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.

Atrius Health, Inc. (NPI 1871639914)

Atrius Health, Inc. is a internal medicine physician provider located in Boston, Massachusetts. This profile covers 0 Medicare and 282 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	Atrius Health, Inc.
Address	133 Brookline Ave
City	Boston
State	MA
ZIP	02215
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicaid	$14.5M
Medicare	$0

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

282 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…	74,040	$50	$3.6M
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…	69,220	$20	$1.2M
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…	5,550	$160	$860.1K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	4,720	$140	$674.4K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	22,390	$30	$649.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	10,510	$50	$525.3K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	6,840	$70	$451.6K
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…	3,790	$100	$367.5K
J0585	Injection, onabotulinumtoxina, 1 unit	340	$810	$278.9K
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…	3,270	$80	$271.7K

Showing 1–10 of 282

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

Atrius Health, Inc. — 6 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

282 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	23	40	430	$490	$616K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	228	370	500	$40	$605.1K
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…	300	1,620	580	$80	$599.6K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	114	200	450	$30	$511.5K
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.	164	220	280	$100	$491.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	112	120	200	$180	$352.7K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	85	110	310	$210	$331K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	222	1,020	460	$100	$293.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	123	230	380	$90	$256.4K
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…	95	750	930	$40	$231.2K

Showing 1–10 of 282

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Corey Westerfeld	MA	Ophthalmology Physician	$1.2M	$0
Mehnaz Khan	MA	Ophthalmology Physician	$871.2K	$37.7K
Stephen Lyle	MA	Anatomic Pathology Physician	$852.2K	$40.3K
Kavitha Reddy	MA	Dermatology Physician	$868K	$0
David Meenan	MA	Internal Medicine Physician	$40.4K	$808.1K
John Lazor	MA	Otolaryngology Physician	$280.9K	$501.9K
Robert Lancaster	MA	Vascular Surgery Physician	$720.8K	$0
Karen Jeng-miller	MA	Ophthalmology Physician	$698.7K	$0
Rachel Gross	MA	Rheumatology Physician	$612.6K	$8.5K
Gregory Johnson	MA	Internal Medicine Physician	$54.6K	$550.9K

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
Planned Parenthood League Of Massachusetts, Inc.	MA	Ambulatory Family Planning Facility	$0	$12.8M
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
Daphna Spiegel	MA	Radiation Oncology Physician	$460.8K	$0

Atrius Health, 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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