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.

Fairview Hospital (NPI 1730112251)

Fairview Hospital is a critical access hospital provider located in Great Barrington, Massachusetts. This profile covers 0 Medicare and 163 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Fairview Hospital
Address	29 Lewis Ave
City	Great Barrington
State	MA
ZIP	01230
Taxonomy	Critical Access Hospital
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$17.7M
Medicare	$0

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

163 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	28,060	$280	$7.7M
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.	8,070	$150	$1.2M
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.	4,480	$270	$1.2M
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…	19,600	$40	$862.3K
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.	2,910	$240	$683.1K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	760	$860	$650.1K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	9,640	$50	$481.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	8,100	$50	$364.4K
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.	2,080	$150	$314.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	19,630	$10	$274.8K

Showing 1–10 of 163

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

Fairview 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

163 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.	57	90	7,560	$350	$4.2M
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.	54	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	54	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.	91	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.	76	550	110	$120	$865.5K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	26	30	270	$290	$731.4K
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.	56	830	130	$120	$671K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	269	370	500	$40	$605.1K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	57	80	3,320	$120	$566.9K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	125	200	450	$30	$511.5K

Showing 1–10 of 163

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Bitunov	MA	Internal Medicine Physician	$184.9K	$3.9K
Edmund Hornstein	MA	Specialist	$171.8K	$0
Jeffrey St John	MA	Gastroenterology Physician	$149.5K	$1.3K
Rebecca Caine	MA	Internal Medicine Physician	$117.3K	$0
Marjorie Devries	MA	Internal Medicine Physician	$117.2K	$0
Yigal Litvin	MA	Urology Physician	$94.1K	$0
Dalia Saha	RI	Internal Medicine Physician	$62.7K	$0
Michael Stivelman	MD	Anesthesiology Physician	$57.1K	$0
William House	MA	Neurology Physician	$26.3K	$26.9K
Ian Goldsmith	MA	Neurology Physician	$35.4K	$2.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Programs, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$24.9M
Southern Berkshire Volunteer Ambulance Squad Inc	MA	Land Ambulance	$540K	$756.4K
Scott Goffin	MA	Dermatology Physician	$463.3K	$0
Cvs Pharmacy Inc	MA	Pharmacy	$285K	$0
Victor Petrella	MA	Adult Psychiatric/Mental Health Clinical Nurse Specialist	$75.3K	$23.1K
Von Vitto	MA	Nurse Practitioner	$66.1K	$0
Erin Fleig	MA	Hand Occupational Therapist	$57.6K	$0

Fairview Hospital — Billing Profile & Reimbursement Data

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

Fairview Hospital — Billing Profile & Reimbursement Data

Sign up for Fairview 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