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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

New York Queens Medicine And Surgery, P.C. (NPI 1003114851)

New York Queens Medicine And Surgery, P.C. is a pediatrics physician provider located in Fresh Meadows, New York. This profile covers 0 Medicare and 192 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	New York Queens Medicine And Surgery, P.C.
Address	16303 Horace Harding Expy
City	Fresh Meadows
State	NY
ZIP	11365
Taxonomy	Pediatrics Physician
NPI Enumerated	March 3, 2011

Payer Source	Total Paid
Medicaid	$40.8M
Medicare	$0

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

192 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	146,480	$80	$12M
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…	48,230	$120	$5.9M
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…	17,950	$180	$3.3M
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…	16,250	$120	$2M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	15,400	$90	$1.4M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	19,170	$60	$1.2M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	8,290	$110	$911.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,690	$160	$909.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20,090	$50	$904.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	11,260	$70	$833K

Showing 1–10 of 192

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

Claims Volume vs. New York Distribution

New York Queens Medicine And Surgery, P.C. — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

192 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	274	450	370	$170	$674.1K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	45	80	90	$1,300	$403.9K
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.	211	610	310	$380	$397.9K
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	34	40	90	$380	$367K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	287	390	240	$450	$332.2K
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…	70	19,110	360	$70	$321K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	28	90	190	$150	$260.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	151	2,430	1,310	$40	$257.8K
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.	1,736	2,330	100	$140	$254.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	36	640	1,080	$60	$251.5K

Showing 1–10 of 192

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parcare Community Health Network Inc	NY	Multi-Specialty Clinic/Center	$0	$88.5M
Mcleod Health Clarendon	SC	Rural Acute Care Hospital	$0	$10M
Edward Bennett	NY	Internal Medicine Physician	$152.7K	$6.7M
Ruben Niesvizky	NY	Hematology & Oncology Physician	$3.1M	$12.4K
Szilard Kiss	NY	Retina Specialist (Ophthalmology) Physician	$2.1M	$910.2K
Roger Pearse	NY	Medical Oncology Physician	$2.2M	$1.6K
Anton Orlin	PA	Ophthalmology Physician	$1.3M	$654.3K
Sergio Dromi	FL	Diagnostic Radiology Physician	$1.7M	$0
Christopher Flye	NC	Diagnostic Radiology Physician	$1.7M	$0
Herrick Wun	NY	Vascular Surgery Physician	$220K	$1.4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boulevard Alp Lhsca Operations	NY	Home Health Agency	$0	$96.2M
Pomonok Home Services, Inc.	NY	Home Health Agency	$0	$30.7M
Martin Reichel	NY	Immunopathology Physician	$2.1M	$0
Wael Kamel	NY	Neurology Physician	$332.1K	$898.4K
Aza Lefkowitz	NY	MOHS-Micrographic Surgery Physician	$805.2K	$0
Bharathi Reddy	NY	Internal Medicine Physician	$536.2K	$229.3K
Mohammed Hasan	NY	Internal Medicine Physician	$435.8K	$99.8K
Vikas Varma	NY	Specialist	$183.8K	$195.5K
Justin Classie	NY	Sports Medicine (Family Medicine) Physician	$254.7K	$63.3K
Mitchell Chorost	NY	Surgical Oncology Physician	$101.3K	$0

New York Queens Medicine And Surgery, P.C. — Billing Profile & Reimbursement Data

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New York Queens Medicine And Surgery, P.C. — 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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