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NPI 1902469679 · Milford, MA · Radiation Oncology Clinic/Center
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Brigham & Women's Physicians Organization Inc is a radiation oncology clinic/center provider located in Milford, Massachusetts. This profile covers 25 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Brigham & Women's Physicians Organization Inc |
| Address | 20 Prospect St |
| City | Milford |
| State | MA |
| ZIP | 01757 |
| Taxonomy | Radiation Oncology Clinic/Center |
| NPI Enumerated | April 18, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.7M |
| Medicaid | $760 |
BRIGHAM & WOMEN'S PHYSICIANS ORGANIZATION INC is operating primarily as a radiation oncology clinic/center: the Medicare code mix is dominated by high-volume, complex radiation delivery and planning codes such as G6015, 77014, and 77301, and many top-25 entries describe IMRT planning/ delivery, stereotactic body radiation therapy, and dosimetry services. This profile indicates a service line focused on external beam radiotherapy and advanced treatment planning rather than general outpatient or primary care procedures.
Medicare revenue is the overwhelmingly dominant payer for this provider: lifetime Medicare revenue is $2.7M versus lifetime Medicaid revenue of $756, so Medicaid contributes a de minimis share of documented lifetime revenue. This is effectively a Medicare-focused practice in scale and financial impact based on the available billing data.
Revenue concentration on Medicare is substantial and concentrated in a few codes: the precomputed top-3 Medicare codes account for 62.9% of total Medicare revenue, meaning a majority of Medicare dollars are generated by a narrow set of radiation-delivery and planning services. For Medicaid the top-3 codes account for 100.0% of Medicaid revenue, indicating Medicaid billing is extremely limited and fully concentrated in just a couple of low-dollar radiotherapy codes.
G6015 is the single largest Medicare revenue driver: it generated $1.1M and represents 41.9% of the provider's Medicare revenue, and the provider ranks #25 of 1429 nationally (98th percentile) where the dataset labels that position an "extreme outlier." That combination—very high share of revenue plus a top-tier national rank—signals this site is a high-volume center for the specific intensity-modulated treatment delivery captured by G6015 relative to peers.
Other Medicare codes also show outsized national standing for specialized services: 77014 ($294.3K, 10.9% of Medicare revenue) ranks #54 of 4303 (99th percentile, extreme outlier) and 77301 ($270.2K, 10.0%) ranks #30 of 3815 (99th percentile, extreme outlier). Multiple additional planning and device-construction codes (e.g., 77338, 77334, 77263) are similarly characterized as "notably above typical" or "extreme outlier," reinforcing a pattern of concentrated, high-intensity radiation therapy volume versus national peers.
Competitive standing is skewed: nationally for Medicare this provider appears as a major/dominant participant for several specialized radiation oncology codes (many codes at or near the 99th–100th percentile), whereas in-state Medicaid ranks are modest to unremarkable (e.g., 77427 ranks #6 of 9 in-state at the 38th percentile and 77263 ranks #5 of 5 at the 0th percentile). This suggests strong national competitiveness in specialized Medicare services but minimal footprint in the state Medicaid market.
Operational tenure is recent but established: the NPI was enumerated on 2019-04-18 (roughly seven years ago), indicating the practice has accumulated multi-year billing experience under this identifier but is not a long-standing legacy provider measured in multiple decades. That tenure aligns with building substantial specialized volume within a relatively short timeframe.
The Medicaid billing profile is minimal and highly concentrated: total Medicaid revenue is $756 with two codes (77427 and 77263) accounting for 100.0% of Medicaid revenue. Both Medicaid codes have low paid-per-claim amounts ($12 and $30) and small claim counts (32 and 12), indicating Medicaid activity is limited to a few low-dollar treatment planning or radiation delivery records rather than broad Medicaid service provision.
Several Medicare codes are flagged as statistical outliers in plain-English terms: multiple top codes are labeled "extreme outlier" or "notably above typical national volume," which corroborates a pattern of unusually high Medicare activity for advanced radiotherapy services at this site compared with national peers. This concentration and outlier status should be considered when benchmarking network capacity, utilization, or referrals for specialized radiation oncology services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 3,720 | $300 | $1.1M |
| 77014 | N/A | 2,940 | $100 | $294.3K |
| 77301 | Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy… | 180 | $1,520 | $270.2K |
| 77427 | Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing… | 990 | $150 | $153.1K |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 680 | $200 | $135.2K |
| 77373 | This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small… | 140 | $840 | $115.8K |
| G6012 | Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 480 | $200 | $93.8K |
| 77338 | In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy… | 210 | $380 | $80.4K |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 1,220 | $60 | $75.5K |
| 77336 | This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the… | 800 | $70 | $57.9K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G6015 | 1 | 10 | 520 | $300 | $279.4K |
| G6013 | 1 | 10 | 330 | $200 | $71.3K |
| 77373 | 1 | 10 | 60 | $850 | $64.5K |
| G6012 | 1 | 10 | 200 | $200 | $48.2K |
| 77427 | 1 | 160 | 130 | $160 | $27.5K |
| 77014 | 1 | 150 | 310 | $40 | $22.2K |
| 77301 | 2 | 120 | 30 | $460 | $19.2K |
| 77336 | 1 | 10 | 100 | $70 | $13.5K |
| 77435 | 6 | 40 | 20 | $530 | $12.8K |
| 77338 | 1 | 120 | 30 | $210 | $9.6K |
Showing 1–10 of 25
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 77427 | Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing… | 30 | $10 | $380 |
| 77263 | The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc… | 10 | $30 | $360 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 77427 | Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing… | 6 | 10 | 110 | $80 | $41.8K |
| 77263 | The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc… | 5 | 10 | 10 | $60 | $1.8K |
Other providers in the same ZIP code as Brigham & Women's Physicians Organization Inc, ranked by combined Medicare and Medicaid revenue.
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