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.

Regis Boudreau (NPI 1992875744)

Field	Value
Entity Type	Individual
Organization	Regis Boudreau
Address	1159 North Rd
City	Carlisle
State	MA
ZIP	01741
Taxonomy	Podiatrist
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicare	$172.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	830	$70	$60.3K
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	660	$60	$40.3K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	990	$40	$34.8K
G0127	Trimming of dystrophic nails, any number	1,280	$10	$12.8K
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…	120	$70	$8.7K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	80	$60	$4.8K
99341	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…	120	$40	$4.7K
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…	30	$80	$2.9K
11720	The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.	30	$30	$900
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	10	$60	$850

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Regis Boudreau — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11056	16	230	170	$60	$20K
11721	57	290	270	$30	$18.6K
11055	7	180	80	$60	$8.9K
99213	4,814	13,700	70	$60	$8.8K
11720	159	190	120	$30	$7.5K
G0127	14	140	210	$10	$6K
99348	88	230	50	$50	$4.9K
99203	2,106	4,290	30	$80	$4.1K
99342	39	40	30	$60	$2.7K
11719	105	130	120	$10	$1.7K

Showing 1–10 of 11

Regis Boudreau — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References