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.

Hri Hospital, Inc (NPI 1518938174)

Field	Value
Entity Type	Organization
Organization	Hri Hospital, Inc
Address	227 Babcock St
City	Brookline
State	MA
ZIP	02446
Taxonomy	Psychiatric Hospital
NPI Enumerated	January 31, 2006

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	16,160	$340	$5.5M
S9480	Intensive outpatient psychiatric services, per diem	2,650	$130	$350.3K
G0410	Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes	9,150	$20	$164.7K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	17,480	$10	$157.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	140	$30	$4.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	150	$30	$4.6K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	130	$20	$2.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	90	$20	$1.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60	$20	$960
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$40	$550

Showing 1–10 of 12

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

Hri Hospital, Inc — 2 of 10 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	2	30	620	$310	$775.3K
S9480	Intensive outpatient psychiatric services, per diem	2	10	2,650	$160	$717K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	284	390	270	$30	$124.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	265	600	90	$110	$106.8K
90832	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…	275	570	400	$40	$106.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	244	280	110	$80	$100.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	106	240	120	$50	$46.6K
G0410	Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes	2	10	420	$20	$45.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	66	130	90	$40	$27.8K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	5	190	210	$10	$26.9K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Hri Hospital, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Delia Sang	MA	Ophthalmology Physician	$2.7M	$0
Biocardia Diagnostics Inc	MA	Radiology Clinic/Center	$59.2K	$456.9K
Johnelle Smith	MA	Physical Medicine & Rehabilitation Physician	$219.5K	$175.5K
Brian Boyle	MA	Psychiatry Physician	$311.9K	$0
Miaoyuan Wang	MA	Dermatology Physician	$302.8K	$0
Glenn Kehlmann	MA	Internal Medicine Physician	$276.8K	$0
Kenneth Lawton	MA	Foot Surgery Podiatrist	$233.3K	$14K
Reena Gupta	MA	Ophthalmology Physician	$152K	$7.4K
Megan Webb	MA	Physician Assistant	$153.1K	$0
Suzanne Gleysteen	MA	Internal Medicine Physician	$134.1K	$0

Hri Hospital, Inc — Billing Profile & Reimbursement Data

Sign up for Hri Hospital, Inc — Billing Profile & Reimbursement Data policy alerts

Hri Hospital, Inc — Billing Profile & Reimbursement Data

Sign up for Hri Hospital, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References