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 St. Elizabeth's Medical Center Of Boston, Inc. (NPI 1720390289)

Field	Value
Entity Type	Organization
Organization	Steward St. Elizabeth's Medical Center Of Boston, Inc.
Address	736 Cambridge St
City	Boston
State	MA
ZIP	02135
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 12, 2010

Payer Source	Total Paid
Medicaid	$32.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

295 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	27,370	$150	$4.1M
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…	19,690	$140	$2.8M
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.	17,510	$150	$2.6M
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.	14,680	$150	$2.2M
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…	15,820	$130	$2.1M
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.	5,270	$360	$1.9M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	9,810	$160	$1.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	45,360	$30	$1.3M
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.	5,960	$160	$935.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,560	$140	$615.9K

Showing 1–10 of 295

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 St. Elizabeth's Medical Center Of Boston, Inc. — 3 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

295 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.	50	90	7,560	$350	$4.2M
G0378	Hospital observation service, per hour	31	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.	49	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	16	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.	71	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…	38	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.	47	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.	45	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.	54	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.	68	830	130	$120	$671K

Showing 1–10 of 295

Related Providers

Other providers that share a Tax Identification Number (TIN) with Steward St. Elizabeth's Medical Center Of Boston, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Levitz	MA	Family Medicine Physician	$320.2K	$0
Pinak Shah	MA	Interventional Cardiology Physician	$182.3K	$0
William Balcom	MA	Orthopaedic Surgery Physician	$134.5K	$0
Anna Hohler	MA	Neurology Physician	$113.6K	$0
Ida Minevich	MA	Internal Medicine Physician	$111.6K	$0
Alfred Phillips	MA	Foot & Ankle Surgery Podiatrist	$76.4K	$0
Margarita Ebril-lel	MA	Neurology Physician	$45.3K	$0
Persis Williams	MA	Urology Physician	$40.6K	$0
Aurada Cholapranee	MA	Gastroenterology Physician	$28.1K	$0
James Morgan	MA	Cardiovascular Disease Physician	$27.5K	$0

Nearby Providers

Other providers in the same ZIP code as Steward St. Elizabeth's Medical Center Of Boston, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Hospital For Children, Inc.	MA	Children's Rehabilitation Hospital	$0	$62.3M
Brightin Adhc, LLC	MA	Adult Day Care Clinic/Center	$0	$19.5M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$17.2M
Absolute Care, Inc.	MA	Home Health Agency	$0	$16M
Addiction Treatment Center Of New England, Inc.	MA	Case Management Agency	$227.1K	$11.5M
Charles River Community Health Inc	MA	Federally Qualified Health Center (FQHC)	$0	$10.3M
Family And Community Solutions Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9M
Steward Medical Group, Inc	MA	Specialist	$0	$8.4M
Vcare LLC	MA	Home Health Agency	$0	$7.1M
Irene Piryatinsky	MA	Psychologist	$169.6K	$1M

Steward St. Elizabeth's Medical Center Of Boston, 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