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.

Brigham And Women's Faulkner Hospital, Inc (NPI 1578677811)

Field	Value
Entity Type	Organization
Organization	Brigham And Women's Faulkner Hospital, Inc
Address	1153 Centre St
City	Boston
State	MA
ZIP	02130
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicaid	$45.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

405 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	13,600	$370	$5.1M
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.	32,650	$150	$4.7M
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.	25,540	$140	$3.6M
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.	16,160	$170	$2.7M
G0378	Hospital observation service, per hour	15,380	$120	$1.8M
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…	2,120	$630	$1.3M
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	1,120	$1,030	$1.2M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	1,040	$1,090	$1.1M
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…	21,410	$50	$1.1M
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.	1,820	$610	$1.1M

Showing 1–10 of 405

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

Brigham And Women's Faulkner Hospital, Inc — 1 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

405 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.	30	90	7,560	$350	$4.2M
S9485	Crisis intervention mental health services, per diem	57	110	1,250	$540	$3.2M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	7	10	1,380	$1,380	$2.7M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	6	10	1,200	$1,560	$2.1M
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…	26	50	1,870	$210	$1.4M
G0378	Hospital observation service, per hour	22	70	7,250	$100	$1.3M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	7	10	550	$1,240	$1.2M
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.	27	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	67	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.	68	520	120	$130	$1M

Showing 1–10 of 405

Nearby Providers

Other providers in the same ZIP code as Brigham And Women's Faulkner Hospital, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Boston Senior Services, Inc.	MA	Point of Service	$0	$65.6M
Family Caregivers	MA	Foster Care Agency	$0	$41M
Victory Programs, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$29.1M
Pinestreet Inn	MA	Addiction (Substance Use Disorder) Counselor	$0	$17.2M
Middlesex Human Service Agency, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$15.9M
Guardian Healthcare, LLC	MA	Home Health Agency	$0	$13.4M
Arbour Inc	MA	Psychiatric Hospital	$0	$12.3M
Southwest Boston Senior Services, Inc	MA	Point of Service	$0	$9.2M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$7.7M
Italian Home For Children Inc	MA	Mental Illness Community Based Residential Treatment Facility	$0	$5.7M

Brigham And Women's Faulkner Hospital, Inc — Billing Profile & Reimbursement Data

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Brigham And Women's Faulkner Hospital, 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

Nearby Providers

Frequently Asked Questions

References