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.

Planned Parenthood League Of Massachusetts, Inc. (NPI 1821095779)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood League Of Massachusetts, Inc.
Address	1055 Commonwealth Ave
City	Boston
State	MA
ZIP	02215
Taxonomy	Ambulatory Family Planning Facility
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicaid	$12.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

55 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	3,760	$550	$2.1M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	38,070	$30	$1.1M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	36,260	$30	$1.1M
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…	14,740	$70	$1M
J7297	Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg	2,180	$410	$882.9K
J7300	Intrauterine copper contraceptive (paragard)	1,300	$470	$603.5K
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,…	10,200	$50	$479.3K
J1050	Injection, medroxyprogesterone acetate, 1 mg	9,060	$50	$444K
58300	In this procedure, the provider places a contraceptive intrauterine device (IUD) in the uterine cavity.	4,350	$100	$443.6K
11981	The provider inserts a bioresorbable, biodegradable, or non–biodegradable implant, such as a capsule or pellet, containing a drug for long–term delivery.	3,220	$130	$432K

Showing 1–10 of 55

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

Planned Parenthood League Of Massachusetts, Inc. — 9 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

55 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	150	410	140	$110	$742.2K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	1	20	480	$640	$583.9K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	9	10	480	$880	$485.2K
81513	The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…	19	30	520	$70	$468.5K
J7297	Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg	1	10	380	$500	$365.1K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	5	40	200	$50	$246.6K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	16	220	410	$20	$216.4K
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,…	33	950	90	$100	$212.9K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	16	220	360	$20	$211.8K
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…	490	5,040	200	$70	$209.5K

Showing 1–10 of 55

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood League Of Massachusetts, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexa Tovsen	DC	Medical Physician Assistant	$170	$0

Nearby Providers

Other providers in the same ZIP code as Planned Parenthood League Of Massachusetts, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beth Israel Deaconess Medical Center, Inc.	MA	General Acute Care Hospital	$0	$270.4M
Dana-farber Cancer Institute, Inc.	MA	General Acute Care Hospital	$0	$240.4M
Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is	MA	Emergency Medical Services (Emergency Medicine) Physician	$0	$34.9M
Suburban Home Health Care Inc	MA	Home Health Agency	$0	$23.6M
Fenway Community Health Center, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$22.5M
Atrius Health, Inc.	MA	Internal Medicine Physician	$0	$14.5M
Suburban Homemaking & Maternity Agency, Inc.	MA	Home Health Agency	$0	$6.7M
Kids Are People Elementary School	MA	Developmentally Disabled Services Day Training Agency	$0	$6.4M
Avnish Deobhakta	MA	Retina Specialist (Ophthalmology) Physician	$1M	$141.3K
David Meenan	MA	Internal Medicine Physician	$40.4K	$808.1K

Planned Parenthood League Of Massachusetts, Inc. — Billing Profile & Reimbursement Data

Sign up for Planned Parenthood League Of Massachusetts, Inc. — Billing Profile & Reimbursement Data policy alerts

Planned Parenthood League Of Massachusetts, Inc. — Billing Profile & Reimbursement Data

Sign up for Planned Parenthood League Of Massachusetts, Inc. — 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