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.

Joshua Hirsch (NPI 1720047491)

Field	Value
Entity Type	Individual
Organization	Joshua Hirsch
Address	50 Fruit St
City	Boston
State	MA
ZIP	02114
Taxonomy	Neuroradiology Physician
NPI Enumerated	March 21, 2006

Payer Source	Total Paid
Medicare	$75.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22514	The provider performs a percutaneous vertebral augmentation of the lumbar spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…	80	$410	$32.4K
22513	The provider performs a percutaneous vertebral augmentation of the thoracic spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…	80	$430	$32.3K
22511	The provider performs lumbosacral vertebroplasty, or the surgical repair of a fractured vertebra in the lumbosacral (lower) spine, usually involving the injection of bone cement. The provider…	30	$250	$6.6K
22515	At the same session as percutaneous vertebral augmentation of a thoracic or lumbar vertebral body, the provider repeats the procedure on each additional vertebral body. The provider performs a…	30	$180	$4.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Joshua Hirsch — 3 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22513	1	10	10	$640	$12.8K
22514	1	10	10	$620	$11.9K
22511	1	10	30	$250	$6.5K
22515	1	10	20	$180	$3.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lawrence Proano	RI	Emergency Medicine Physician	$48.4K	$2.3M
Margo Moskos	MA	Diagnostic Radiology Physician	$717.3K	$137.9K
Evangelos Geraniotis	MA	Urology Physician	$758.4K	$0
John Kalin	MA	Cardiovascular Disease Physician	$617.9K	$0
Michael Mecley	MA	Cardiovascular Disease Physician	$479.3K	$0
James Chrzan	MA	Foot & Ankle Surgery Podiatrist	$340.2K	$0
Abrar Qureshi	RI	Dermatology Physician	$186.5K	$134.9K
Sanjay Saini	MA	Diagnostic Radiology Physician	$321.4K	$0
Ajay Singh	PA	Diagnostic Radiology Physician	$290.3K	$6K
John Conklin	MA	Diagnostic Radiology Physician	$286.3K	$6.5K

Joshua Hirsch — Billing Profile & Reimbursement Data

Sign up for Joshua Hirsch — Billing Profile & Reimbursement Data policy alerts

Joshua Hirsch — Billing Profile & Reimbursement Data

Sign up for Joshua Hirsch — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References