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    OpenPayerNPI Medicare & MedicaidSusan Cary
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    Susan Cary — Billing Profile & Reimbursement Data

    NPI 1851497028 · Springfield, MA · Addiction Medicine (Psychiatry & Neurology) Physician

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    Susan Cary is a addiction medicine (psychiatry & neurology) physician provider located in Springfield, Massachusetts. This profile covers 4 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSusan Cary
    Address80 Congress St
    CitySpringfield
    StateMA
    ZIP01104
    TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
    NPI EnumeratedSeptember 15, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$471.8K
    Medicaid$57.1K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…2,150$110$240.6K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.3,580$60$218.1K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…90$150$13.1K
    99214The 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…20$90$1.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0480450130$110$105.4K
    803074130120$60$36K
    G0481112090$150$29.7K
    9921414,27615,410110$80$15.6K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…360$80$28.8K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.350$40$15.4K
    99213The 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…140$50$7.6K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…80$60$5.2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.205370500$40$605.1K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…141200450$30$511.5K
    99214The 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…2,0245,040200$70$209.5K
    99213The 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…3,0315,300230$60$164.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Susan Cary, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Savida Health, PCVAAddiction Medicine (Internal Medicine) Physician$0$46.6M
    Savida Health, PCMAAddiction Medicine (Internal Medicine) Physician$0$36.2M
    Savida Health, PCVTAddiction Medicine (Internal Medicine) Physician$0$12M
    Savida Health, PCMEAddiction Medicine (Internal Medicine) Physician$0$3.9M
    Savida Health, PCDEAddiction Medicine (Internal Medicine) Physician$0$2.8M
    Suzanne SmithMAAddiction Medicine (Internal Medicine) Physician$78.7K$587.5K
    Stephanie AyanNHFamily Nurse Practitioner$38.4K$189.8K
    Barbara RosenthalVTFamily Medicine Physician$0$103.1K
    Savida Health, PCNHAddiction Medicine (Internal Medicine) Physician$0$90K
    Michelle Monteleone-ethierMAAcute Care Nurse Practitioner$73.6K$12.4K

    Nearby Providers

    Other providers in the same ZIP code as Susan Cary, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavioral Health Network IncMAMental Health Clinic/Center (Including Community Mental Health Center)$0$238.6M
    Gandara Mental Health Center IncMAMental Health Counselor$0$133.1M
    Behavioral Health Network, IncMAMethadone Clinic$1.3M$108.4M
    The Mercy Hospital IncMAGeneral Acute Care Hospital$0$98.9M
    Behavioral Health Network, IncMAAdult Day Care Clinic/Center$0$76.5M
    American Medical Response Of Massachusetts IncMAAmbulance$8.7M$51.7M
    Greater Springfield Senior Services, Inc.MACase Management Agency$0$55.1M
    Viability, Inc.MAAdult Care Home Facility$0$46.8M
    Riverbend Medical Group, Inc.MAInternal Medicine Physician$0$38.8M
    International Health Solutions,incMAHome Health Agency$0$27.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Susan Cary — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Susan Cary — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts