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.

Cooley Dickinson Hospital Inc (NPI 1477596310)

Cooley Dickinson Hospital Inc is a general acute care hospital provider located in Northampton, Massachusetts. This profile covers 0 Medicare and 363 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	Cooley Dickinson Hospital Inc
Address	30 Locust St
City	Northampton
State	MA
ZIP	01060
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$34.9M
Medicare	$0

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

363 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.	38,590	$140	$5.3M
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.	10,400	$300	$3.1M
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…	52,010	$60	$2.9M
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.	17,990	$140	$2.5M
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.	10,280	$160	$1.6M
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…	3,150	$380	$1.2M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	18,020	$60	$1.1M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,040	$480	$975.2K
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.	6,540	$100	$680.1K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	27,430	$20	$658.3K

Showing 1–10 of 363

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

Cooley Dickinson Hospital Inc — 3 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

363 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.	36	90	7,560	$350	$4.2M
S9485	Crisis intervention mental health services, per diem	70	110	1,250	$540	$3.2M
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…	23	50	1,870	$210	$1.4M
G0378	Hospital observation service, per hour	46	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.	35	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	97	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.	78	520	120	$130	$1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	19	130	1,830	$60	$974.3K
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.	28	60	1,750	$260	$907.4K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	19	30	590	$350	$886.6K

Showing 1–10 of 363

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Arcoleo	MA	Cardiovascular Disease Physician	$617.8K	$44K
Vikram Grewal	MA	Cardiovascular Disease Physician	$348.9K	$290
Steven Weinsier	MA	Cardiovascular Disease Physician	$338.5K	$400
Mark Anderson	MA	Diagnostic Radiology Physician	$317.7K	$0
Amir Mohani	MA	Interventional Cardiology Physician	$297.7K	$0
Andrew Ciccarelli	MA	Diagnostic Radiology Physician	$220.1K	$0
Jonathan Mcdougal	MA	Diagnostic Radiology Physician	$100.2K	$0
Cristina Olivas Chacon	MO	Diagnostic Radiology Physician	$90K	$0
John Rodriguez	RI	Clinical Cardiac Electrophysiology Physician	$73.1K	$8.6K
Amy Oliveira	MA	Diagnostic Radiology Physician	$68.7K	$5K

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
Servicenet Inc	MA	Early Intervention Provider Agency	$0	$10M
Servicenet Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.5M
Mass General Brigham Medical Group Western Massachusetts Inc	MA	Family Medicine Physician	$0	$8M
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

Cooley Dickinson Hospital 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

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