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.

Cynthia Hall (NPI 1679556997)

Field	Value
Entity Type	Individual
Organization	Cynthia Hall
Address	119 Belmont St
City	Worcester
State	MA
ZIP	01605
Taxonomy	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI Enumerated	November 21, 2005

Payer Source	Total Paid
Medicare	$31.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99205	The provider sees a new 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 provider…	90	$130	$11.5K
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…	110	$70	$8K
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…	50	$110	$5.1K
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…	90	$50	$4.6K
51701	In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…	120	$20	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Cynthia Hall — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,642	15,410	110	$80	$15.6K
99215	2,677	6,360	40	$120	$8.9K
99213	5,961	13,700	70	$60	$8.8K
99205	131	2,430	30	$160	$5.5K
51701	3	50	20	$30	$1.3K

Nearby Providers

Other providers in the same ZIP code as Cynthia Hall, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Health Systems, Inc	MA	Addiction (Substance Use Disorder) Counselor	$6M	$187.4M
Edward M. Kennedy Community Health Center, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$55.2M
Prestige Adult Foster Care LLC.	MA	In Home Supportive Care Agency	$0	$54.1M
Autism Therapuetic Services LLC	MA	Early Intervention Provider Agency	$0	$23M
Catholic Charities Of The Diocese Of Worcester	MA	Developmentally Disabled Services Day Training Agency	$0	$17.2M
City Home Care, LLC	MA	Home Health Agency	$0	$15.9M
Autism Intervention Specialists	MA	Behavior Analyst	$0	$13.4M
Pinnacle Home Healthcare Services, Inc	MA	Home Health Agency	$0	$13.3M
Adcare Hospital Of Worcester, Inc.	MA	General Acute Care Hospital	$0	$13.2M
The Bridge Of Central Massachusetts, Inc.	MA	Community/Behavioral Health Agency	$0	$5.5M

Cynthia Hall — Billing Profile & Reimbursement Data

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Cynthia Hall — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References