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.

Urgi Center Medical Group (NPI 1902146798)

Urgi Center Medical Group is a urgent care clinic/center provider located in Sandwich, Massachusetts. This profile covers 0 Medicare and 32 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	Urgi Center Medical Group
Address	2 Jan Sebastian Dr
City	Sandwich
State	MA
ZIP	02563
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	February 15, 2013

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

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

32 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…	51,510	$70	$3.6M
S9083	Global fee urgent care centers	4,950	$190	$925.5K
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…	11,200	$50	$537.7K
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…	3,830	$110	$417.4K
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…	1,850	$70	$127.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	7,510	$10	$90.1K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	5,260	$10	$68.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1,640	$30	$55.8K
87807	The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.	1,570	$10	$17.3K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	640	$20	$10.2K

Showing 1–10 of 32

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

Urgi Center Medical Group — 7 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	56	5,040	200	$70	$209.5K
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…	220	5,300	230	$60	$164.5K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	116	160	130	$60	$123.6K
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…	42	870	90	$100	$82K
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…	100	990	100	$80	$75.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	168	590	150	$10	$61.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	206	280	400	$10	$61K
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…	647	720	200	$40	$60.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	236	280	70	$80	$49.4K
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	156	180	220	$20	$35.6K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kathleen Kerrigan	MA	Emergency Medicine Physician	$171.3K	$80.5K
Shant Broukian	MA	Emergency Medicine Physician	$230.5K	$0
Margaret Putnam	MA	Nurse Practitioner	$207K	$3.7K
Oliver Berrett	MD	Emergency Medicine Physician	$187.9K	$3.4K
Craig Cornwall	MA	Emergency Medicine Physician	$183.2K	$960
Kinsey Leonard	MA	Emergency Medicine Physician	$174.6K	$1.6K
Jacob Crowell	ME	Emergency Medicine Physician	$168.8K	$0
Jonathan Farrell	RI	Emergency Medicine Physician	$166.6K	$0
Jason Kahn	NY	Emergency Medicine Physician	$165.4K	$0
Gregory Ducach	TX	Emergency Medicine Physician	$151.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New England Home Medical Equipment, LLC	MA	Durable Medical Equipment & Medical Supplies	$0	$56.2M
Cape Medical Supply LLC	MA	Durable Medical Equipment & Medical Supplies	$0	$15.7M
Cape Cod Eye Surgery & Laser Center, LLC	MA	Ambulatory Surgical Clinic/Center	$3.5M	$238.2K
Cape Cod Pet/ct Services LLC	MA	Mobile Radiology Clinic/Center	$2.1M	$445.1K
Cape Cod Asc LLC	MA	Ambulatory Surgical Clinic/Center	$1.4M	$25.6K
Town Of Sandwich	MA	Ambulance	$623.9K	$636.6K
Michael Oats	MA	Ophthalmology Physician	$933.3K	$0
Ramon Espinosa	MA	Internal Medicine Physician	$368.2K	$0
Jessica Provo	MA	Family Medicine Physician	$333.8K	$0
Susan Shanley	MA	Physical Therapist	$143.8K	$0

Urgi Center Medical Group — Billing Profile & Reimbursement Data

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Urgi Center Medical Group — 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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