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.

Maimonides Faculty Practice Plan (NPI 1053344846)

Maimonides Faculty Practice Plan is a internal medicine physician provider located in Brooklyn, New York. This profile covers 0 Medicare and 107 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	Maimonides Faculty Practice Plan
Address	4802 10th Ave
City	Brooklyn
State	NY
ZIP	11219
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

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

107 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	72,470	$80	$6.1M
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…	98,990	$60	$5.8M
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…	15,320	$120	$1.9M
99391	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…	19,450	$60	$1.2M
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…	15,810	$70	$1M
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…	5,610	$130	$718K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	10,010	$60	$610.8K
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…	6,550	$50	$340.4K
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…	4,090	$80	$319K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,030	$70	$262K

Showing 1–10 of 107

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

Maimonides Faculty Practice Plan — 12 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

107 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,338	1,510	1,010	$110	$1.1M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	192	350	350	$210	$393.4K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	239	260	300	$170	$325.9K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	364	490	840	$90	$323.6K
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…	115	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…	8	90	190	$150	$260.8K
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…	429	640	1,080	$60	$251.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	103	150	110	$520	$248.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	372	440	530	$80	$199.7K
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…	62	16,550	220	$90	$186.8K

Showing 1–10 of 107

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Edelstein	NY	Orthopaedic Surgery Physician	$380.4K	$2.2M
Yakoub Katri	NY	Internal Medicine Physician	$1.1M	$541.9K
Vladimir Fridman	NY	Cardiovascular Disease Physician	$1M	$281.7K
Norman Saffra	NY	Retina Specialist (Ophthalmology) Physician	$1.1M	$150.5K
Chaim Gitelis	NY	Cardiovascular Disease Physician	$854.8K	$359.1K
John Munyak	NY	Sports Medicine (Emergency Medicine) Physician	$65.3K	$1.1M
David Zelman	NY	Diagnostic Radiology Physician	$580.2K	$563.4K
Shazia Amar	NY	Foot & Ankle Surgery Podiatrist	$144.6K	$775.5K
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Alexander Shaknovich	NY	Cardiovascular Disease Physician	$563K	$233.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A & J Staffing, Inc	NY	Home Health Agency	$0	$776.3M
The Royal Care Inc	NY	Home Health Agency	$0	$738.8M
Community Home Care Referral Service, Inc.	NY	Home Health Agency	$0	$527.5M
The Royal Care Fi LLC	NY	Home Health Agency	$0	$323.7M
Hamaspik Of Kings County	NY	Case Management Agency	$0	$295.2M
Maimonides Medical Center	NY	General Acute Care Hospital	$0	$260.9M
All Care Home Health Services LLC	NY	Home Health Agency	$0	$260M
Alternate Staffing, Inc.	NY	Home Health Agency	$0	$236.5M
Human Care Services For Families And Children Inc	NY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$204M
Regency Health Care, Inc	NY	Home Health Agency	$0	$157.6M

Maimonides Faculty Practice Plan — Billing Profile & Reimbursement Data

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Maimonides Faculty Practice Plan — 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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