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 Emergency Physicians, Inc (NPI 1780971275)

Field	Value
Entity Type	Organization
Organization	Steward Emergency Physicians, Inc
Address	200 Groton Rd
City	Ayer
State	MA
ZIP	01432
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 5, 2011

Payer Source	Total Paid
Medicaid	$58.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 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.	364,910	$70	$25.9M
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.	291,030	$90	$25.9M
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.	144,870	$40	$5.6M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	107,620	$1	$430.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	3,240	$100	$307.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,790	$110	$199K
99226	N/A	2,360	$50	$127.7K
99220	N/A	570	$100	$54.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	2,040	$20	$40.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	480	$60	$29.5K

Showing 1–10 of 22

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 Emergency Physicians, Inc — 5 of 20 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	1	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.	4	550	110	$120	$865.5K
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.	1	830	130	$120	$671K
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.	126	160	270	$130	$469.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	24	150	420	$110	$255K
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…	3,829	5,040	200	$70	$209.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	112	260	330	$40	$187.5K
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…	3,124	5,300	230	$60	$164.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	280	390	270	$30	$124.3K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	37	50	350	$190	$120.6K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Steward Emergency Physicians, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Westrin	MA	Adult Health Nurse Practitioner	$424.2K	$0
Samuel Goldman	RI	Emergency Medicine Physician	$69K	$318.4K
Mark Durfee	MA	Emergency Medicine Physician	$160.3K	$131.7K
Victoria Leytin	RI	Emergency Medicine Physician	$33.6K	$163.1K
James Sullivan	MA	Emergency Medicine Physician	$61.9K	$79.5K
Thomas Ross	RI	Emergency Medicine Physician	$99.6K	$740
Sushruta Prusty	MA	Emergency Medicine Physician	$98.7K	$690
Samantha Siegel	MA	Emergency Medicine Physician	$99.3K	$0
Timothy Hanley	GA	Emergency Medicine Physician	$94.3K	$0
Chontelle Degler	NH	Emergency Medicine Physician	$89.6K	$0

Nearby Providers

Other providers in the same ZIP code as Steward Emergency Physicians, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nashoba Valley Medical Center, A Steward Family Hospital, Inc	MA	General Acute Care Hospital	$0	$10.9M
Gisela Velez	MA	Ophthalmology Physician	$2.4M	$11.5K
Adam Cerel	MA	Cardiovascular Disease Physician	$567.7K	$299.4K
Jonathan Held	MA	Specialist	$154.6K	$0
Asha Naidu	MA	Infectious Disease Physician	$121.2K	$0
Paul Harasimowicz	MA	Specialist	$90.6K	$0
Steven Brusie	MA	Ophthalmology Physician	$89.2K	$0
Matthew Foley	MA	Diagnostic Radiology Physician	$88.4K	$0
Michael Jonathan Older	MA	Gastroenterology Physician	$77.3K	$0
Magdy Salama	MA	Anatomic Pathology Physician	$37.7K	$17.4K

Steward Emergency Physicians, Inc — Billing Profile & Reimbursement Data

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Steward Emergency Physicians, 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