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.

Lawrence General Hospital (NPI 1750381281)

Lawrence General Hospital is a general acute care hospital provider located in Lawrence, Massachusetts. This profile covers 0 Medicare and 528 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	Lawrence General Hospital
Address	1 General St
City	Lawrence
State	MA
ZIP	01841
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 27, 2005

Payer Source	Total Paid
Medicaid	$84.6M
Medicare	$0

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

528 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.	149,870	$80	$12M
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.	102,700	$100	$10M
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.	47,920	$130	$6.1M
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.	20,690	$220	$4.6M
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…	78,610	$30	$2.6M
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.	26,980	$80	$2.2M
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.	16,020	$120	$1.9M
99281	The provider sees a patient for the lowest level emergency department visit.	15,640	$100	$1.5M
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.	13,210	$100	$1.3M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	15,300	$80	$1.3M

Showing 1–10 of 528

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

Lawrence General Hospital — 12 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

528 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.	19	90	7,560	$350	$4.2M
S9485	Crisis intervention mental health services, per diem	38	110	1,250	$540	$3.2M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	9	10	1,380	$1,380	$2.7M
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…	33	50	1,870	$210	$1.4M
G0378	Hospital observation service, per hour	21	70	7,250	$100	$1.3M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	8	10	550	$1,240	$1.2M
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.	19	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	64	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.	26	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…	12	130	1,830	$60	$974.3K

Showing 1–10 of 528

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lawrence General Hospital	MA	Land Ambulance	$925.5K	$10M
Adam Cerel	MA	Cardiovascular Disease Physician	$567.7K	$299.4K
Nelson Aweh	MA	Internal Medicine Physician	$425.3K	$0
Mustali Dohadwala	VA	Cardiovascular Disease Physician	$391K	$0
Charles Malis	MA	Family Medicine Physician	$85K	$300.8K
Walid Saber	RI	Interventional Cardiology Physician	$323.2K	$58K
Kartik Kumar	MA	Cardiovascular Disease Physician	$359.2K	$290
Eghosa Idumwonyi	MA	Hospitalist Physician	$348.4K	$0
Michael Zachareas	MA	Urology Physician	$312.4K	$0
Michelle Kim	MA	Surgery Physician	$268.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Lawrence Family Health Center, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$103.8M
Dental Dreams, LLC	MA	General Practice Dentistry	$0	$6.1M
Merrimack Valley Health Services Inc	MA	Magnetic Resonance Imaging (MRI) Clinic/Center	$79.9K	$1.3M
Drasko Simovic	MA	Clinical Neurophysiology Physician	$258.4K	$661.1K
David Gilman	MA	Hospitalist Physician	$240.2K	$24.5K
Amin Paulino	MA	Nephrology Physician	$205.5K	$0
Michael Landman	MA	Nephrology Physician	$197.1K	$0
Jose Baez	MA	Internal Medicine Physician	$127.2K	$59.6K
Torkom Garabedian	MA	Internal Medicine Physician	$153K	$0
Ronald Garrell	MA	Diagnostic Radiology Physician	$147.6K	$850

Lawrence General Hospital — Billing Profile & Reimbursement Data

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Lawrence General Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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