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.

Child Health Foundation Of Boston, Inc. (NPI 1619969920)

Field	Value
Entity Type	Organization
Organization	Child Health Foundation Of Boston, Inc.
Address	1 Boston Medical Ctr Pl
City	Boston
State	MA
ZIP	02118
Taxonomy	Pediatrics Physician
NPI Enumerated	August 22, 2005

Payer Source	Total Paid
Medicaid	$26.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

92 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…	73,540	$60	$4M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40,770	$80	$3.3M
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.	36,410	$90	$3.2M
S9485	Crisis intervention mental health services, per diem	4,110	$680	$2.8M
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…	38,980	$40	$1.4M
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.	25,950	$50	$1.2M
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.	9,480	$130	$1.2M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	19,760	$50	$968K
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…	9,310	$80	$735.6K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	79,180	$10	$712.6K

Showing 1–10 of 92

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

Child Health Foundation Of Boston, Inc. — 10 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

92 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	62	70	8,210	$510	$8.6M
S9485	Crisis intervention mental health services, per diem	31	110	1,250	$540	$3.2M
H2011	Crisis intervention service, per 15 minutes	23	40	3,970	$140	$2M
T1040	Medicaid certified community behavioral health clinic services, per diem	74	170	950	$200	$1.8M
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.	81	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.	48	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.	106	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.	47	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…	842	1,620	580	$80	$599.6K
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.	34	160	270	$130	$469.1K

Showing 1–10 of 92

Related Providers

Other providers that share a Tax Identification Number (TIN) with Child Health Foundation Of Boston, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Mass Physician Associates Inc	MA	Obstetrics & Gynecology Physician	$0	$5.7M
Sidney Kahn Iv	MA	Vascular & Interventional Radiology Physician	$945K	$0
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Margo Moskos	MA	Diagnostic Radiology Physician	$717.3K	$137.9K
Rachel Nelson	TN	Diagnostic Radiology Physician	$383.2K	$0
Michael Chill	MA	Diagnostic Radiology Physician	$372.2K	$410
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Alice Mary Graham-brown	MA	Psychiatry Physician	$155.1K	$118.4K
Scott White	IL	Diagnostic Radiology Physician	$264.9K	$0
Mansoor Zaidi	MA	Internal Medicine Physician	$147.4K	$114.1K

Nearby Providers

Other providers in the same ZIP code as Child Health Foundation Of Boston, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boston Medical Center Corporation	MA	General Acute Care Hospital	$0	$768.7M
Commonwealth Of Massachusetts	MA	Community/Behavioral Health Agency	$0	$153.7M
Boston Public Health Commission	MA	Ambulance	$5.9M	$67.6M
Boston Emergency Services Team (bupa) Boston	MA	Community/Behavioral Health Agency	$0	$59.2M
Boston Health Care For The Homeless Program, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$54.8M
Boston Health Care For The Homeless Program, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$53.1M
Boston University Psychiatry Associates, Inc.	MA	Psychiatry Physician	$0	$40.9M
Evans Medical Foundation, Inc.	MA	Internal Medicine Physician	$0	$37.8M
Boston Emergency Physician Foundation, Inc.	MA	Emergency Medicine Physician	$0	$24.3M
Volunteers Of America Of Massachusetts Inc	MA	Substance Abuse Rehabilitation Facility	$0	$21.4M

Child Health Foundation Of Boston, Inc. — Billing Profile & Reimbursement Data

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Child Health Foundation Of Boston, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References