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 Medical Group, Inc (NPI 1821349317)

Steward Medical Group, Inc is a internal medicine physician provider located in Dartmouth, Massachusetts. This profile covers 0 Medicare and 342 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	Steward Medical Group, Inc
Address	535 Faunce Corner Rd
City	Dartmouth
State	MA
ZIP	02747
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 25, 2012

Payer Source	Total Paid
Medicaid	$34.5M
Medicare	$0

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

342 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	265,100	$50	$11.9M
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…	199,210	$40	$7.4M
99204	The provider sees a new 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 provider…	16,570	$90	$1.5M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	10,470	$70	$743.2K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	12,870	$60	$708K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,680	$70	$658.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	29,610	$20	$651.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,040	$70	$650.5K
99203	The provider sees a new 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 provider…	10,380	$60	$612.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	4,830	$90	$425.1K

Showing 1–10 of 342

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 Medical Group, Inc — 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

342 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	35	50	1,870	$210	$1.4M
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.	36	80	4,380	$140	$1.1M
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	28	30	590	$350	$886.6K
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.	78	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.	51	120	530	$450	$681.5K
J0585	Injection, onabotulinumtoxina, 1 unit	21	40	430	$490	$616K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,544	1,620	580	$80	$599.6K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	16	20	70	$2,130	$586.8K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	84	100	260	$550	$524.4K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	21	100	230	$600	$511.3K

Showing 1–10 of 342

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steward Medical Group, Inc	MA	Specialist	$0	$50.2M
Steward Medical Group, Inc	MA	Specialist	$0	$8.4M
Steward Medical Group Inc.	OH	Internal Medicine Physician	$0	$8.2M
Hadi Shalhoub	FL	Vascular Surgery Physician	$1.7M	$0
Howard Tee	FL	Cardiovascular Disease Physician	$1.2M	$0
David Zelman	NY	Diagnostic Radiology Physician	$580.2K	$563.4K
Devin Datta	FL	Orthopaedic Surgery Physician	$1M	$0
Jinha Park	CA	Diagnostic Radiology Physician	$907.1K	$0
Cristina Cellurale	MA	Hematology & Oncology Physician	$779.9K	$0
Kirubakaran Siva	MA	Family Medicine Physician	$773.7K	$1.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcoast Emergency Medical Services Inc	MA	Land Ambulance	$2M	$9.1M
Pacheco Aba Service And Behavioral Consulting PLLC	MA	Behavior Analyst	$0	$9.3M
Advanced Eye Centers Inc	MA	Optometrist	$0	$6.4M
Fall River-new Bedford Regional Mri, Limited Partnership	MA	Magnetic Resonance Imaging (MRI) Clinic/Center	$637.1K	$3.2M
Precision Toxicology, LLC	MA	Clinical Medical Laboratory	$222.3K	$3.2M
Stat Ambulance Service Inc	MA	Ambulance	$779.6K	$2.2M
Kameran Lashkari	MA	Ophthalmology Physician	$2M	$0
Coastal Sleep Diagnostics, LLC	MA	Sleep Disorder Diagnostic Clinic/Center	$143.6K	$1.4M
Candescent Eye Health Surgicenter, LLC	MA	Ambulatory Surgical Clinic/Center	$1.1M	$369.1K
Corey Westerfeld	MA	Ophthalmology Physician	$1.2M	$0

Steward Medical Group, 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

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