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.

Vhs Acquisition Subsidiary Number 7 Inc (NPI 1538131214)

Vhs Acquisition Subsidiary Number 7 Inc is a general acute care hospital provider located in Worcester, Massachusetts. This profile covers 0 Medicare and 342 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	Vhs Acquisition Subsidiary Number 7 Inc
Address	123 Summer St
City	Worcester
State	MA
ZIP	01608
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 6, 2006

Payer Source	Total Paid
Medicaid	$67.7M
Medicare	$0

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

342 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	75,300	$150	$11.1M
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.	54,360	$150	$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.	41,110	$170	$6.8M
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.	15,210	$320	$4.9M
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…	67,180	$60	$4M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11,330	$160	$1.9M
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.	10,450	$150	$1.5M
G0378	Hospital observation service, per hour	22,230	$70	$1.5M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	13,050	$110	$1.4M
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…	40,670	$40	$1.4M

Showing 1–10 of 342

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

Vhs Acquisition Subsidiary Number 7 Inc — 4 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

342 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.	27	90	7,560	$350	$4.2M
S9485	Crisis intervention mental health services, per diem	103	110	1,250	$540	$3.2M
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	85	90	26,920	$60	$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…	17	50	1,870	$210	$1.4M
G0378	Hospital observation service, per hour	15	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.	24	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	39	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.	34	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…	42	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.	29	60	1,750	$260	$907.4K

Showing 1–10 of 342

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centro Las Americas	MA	Community Health Worker	$0	$43.7M
Worcester Adult Day Care Center	MA	Adult Day Care Clinic/Center	$0	$15.5M
Center For Living And Working, Inc	MA	Home Health Agency	$0	$14.5M
Secon Of New England LLC	MA	Clinical Medical Laboratory	$0	$8.8M
Arca Adult Day Health Center	MA	Adult Day Care Clinic/Center	$0	$7.2M
Saint Vincent Physician Services, Inc.	MA	Family Medicine Physician	$0	$6.1M
Laboratory Corporation Of America Holdings	MA	Clinical Medical Laboratory	$56.5K	$3.2M
Imaging Consultants Inc	MA	Radiology Clinic/Center	$423.5K	$658.5K
Tony Samaha	MA	Hematology & Oncology Physician	$813.5K	$0
Seth Kates	MA	Dermatology Physician	$667.9K	$35K

Vhs Acquisition Subsidiary Number 7 Inc — Billing Profile & Reimbursement Data

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Vhs Acquisition Subsidiary Number 7 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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References