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

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

Epilepsy & Neurophysiology Medical Consultants PA (NPI 1013998830)

Epilepsy & Neurophysiology Medical Consultants PA is a neurology physician provider located in Hackensack, New Jersey. This profile covers 0 Medicare and 25 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	Epilepsy & Neurophysiology Medical Consultants PA
Address	20 Prospect Ave
City	Hackensack
State	NJ
ZIP	07601
Taxonomy	Neurology Physician
NPI Enumerated	November 9, 2005

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	21,730	$160	$3.6M
95715	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…	2,260	$930	$2.1M
95951	N/A	5,510	$240	$1.3M
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	3,900	$310	$1.2M
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…	6,100	$80	$463.2K
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…	3,530	$110	$377.6K
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,…	5,230	$40	$229.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,990	$50	$187.4K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	670	$250	$169.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	880	$90	$75.1K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Epilepsy & Neurophysiology Medical Consultants PA — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95715	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…	1	10	1,160	$910	$1.1M
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	10	10	360	$320	$406.5K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	1	30	290	$150	$230.3K
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…	737	4,450	740	$40	$229.8K
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…	697	3,790	580	$60	$204K
95951	N/A	1	20	100	$230	$176K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	207	1,020	550	$30	$105.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	509	740	150	$100	$100.3K
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…	1,104	1,460	150	$80	$97.8K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	1	80	150	$170	$88.6K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dani Korya	NJ	Neurology Physician	$432.2K	$0
Marcelo Lancman	NY	Epilepsy Physician	$300.1K	$2K
Katherine Inoyama	NJ	Neurology Physician	$239.7K	$10K
Jeffrey Politsky	NY	Neurology Physician	$168.5K	$0
Olgica Laban Grant	NY	Epilepsy Physician	$127.6K	$17K
Enrique Feoli	ME	Epilepsy Physician	$138.2K	$0
Preeti Puntambekar	NY	Neurology Physician	$123.4K	$0
Belinda Marquis	NY	Neurology with Special Qualifications in Child Neurology Physician	$100.7K	$2.8K
Maria Alexianu	NJ	Neurology Physician	$95.6K	$0
Liviu Craciun	NJ	Neurology Physician	$76.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Finders Total Care LLC	NJ	Home Health Agency	$0	$710M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$333.3M
Confident Care Corp	NJ	Nursing Care Agency	$0	$115.1M
Bergen's Promise, Inc.	NJ	Case Management Agency	$0	$91.3M
The Center For Family Support, New Jersey, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$76.6M
The Arc Of Bergen And Passaic Counties, Inc.	NJ	Community/Behavioral Health Agency	$0	$68.2M
Loving Care Agency, Inc	NJ	Home Health Agency	$0	$59.1M
Comprehensive Behavioral Healthcare, Inc.	NJ	Respite Care	$0	$48.2M
Alpha Care Home Health Services Of Nj, Inc.	NJ	Home Health Agency	$0	$28.2M
Eastern Nursing Services I, Inc	NJ	Home Health Agency	$0	$23M

Epilepsy & Neurophysiology Medical Consultants PA — Billing Profile & Reimbursement Data

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Epilepsy & Neurophysiology Medical Consultants PA — 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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