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.

Boston Emergency Physician Foundation, Inc. (NPI 1427005859)

Field	Value
Entity Type	Organization
Organization	Boston Emergency Physician Foundation, Inc.
Address	1 Boston Medical Ctr Pl
City	Boston
State	MA
ZIP	02118
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicaid	$24.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	131,590	$90	$12.2M
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.	131,540	$70	$9.3M
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.	61,400	$40	$2.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2,160	$120	$248.2K
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.	8,930	$30	$232.2K
99281	The provider sees a patient for the lowest level emergency department visit.	920	$10	$11.9K
76604	The provider uses ultrasound to evaluate the pleural spaces for the presence of fluid or masses of the chest, upper back, chest wall, or mediastinum.	20	$20	$340

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

Boston Emergency Physician Foundation, Inc. — 3 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	5	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.	20	550	110	$120	$865.5K
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.	6	830	130	$120	$671K
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.	22	160	270	$130	$469.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	41	150	420	$110	$255K
99281	The provider sees a patient for the lowest level emergency department visit.	25	60	420	$130	$216.8K
76604	The provider uses ultrasound to evaluate the pleural spaces for the presence of fluid or masses of the chest, upper back, chest wall, or mediastinum.	11	20	30	$70	$31.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Boston Emergency Physician Foundation, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The General Hospital Corporation	MA	General Acute Care Hospital	$0	$438M
Community Physicians Of Indiana Inc	IN	Family Medicine Physician	$0	$185M
Massachusetts General Physicians Organization Inc	MA	Dermatology Physician	$0	$60.2M
Colorado Permanente Medical Group, P.C.	CO	Internal Medicine Physician	$0	$23.2M
David Reed	MA	Retina Specialist (Ophthalmology) Physician	$7.7M	$0
Torsten Wiegand	MA	Retina Specialist (Ophthalmology) Physician	$7.6M	$0
Chirag Shah	MA	Retina Specialist (Ophthalmology) Physician	$5M	$0
Miriam Englander-paschalis Ilios	MA	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Babak Jian Seyedahmadi	MA	Ophthalmology Physician	$4.4M	$0
Jeffrey Heier	MA	Retina Specialist (Ophthalmology) Physician	$3.6M	$0

Nearby Providers

Other providers in the same ZIP code as Boston Emergency Physician Foundation, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boston Medical Center Corporation	MA	General Acute Care Hospital	$0	$768.7M
Commonwealth Of Massachusetts	MA	Community/Behavioral Health Agency	$0	$153.7M
Boston Public Health Commission	MA	Ambulance	$5.9M	$67.6M
Boston Emergency Services Team (bupa) Boston	MA	Community/Behavioral Health Agency	$0	$59.2M
Boston Health Care For The Homeless Program, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$54.8M
Boston Health Care For The Homeless Program, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$53.1M
Boston University Psychiatry Associates, Inc.	MA	Psychiatry Physician	$0	$40.9M
Evans Medical Foundation, Inc.	MA	Internal Medicine Physician	$0	$37.8M
Child Health Foundation Of Boston, Inc.	MA	Pediatrics Physician	$0	$26.6M
Volunteers Of America Of Massachusetts Inc	MA	Substance Abuse Rehabilitation Facility	$0	$21.4M

Boston Emergency Physician Foundation, Inc. — Billing Profile & Reimbursement Data

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Boston Emergency Physician Foundation, 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