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.

Mount Auburn Hospital (NPI 1689670259)

Field	Value
Entity Type	Organization
Organization	Mount Auburn Hospital
Address	330 Mount Auburn St
City	Cambridge
State	MA
ZIP	02138
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 28, 2005

Payer Source	Total Paid
Medicaid	$28M
Medicare	$0

Medicaid: Complete Services Breakdown

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

307 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	25,630	$150	$3.9M
G0378	Hospital observation service, per hour	21,170	$130	$2.8M
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.	5,680	$310	$1.8M
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.	9,680	$130	$1.2M
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.	7,790	$130	$997.5K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	12,200	$70	$793K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	43,890	$20	$746.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	4,530	$150	$693.5K
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…	9,290	$50	$482.8K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	3,350	$140	$468.4K

Showing 1–10 of 307

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

Mount Auburn Hospital — 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

307 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.	48	90	7,560	$350	$4.2M
S9485	Crisis intervention mental health services, per diem	97	110	1,250	$540	$3.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	13	60	19,060	$20	$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…	52	50	1,870	$210	$1.4M
G0378	Hospital observation service, per hour	16	70	7,250	$100	$1.3M
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.	56	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	49	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.	53	520	120	$130	$1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	33	130	1,830	$60	$974.3K
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.	75	550	110	$120	$865.5K

Showing 1–10 of 307

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Wylie	MA	Clinical Cardiac Electrophysiology Physician	$283.2K	$0
James Celestin	MA	Pain Medicine (Psychiatry & Neurology) Physician	$272.4K	$0
Rachel Song	MA	Clinical Neuropsychologist	$92.8K	$60.5K
David Penner	WA	Child & Adolescent Psychiatry Physician	$70K	$67.6K
Jonathan Nathan	MA	Clinical Social Worker	$92.6K	$0
Joseph Keating	MA	Psychiatry Physician	$48.8K	$0

Nearby Providers

Other providers in the same ZIP code as Mount Auburn Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Professional Ambulance & Oxygen Svc, Inc	MA	Land Ambulance	$2.8M	$13.4M
Cambridge Medical Supply Inc	MA	Durable Medical Equipment & Medical Supplies	$0	$5.6M
Howard Ying	MA	Ophthalmology Physician	$2.5M	$149K
Shilpa Desai	MA	Ophthalmology Physician	$1.6M	$0
Christopher Robinson	MA	Ophthalmology Physician	$1M	$0
Katherine Wang	MA	Neurological Surgery Physician	$489.5K	$0
Nelson Aweh	MA	Internal Medicine Physician	$425.3K	$0
Kyle Pond	MA	Cardiovascular Disease Physician	$366.6K	$1.2K
Jeffrey Leavitt	MA	Cardiovascular Disease Physician	$356.8K	$370
Charles Barsam	MA	Ophthalmology Physician	$335.4K	$0

Mount Auburn Hospital — Billing Profile & Reimbursement Data

Sign up for Mount Auburn Hospital — Billing Profile & Reimbursement Data policy alerts

Mount Auburn Hospital — Billing Profile & Reimbursement Data

Sign up for Mount Auburn Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References