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.

South Shore Hospital Inc. (NPI 1669558474)

Field	Value
Entity Type	Organization
Organization	South Shore Hospital Inc.
Address	100 Bay State Drive
City	Braintree
State	MA
ZIP	02184
Taxonomy	Home Health Agency
NPI Enumerated	October 27, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	59,090	$80	$4.6M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	20,130	$60	$1.2M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	7,340	$60	$454.9K
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.	1,540	$240	$362.3K
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.	940	$240	$228.6K
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.	530	$330	$176.2K
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.	590	$230	$137.9K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	7,600	$20	$129.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	560	$210	$114.6K
S9131	Physical therapy; in the home, per diem	4,710	$20	$80.1K

Showing 1–10 of 83

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

South Shore Hospital Inc. — 0 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

83 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.	60	90	7,560	$350	$4.2M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	173	190	14,240	$110	$3.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	48	310	8,710	$40	$1.6M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	199	240	980	$180	$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.	78	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.	130	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.	112	550	110	$120	$865.5K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	116	170	3,500	$40	$757.2K
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.	215	410	140	$110	$742.2K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	215	220	1,290	$180	$740.6K

Showing 1–10 of 83

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Shore Hospital Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Shore Hospital Inc.	MA	General Acute Care Hospital	$0	$95.1M
James Giddings	RI	Emergency Medicine Physician	$78.4K	$889.8K
Brian Dolan	MA	Internal Medicine Physician	$338.2K	$0
Anthony Marks	MA	Interventional Cardiology Physician	$331.7K	$200
James Mensching	MA	Emergency Medicine Physician	$88K	$139.9K
Kenneth Mclaughlin	MA	Emergency Medicine Physician	$153.3K	$0
Kelly Mcdonough	RI	Emergency Medicine Physician	$96.9K	$20.5K
Gerry Campos	MA	Obstetrics & Gynecology Physician	$109.1K	$0
Scott Fairfield	MA	Emergency Medicine Physician	$101.9K	$0
Suniti Nimbkar	MA	Surgery Physician	$71.7K	$0

Nearby Providers

Other providers in the same ZIP code as South Shore Hospital Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vitra Health, Inc.	MA	Adult Care Home Facility	$0	$108.8M
Peabody Resident Services Inc	MA	Adult Care Home Facility	$0	$105.7M
South Shore Elder Services Inc	MA	Case Management Agency	$0	$60.7M
Medical Resources Home Health Corp	MA	Home Health Agency	$0	$26.6M
Vatra Adhc, LLC	MA	Adult Day Care Clinic/Center	$0	$12.9M
Habilitation Assistance Corporation	MA	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Encompass Health Rehabilitation Hospital Of Braintree, LLC	MA	Rehabilitation Hospital	$0	$6.6M
Marathon Health Solutions, LLC	MA	Home Health Agency	$0	$6.4M
Mehnaz Khan	MA	Ophthalmology Physician	$871.2K	$37.7K
Caroline Sizer	MA	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	$823.2K	$0

South Shore Hospital Inc. — Billing Profile & Reimbursement Data

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South Shore 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

Related Providers

Nearby Providers

Frequently Asked Questions

References