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 City Health And Hospitals Corporation (NPI 1033124961)

Field	Value
Entity Type	Organization
Organization	New York City Health And Hospitals Corporation
Address	506 Lenox Ave
City	New York
State	NY
ZIP	10037
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicaid	$107.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

574 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.	79,680	$190	$14.9M
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.	62,750	$180	$11.3M
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…	87,720	$90	$8.1M
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…	59,680	$120	$6.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,870	$910	$5.3M
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.	16,950	$200	$3.4M
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…	40,720	$60	$2.2M
H2012	Behavioral health day treatment, per hour	19,480	$110	$2.2M
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.	11,470	$170	$1.9M
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,…	28,530	$60	$1.8M

Showing 1–10 of 574

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 City Health And Hospitals Corporation — 14 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

574 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	81	80	360	$550	$11.6M
H2012	Behavioral health day treatment, per hour	14	40	14,460	$100	$3.4M
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…	28	340	1,090	$70	$1.4M
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	210	2,850	$180	$1.1M
90832	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…	296	1,510	1,010	$110	$1.1M
S9485	Crisis intervention mental health services, per diem	16	30	270	$1,190	$1M
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	163	170	2,850	$100	$1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	80	180	3,200	$90	$1M
D0999	N/A	21	130	850	$120	$978.1K
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…	455	2,200	1,010	$130	$892.2K

Showing 1–10 of 574

Nearby Providers

Other providers in the same ZIP code as New York City Health And Hospitals Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cory Harris	NY	Urology Physician	$241.9K	$0
James Abanishe	NY	Psychiatry Physician	$112.2K	$69.2K
Sabrina Mahboob	NY	Diagnostic Radiology Physician	$122.1K	$3.4K
Trystan Davies	NY	Emergency Medicine Physician	$86.7K	$15.7K
Syed Ali Rizvi	NY	Vascular Surgery Physician	$20.6K	$21.5K
Edward Sta. Maria	NY	Anatomic Pathology & Clinical Pathology Physician	$36.6K	$0
Pedro Estevez	NY	Occupational Therapist	$18.3K	$0

New York City Health And Hospitals Corporation — Billing Profile & Reimbursement Data

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New York City Health And Hospitals 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

Nearby Providers

Frequently Asked Questions

References