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.

Cambridge Public Health Commission (NPI 1932313228)

Cambridge Public Health Commission is a general acute care hospital provider located in Cambridge, Massachusetts. This profile covers 0 Medicare and 341 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	Cambridge Public Health Commission
Address	1493 Cambridge St
City	Cambridge
State	MA
ZIP	02139
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 9, 2007

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

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

341 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…	25,060	$70	$1.6M
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…	16,080	$90	$1.4M
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…	17,380	$70	$1.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	8,330	$70	$583.1K
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…	5,520	$60	$342.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3,540	$80	$297.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1,890	$140	$260.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,510	$110	$168.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,490	$100	$154.4K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	290	$520	$149.2K

Showing 1–10 of 341

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

Cambridge Public Health Commission — 3 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

341 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	64	90	7,560	$350	$4.2M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	17	20	310	$260	$2.1M
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	25	30	90	$410	$2.1M
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.	70	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	89	110	5,660	$30	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	92	520	120	$130	$1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	104	550	110	$120	$865.5K
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.	125	410	140	$110	$742.2K
81329	The lab analyst performs the technical lab test to detect deletions in the survival of motor neuron 1 (SMN1), telomeric, gene and may also analyze the survival of motor neuron 2 (SMN2), centromeric,…	11	10	1,210	$50	$714K
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.	112	120	530	$450	$681.5K

Showing 1–10 of 341

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cambridge Public Health Commission	MA	General Acute Care Hospital	$0	$352.9M
Cambridge Public Health Commission	MA	Clinic/Center	$0	$19.8M
Anubha Sacheti	MA	General Practice Dentistry	$0	$7M
Shilpa Desai	MA	Ophthalmology Physician	$1.6M	$0
Adam Feldman	MA	Urology Physician	$1.6M	$0
Sean Kearin	FL	Medical Oncology Physician	$1.1M	$0
Lauren Bierman	MA	Ophthalmology Physician	$626.5K	$5.5K
Kenneth Yu	MA	MOHS-Micrographic Surgery Physician	$589.6K	$0
Nazli Erbay	MA	Diagnostic Radiology Physician	$106.9K	$290.7K
Florian Koci	RI	Cardiovascular Disease Physician	$268.6K	$4.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Mathew	MA	Neurology Physician	$266.1K	$0
Tyler Silverman	MA	Student in an Organized Health Care Education/Training Program	$111.4K	$0
Jennifer Steinkeler	MA	Diagnostic Radiology Physician	$60.5K	$30.6K
Laurie Zelas	MA	Psychiatric/Mental Health Clinical Nurse Specialist	$70.3K	$0
Erin Omalley	MA	Certified Registered Nurse Anesthetist	$65K	$0
Sook Bin Woo	MA	Specialist	$60.6K	$0
Renuka Wadhwa	MA	Physical Therapist	$50.9K	$0
Sharon Lamont	MA	Physician Assistant	$46K	$0
Edward Lee	MA	Emergency Medicine Physician	$33.1K	$0
Stephen Campo	MA	Anesthesiology Physician	$17K	$0

Cambridge Public Health Commission — Billing Profile & Reimbursement Data

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Cambridge Public Health Commission — 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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