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.

Baystate Medical Practices, Inc (NPI 1548205909)

Baystate Medical Practices, Inc is a emergency medical services (emergency medicine) physician provider located in Springfield, Massachusetts. This profile covers 0 Medicare and 225 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	Baystate Medical Practices, Inc
Address	759 Chestnut St
City	Springfield
State	MA
ZIP	01199
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	June 19, 2006

Payer Source	Total Paid
Medicaid	$60.5M
Medicare	$0

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

225 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	253,590	$50	$11.9M
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.	109,460	$80	$8.3M
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.	96,150	$70	$7.1M
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…	156,390	$40	$5.8M
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…	144,720	$20	$3.3M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	93,100	$30	$3M
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…	33,400	$70	$2.2M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	39,290	$30	$1.3M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	254,280	$1	$1M
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.	20,620	$50	$989.5K

Showing 1–10 of 225

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

Baystate Medical Practices, Inc — 19 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

225 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	20	30	90	$410	$2.1M
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.	7	520	120	$130	$1M
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.	57	550	110	$120	$865.5K
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.	27	120	530	$450	$681.5K
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.	13	830	130	$120	$671K
90834	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…	253	1,620	580	$80	$599.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	62	100	260	$550	$524.4K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	31	100	230	$600	$511.3K
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.	64	160	270	$130	$469.1K
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	2	10	460	$280	$423.8K

Showing 1–10 of 225

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baystate Medical Center Inc	MA	General Acute Care Hospital	$0	$374.8M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sidney Kahn Iv	MA	Vascular & Interventional Radiology Physician	$945K	$0
Scott Halista	MA	Rheumatology Physician	$679.1K	$15.5K
Daren Girard	RI	Emergency Medicine Physician	$25K	$638.1K
James Arcoleo	MA	Cardiovascular Disease Physician	$617.8K	$44K
Tavish Nanda	MA	Ophthalmology Physician	$490.9K	$0
Lucian Neville	MA	Cardiovascular Disease Physician	$484.7K	$0
David Robertson	MA	Allergy & Immunology Physician	$31.5K	$447.3K
Mikhail Novikov	MA	Surgery Physician	$454.7K	$220

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baystate Medical Center Inc	MA	Clinical Medical Laboratory	$0	$40.6M
Geoffrey Sakellis	MA	Diagnostic Radiology Physician	$750.9K	$0
Kathleen Kerrigan	MA	Emergency Medicine Physician	$171.3K	$80.5K
Sohail Waien	MA	Hospitalist Physician	$231K	$0
James Mueller	MA	Anatomic Pathology & Clinical Pathology Physician	$72.4K	$104.4K
Aimen Kasasbeh	MA	Diagnostic Radiology Physician	$97.2K	$73.2K
Varun Naragum	MA	Neuroradiology Physician	$114.7K	$0
Peters Okonoboh	MA	Critical Care Medicine (Internal Medicine) Physician	$113.4K	$0
Katya Ford	MA	Anatomic Pathology Physician	$51.9K	$58.9K
Howard Hoffman	MA	Vascular & Interventional Radiology Physician	$101.3K	$1.3K

Baystate Medical Practices, 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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