540	$3.2M
G0378	Hospital observation service, per hour	61	70	7,250	$100	$1.3M
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.	71	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	99	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.	110	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.	97	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.	109	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.	100	830	130	$120	$671K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	174	370	500	$40	$605.1K

Showing 1–10 of 142

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Shore Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Shore Medical Center, Inc.	MA	General Acute Care Hospital	$0	$137.7M
Mass General Brigham Medical Group Northern Massachusetts Inc	MA	Emergency Medicine Physician	$0	$30.2M
James Mcintyre	MA	Radiation Oncology Physician	$327.2K	$0
Emad Younan	MA	Pain Medicine (Anesthesiology) Physician	$275.7K	$0
David Rabin	MA	Cardiovascular Disease Physician	$247.3K	$630
Anna Litvak	MA	Neurology Physician	$184.9K	$0
Scott Gonzales	MA	Anesthesiology Physician	$177.5K	$0
Richard Mugge	MA	Otolaryngology Physician	$159.5K	$0
James Demetroulakos	MA	Otolaryngology Physician	$154.7K	$2.7K
Kenneth Mclaughlin	MA	Emergency Medicine Physician	$153.3K	$0

Nearby Providers

Other providers in the same ZIP code as North Shore Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justice Resource Institute, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$186.1M
North Shore Community Health, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$32.2M
East Point Adhc	MA	Adult Day Care Clinic/Center	$0	$22.9M
Stay Well Ahdc, Inc.	MA	Adult Care Home Facility	$0	$8.5M
Commonwealth Diagnostics International, Inc.	MA	Clinical Medical Laboratory	$609.6K	$73.7K
Ramakrishna Gaddipati	MA	Ophthalmology Physician	$393K	$0
Thomas Kingston	MA	Urology Physician	$341.3K	$0
Jannet Ung	MA	Ophthalmology Physician	$338.2K	$3K
Mark Laspina	MA	Urology Physician	$332.7K	$0
Robert Levy	MA	Ophthalmology Physician	$314.7K	$0

North Shore Medical Center, Inc. — Billing Profile & Reimbursement Data

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North Shore Medical Center, 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