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.

Mass General Brigham Community Physicians Inc. (NPI 1891112637)

Mass General Brigham Community Physicians Inc. is a internal medicine physician provider located in Haverhill, Massachusetts. This profile covers 0 Medicare and 303 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	Mass General Brigham Community Physicians Inc.
Address	1 Parkway
City	Haverhill
State	MA
ZIP	01830
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 18, 2014

Payer Source	Total Paid
Medicaid	$33.8M
Medicare	$0

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

303 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…	167,990	$50	$8.1M
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…	165,760	$40	$7.1M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	43,100	$50	$2.2M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	20,860	$70	$1.5M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	13,150	$70	$880.9K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	22,290	$40	$847K
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…	12,530	$70	$827K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	50,520	$10	$707.2K
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…	10,300	$70	$700.3K
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…	7,600	$90	$676.1K

Showing 1–10 of 303

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

Mass General Brigham Community Physicians Inc. — 16 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

303 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…	50	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.	79	80	4,380	$140	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	89	130	1,830	$60	$974.3K
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.	91	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.	12	120	530	$450	$681.5K
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…	1,051	1,620	580	$80	$599.6K
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…	17	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…	22	100	230	$600	$511.3K
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.	189	220	280	$100	$491.2K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	19	70	160	$620	$428.7K

Showing 1–10 of 303

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mass General Brigham Community Physicians Inc	MA	Clinical Medical Laboratory	$1M	$1.4M
Alireza Sepehr	MA	Anatomic Pathology & Clinical Pathology Physician	$1.2M	$1000
Rasmia Ahmed	MA	Hematology & Oncology Physician	$882.5K	$0
Arvin Kheterpal	MA	Diagnostic Radiology Physician	$539.4K	$0
Garrett Bomba	NH	Emergency Medicine Physician	$513.6K	$18.9K
Geunwon Kim-sun	MA	Diagnostic Radiology Physician	$346.1K	$148.3K
Pablo Gomery	MA	Urology Physician	$489.2K	$0
Joshua Tarkan	MA	Nephrology Physician	$477.6K	$0
Emily Liu	MA	Endocrinology, Diabetes & Metabolism Physician	$424.9K	$1.2K
Isaac Pourati	MA	Clinical Cardiac Electrophysiology Physician	$420.9K	$1.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shokoohi & Vakili, Ii LLC	MA	Pediatric Dentistry	$0	$8.5M
Lab Usa, Inc.	MA	Clinical Medical Laboratory	$162.3K	$4.5M
Merrimack Valley Endoscopy, LLC	MA	Ambulatory Surgical Clinic/Center	$485.8K	$2.6M
Robert Shih	MA	Internal Medicine Physician	$592K	$2.4K
Sunny Srivastava	MA	Cardiovascular Disease Physician	$361.8K	$500
Stephen Boy	MA	Clinical Psychologist	$66.8K	$236.9K
Bryan Poole	MA	Internal Medicine Physician	$289.4K	$0
Raouf Sayegh	MA	Internal Medicine Physician	$187K	$55.1K
Anuradha Rameneni	MA	Internal Medicine Physician	$202.2K	$5.3K
Shane O'neil	MA	Dermatology Physician	$206K	$0

Mass General Brigham Community Physicians Inc. — Billing Profile & Reimbursement Data

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Mass General Brigham Community 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

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