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.

Beth Israel Deaconess Medical Center, Inc. (NPI 1548202641)

Field	Value
Entity Type	Organization
Organization	Beth Israel Deaconess Medical Center, Inc.
Address	330 Brookline Ave
City	Boston
State	MA
ZIP	02215
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$270.4M
Medicare	$0

Key Findings

This provider is effectively single-payer within the available claims data: there is no Medicare billing on file while Medicaid revenue totals $270.4M, so all observed fee-for-service activity and service-line analysis should be interpreted through the Medicaid footprint rather than a mixed Medicare/Medicaid profile.

Revenue is concentrated in outpatient evaluation-and-management codes: the precomputed top three Medicaid codes account for 35.4% of total Medicaid revenue, with 99212 contributing $25.7M (16.4%), 99213 $15.8M (10.1%), and 99211 $14.1M (9.0%). This concentration indicates a significant dependence on high-volume ambulatory visits for Medicaid reimbursement.

The claim volumes and payments indicate a heavy outpatient clinic throughput and ambulatory care orientation. G0463 shows 312.4K claims and $8.4M revenue (5.4% of Medicaid revenue) and the three high-volume E/M codes together represent nearly one-third of the top revenue drivers, supporting the conclusion that clinic-based evaluation and management is a core operational focus.

Gastroenterology and endoscopic procedures represent a distinct, high-revenue service line for this provider: 43239 ($5.1M), 45380 ($4.7M), 45385 ($4.6M), and 45378 ($3.4M) all rank at or near the top statewide with labels such as "extreme outlier" or "notably above typical state volume." These ranks (for example, 45380 ranks #1 of 95 providers in-state at the 100th percentile) indicate market-leading volumes in GI diagnostics and therapeutics for Medicaid patients.

Infusion and oncology services are also material to the Medicaid mix but show mixed competitive standing. Chemotherapy/infusion codes 96413 ($9.1M, 5.8% of Medicaid revenue) and 96415 ($4.6M) plus infusion administration codes 96365/96366/96361 appear frequently, while high-cost oncology drug codes such as J9271 ($7.6M) and J1745 ($4.9M) are present; drug-specific ranks (e.g., J9271 rank #4 of 12, 73rd percentile) suggest the provider participates meaningfully in oncology infusions but is not uniformly dominant among specialist centers.

Emergency department activity is significant and contributes meaningful Medicaid revenue: 99285 ($6.8M), 99284 ($4.4M), and 99283 ($2.2M) reflect a steady ED caseload with ranks in the upper state percentiles (for example, 99285 at the 93rd percentile). Combined with substantial outpatient and infusion volumes, this pattern is consistent with a full-service acute hospital operating high-volume emergency and outpatient clinics.

The provider’s statewide competitive posture is strong and concentrated: multiple codes are labeled as "extreme outlier" or "notably above typical state volume," including 99212 (ranks #2 of 953, 100th percentile; extreme outlier) and several GI procedure codes that rank at or near #1 or #2 statewide. These percentile and rank indicators identify the provider as a dominant Medicaid participant in ambulatory E/M and GI procedural care within the state.

The NPI enumeration date of 2006-06-12 (~20 years ago) indicates long tenure in the market, supporting the observed high outpatient and procedural volumes as the result of an established clinical footprint rather than a short-term utilization spike. Longevity combined with concentrated Medicaid revenue suggests entrenched care pathways and referral flows within the state Medicaid ecosystem.

Medicaid: Complete Services Breakdown

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

847 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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,…	183,750	$140	$25.7M
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…	118,830	$130	$15.8M
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.	97,650	$140	$14.1M
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…	30,290	$300	$9.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	312,420	$30	$8.4M
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.	21,590	$360	$7.8M
J9271	Injection, pembrolizumab, 1 mg	970	$7,800	$7.6M
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.	36,500	$190	$6.8M
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.	8,880	$580	$5.1M
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…	42,900	$120	$5.1M

Showing 1–10 of 847

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

Beth Israel Deaconess Medical Center, Inc. — 12 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

847 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	4	10	210	$5,200	$5.5M
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.	16	90	7,560	$350	$4.2M
J2350	Injection, ocrelizumab, 1 mg	5	10	130	$7,900	$3.9M
S9485	Crisis intervention mental health services, per diem	69	110	1,250	$540	$3.2M
J9299	Injection, nivolumab, 1 mg	3	10	250	$3,570	$3M
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	2	10	590	$1,880	$2.8M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	4	10	1,380	$1,380	$2.7M
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	4	10	1,520	$1,910	$2.6M
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…	12	20	310	$260	$2.1M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	9	10	1,200	$1,560	$2.1M

Showing 1–10 of 847

Related Providers

Other providers that share a Tax Identification Number (TIN) with Beth Israel Deaconess Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beth Israel Deaconess Hospital-needham, Inc.	MA	General Acute Care Hospital	$0	$12.4M
Kusai Aziz	CA	Nuclear Cardiology Physician	$2.1M	$648.9K
Robert Najarian	MA	Anatomic Pathology Physician	$520.7K	$878.6K
Sheldon Buzney	MA	Ophthalmology Physician	$1.4M	$0
Bernard Durante	MA	Otolaryngic Allergy Physician	$1.1M	$185.3K
Anit Patel	MA	Otolaryngic Allergy Physician	$1.1M	$185.5K
Irene Piryatinsky	MA	Psychologist	$169.6K	$1M
Alireza Sepehr	MA	Anatomic Pathology & Clinical Pathology Physician	$1.2M	$1000
Gregory Britt	CO	Hematology & Oncology Physician	$1.1M	$0
Megan Nichols	KS	Ophthalmology Physician	$1M	$0

Nearby Providers

Other providers in the same ZIP code as Beth Israel Deaconess Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dana-farber Cancer Institute, Inc.	MA	General Acute Care Hospital	$0	$240.4M
Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is	MA	Emergency Medical Services (Emergency Medicine) Physician	$0	$34.9M
Suburban Home Health Care Inc	MA	Home Health Agency	$0	$23.6M
Fenway Community Health Center, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$22.5M
Atrius Health, Inc.	MA	Internal Medicine Physician	$0	$14.5M
Planned Parenthood League Of Massachusetts, Inc.	MA	Ambulatory Family Planning Facility	$0	$12.8M
Suburban Homemaking & Maternity Agency, Inc.	MA	Home Health Agency	$0	$6.7M
Kids Are People Elementary School	MA	Developmentally Disabled Services Day Training Agency	$0	$6.4M
Avnish Deobhakta	MA	Retina Specialist (Ophthalmology) Physician	$1M	$141.3K
David Meenan	MA	Internal Medicine Physician	$40.4K	$808.1K

Beth Israel Deaconess Medical Center, Inc. — Billing Profile & Reimbursement Data

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Beth Israel Deaconess Medical Center, Inc. — 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