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.

Cambridge Public Health Commission (NPI 1487603585)

Key Findings

Field	Value
Entity Type	Organization
Organization	Cambridge Public Health Commission
Address	1493 Cambridge St
City	Cambridge
State	MA
ZIP	02139
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicaid	$352.9M
Medicare	$0

This provider appears to operate essentially as a Medicaid-focused hospital: there is no Medicare billing on file while reported Medicaid revenue totals $352.9M, indicating Medicaid is effectively the sole public payer driving its fee-for-service receipts. The lack of Medicare claims suggests payer mix is highly concentrated toward Medicaid rather than a balanced Medicare/Medicaid footprint.

Revenue concentration is high: the precomputed note indicates the top 3 Medicaid codes by revenue account for 47.2% of total Medicaid revenue, signaling that a small set of services generates nearly half of the provider’s Medicaid receipts and that changes to utilization or rates for those codes would materially affect the provider’s revenue.

Primary revenue drivers are outpatient E/M and emergency care: high-volume office visit codes 99213 ($47.5M, 19.8% of Medicaid revenue) and 99214 ($41M, 17.1%) together make up a large share of revenue and, along with ED E/M codes 99283 ($24.8M, 10.3%) and 99285 ($18.8M, 7.8%), point to heavy ambulatory and emergency department throughput rather than a predominantly inpatient surgical case mix. This mix suggests the facility functions as a high-volume community acute-care hospital with substantial outpatient clinic and ED activity.

Competitive standing in-state is extremely strong for multiple high-volume codes: the provider ranks #2 of 5303 for 99213 (100th percentile, extreme outlier), #3 of 5039 for 99214 (100th percentile, extreme outlier), and #1 of 547 for 99283 (100th percentile, extreme outlier). These rankings indicate the provider is a dominant statewide provider for routine and higher-acuity E/M encounters, likely capturing a large share of ambulatory and ED Medicaid volume in its market.

Several specialty services also show outsized Medicaid volume relative to peers: codes like 96361 ($16.6M, 6.9% — 97th percentile, notably above typical), 92014 ($4M, 1.7% — #1 in-state, 100th percentile, extreme outlier), 93975 ($2.6M, 1.1% — #1 in-state, 100th percentile), and numerous imaging, endoscopy, and testing codes rank in very high percentiles. This pattern suggests the hospital supports a broad outpatient diagnostic and procedure mix (infusions, ophthalmology, vascular ultrasound, CT, endoscopy) in addition to primary ambulatory and ED care.

Operational implications: the combination of extremely high volume for mid- and high-level E/M codes (99213, 99214, 99283, 99284, 99285) alongside significant procedural and diagnostic revenue implies the provider’s capacity and staffing are geared to sustain large clinic panels, a busy emergency department, and associated outpatient services (infusion/IV therapy, imaging, endoscopy, labs). Payers and network planners should treat this facility as a high-throughput outpatient and ED hub when modeling access and capacity for Medicaid members.

Tenure and credentialing: the NPI was enumerated ~20 years ago (2006-05-08), indicating long-standing enrollment and an established operational history in the market; this longevity aligns with the high percentile rankings and suggests sustained volume rather than a transient spike.

Statistical outlier characterization: many of this provider’s top Medicaid codes are labeled as “extreme outlier” or “notably above typical” in-state volumes (multiple 100th-percentile and high-percentile ranks). Those designations reinforce that the provider’s pattern of services—especially ambulatory E/M, ED care, and select procedures—substantially exceeds typical peer activity and should be treated as market-leading rather than representative of average statewide providers.

Medicaid: Complete Services Breakdown

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

815 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	495,300	$100	$47.5M
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…	445,240	$90	$41M
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.	189,600	$130	$24.8M
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.	126,960	$150	$18.8M
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.	147,860	$120	$17.9M
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.	46,730	$360	$16.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	287,450	$30	$8.3M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	60,210	$120	$6.9M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	66,080	$90	$6.2M
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.	51,570	$90	$4.8M

Showing 1–10 of 815

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

Cambridge Public Health Commission — 24 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

815 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	126	150	7,770	$140	$4.8M
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.	4	90	7,560	$350	$4.2M
S9485	Crisis intervention mental health services, per diem	36	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…	4	20	310	$260	$2.1M
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	17	30	90	$410	$2.1M
H2011	Crisis intervention service, per 15 minutes	36	40	3,970	$140	$2M
T1040	Medicaid certified community behavioral health clinic services, per diem	47	170	950	$200	$1.8M
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…	22	50	1,870	$210	$1.4M
G0378	Hospital observation service, per hour	28	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,…	4	10	1,720	$430	$1.2M

Showing 1–10 of 815

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cambridge Public Health Commission	MA	Clinic/Center	$0	$19.8M
Cambridge Public Health Commission	MA	General Acute Care Hospital	$0	$9M
Anubha Sacheti	MA	General Practice Dentistry	$0	$7M
Shilpa Desai	MA	Ophthalmology Physician	$1.6M	$0
Adam Feldman	MA	Urology Physician	$1.6M	$0
Sean Kearin	FL	Medical Oncology Physician	$1.1M	$0
Lauren Bierman	MA	Ophthalmology Physician	$626.5K	$5.5K
Kenneth Yu	MA	MOHS-Micrographic Surgery Physician	$589.6K	$0
Nazli Erbay	MA	Diagnostic Radiology Physician	$106.9K	$290.7K
Florian Koci	RI	Cardiovascular Disease Physician	$268.6K	$4.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Mathew	MA	Neurology Physician	$266.1K	$0
Tyler Silverman	MA	Student in an Organized Health Care Education/Training Program	$111.4K	$0
Jennifer Steinkeler	MA	Diagnostic Radiology Physician	$60.5K	$30.6K
Laurie Zelas	MA	Psychiatric/Mental Health Clinical Nurse Specialist	$70.3K	$0
Erin Omalley	MA	Certified Registered Nurse Anesthetist	$65K	$0
Sook Bin Woo	MA	Specialist	$60.6K	$0
Renuka Wadhwa	MA	Physical Therapist	$50.9K	$0
Sharon Lamont	MA	Physician Assistant	$46K	$0
Edward Lee	MA	Emergency Medicine Physician	$33.1K	$0
Stephen Campo	MA	Anesthesiology Physician	$17K	$0

Cambridge Public Health Commission — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References