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.

Steward St. Annes Hospital Corporation (NPI 1932411493)

Steward St. Annes Hospital Corporation is a general acute care hospital provider located in Fall River, Massachusetts. This profile covers 0 Medicare and 388 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	Steward St. Annes Hospital Corporation
Address	795 Middle St
City	Fall River
State	MA
ZIP	02721
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 12, 2010

Payer Source	Total Paid
Medicaid	$82.8M
Medicare	$0

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

388 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	61,160	$150	$9.1M
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.	24,550	$310	$7.6M
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.	46,050	$140	$6.4M
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.	43,470	$140	$6.2M
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.	41,180	$140	$5.8M
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…	4,340	$670	$2.9M
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.	5,600	$510	$2.9M
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…	2,760	$760	$2.1M
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	4,940	$360	$1.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	63,650	$30	$1.7M

Showing 1–10 of 388

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

Steward St. Annes Hospital Corporation — 9 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

388 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	10	10	210	$5,200	$5.5M
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.	12	90	7,560	$350	$4.2M
S9485	Crisis intervention mental health services, per diem	66	110	1,250	$540	$3.2M
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	4	10	2,050	$1,240	$2.6M
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…	13	50	1,870	$210	$1.4M
G0378	Hospital observation service, per hour	26	70	7,250	$100	$1.3M
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.	20	80	4,380	$140	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	15	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.	33	520	120	$130	$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…	32	130	1,830	$60	$974.3K

Showing 1–10 of 388

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Abraham	AR	Radiation Oncology Physician	$474.1K	$0
Ronald Gobeil	RI	Psychiatry Physician	$35K	$346.1K
Lucyna Czarnota-dolliver	MA	Psychiatry Physician	$182K	$176K
Irving Restituyo	MA	Geriatric Medicine (Internal Medicine) Physician	$323.9K	$0
Ravi Chander	MA	Cardiovascular Disease Physician	$307.9K	$0
Ehab Sorial	MA	Internal Medicine Physician	$218.1K	$0
Hugo Jauregui	MA	Internal Medicine Physician	$201K	$0
Jorge Andrade	MA	Internal Medicine Physician	$192.4K	$0
Michael Campbell	MA	Family Medicine Physician	$150.9K	$0
Gyorgy Bodrog	MA	Psychiatry Physician	$98.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mass Care Link, Inc.	MA	Foster Care Agency	$0	$43.3M
Prima Care, PC	MA	Clinic/Center	$0	$32.2M
Bay Coast Behavioral, LLC	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.9M
Bay State Physical Therapy Of Randolph Inc	MA	Physical Therapist	$0	$14.7M
People, Incorporated	MA	Early Intervention Provider Agency	$0	$14.6M
Dental Dreams LLC	MA	General Practice Dentistry	$0	$6.6M
Raju Singla	MA	Internal Medicine Physician	$632.7K	$0
Mary Goncalo	MA	Psychiatric/Mental Health Registered Nurse	$81.6K	$538.5K
Linsey Philip	MA	Infectious Disease Physician	$450.9K	$0
Aamir Ahmad	MA	Diagnostic Radiology Physician	$342.4K	$33.1K

Steward St. Annes Hospital Corporation — Billing Profile & Reimbursement Data

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Steward St. Annes Hospital Corporation — 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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