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.

Steward Medical Group, Inc (NPI 1629398219)

Steward Medical Group, Inc is a specialist provider located in Watertown, Massachusetts. This profile covers 0 Medicare and 256 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	Steward Medical Group, Inc
Address	9 Galen St
City	Watertown
State	MA
ZIP	02472
Taxonomy	Specialist
NPI Enumerated	June 4, 2010

Payer Source	Total Paid
Medicaid	$50.2M
Medicare	$0

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

256 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…	344,240	$40	$15.1M
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…	202,130	$30	$6.7M
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…	189,990	$30	$5.1M
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…	44,580	$80	$3.5M
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…	82,280	$40	$3.1M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	38,230	$40	$1.6M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	11,760	$80	$976.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	27,160	$30	$896.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	15,480	$60	$851.6K
99392	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…	12,670	$60	$747.5K

Showing 1–10 of 256

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

Steward Medical Group, 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

256 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	50	1,870	$210	$1.4M
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.	51	80	4,380	$140	$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.	233	520	120	$130	$1M
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	29	30	590	$350	$886.6K
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.	264	550	110	$120	$865.5K
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.	67	410	140	$110	$742.2K
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.	36	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.	279	830	130	$120	$671K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	19	20	70	$2,130	$586.8K
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…	49	100	260	$550	$524.4K

Showing 1–10 of 256

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steward Medical Group, Inc	MA	Internal Medicine Physician	$0	$34.5M
Steward Medical Group, Inc	MA	Specialist	$0	$8.4M
Steward Medical Group Inc.	OH	Internal Medicine Physician	$0	$8.2M
Hadi Shalhoub	FL	Vascular Surgery Physician	$1.7M	$0
Howard Tee	FL	Cardiovascular Disease Physician	$1.2M	$0
David Zelman	NY	Diagnostic Radiology Physician	$580.2K	$563.4K
Devin Datta	FL	Orthopaedic Surgery Physician	$1M	$0
Jinha Park	CA	Diagnostic Radiology Physician	$907.1K	$0
Cristina Cellurale	MA	Hematology & Oncology Physician	$779.9K	$0
Kirubakaran Siva	MA	Family Medicine Physician	$773.7K	$1.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Springwell	MA	Case Management Agency	$0	$153.9M
Springwell, Inc	MA	Case Management Agency	$0	$38.9M
Square Medical Group LLC	MA	Adult Mental Health Clinic/Center	$0	$12.6M
2nd Home Adult Day Health Care Ii, LLC	MA	Adult Day Care Clinic/Center	$0	$11.7M
Toward Independent Living & Learning, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$8.2M
2nd Home Adhc, LLC Dba Arevik Adhc	MA	Adult Day Care Clinic/Center	$0	$8.2M
Town Of Watertown	MA	Ambulance	$325K	$724.2K
Daniel Slater	MA	Pediatrics Physician	$421.9K	$88K
George Stamatopoulos	MA	Physical Therapist	$263.6K	$41.3K
Henry Mitcheson	MA	Urology Physician	$139.1K	$0

Steward Medical Group, 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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