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.

Stony Brook Children's Service, University Faculty Practice Corporatio (NPI 1083660575)

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Stony Brook Children's Service, University Faculty Practice Corporatio
Address	Suny @ Stony Brook
City	Stony Brook
State	NY
ZIP	11794
Taxonomy	Pediatrics Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

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

101 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…	73,750	$80	$5.9M
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…	107,960	$40	$4.6M
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.	29,790	$80	$2.5M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	82,290	$20	$1.9M
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.	8,820	$140	$1.3M
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…	28,940	$40	$1.1M
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…	23,410	$40	$889.4K
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.	1,610	$470	$754.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	15,870	$40	$587K
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…	3,220	$170	$556.4K

Showing 1–10 of 101

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

Stony Brook Children's Service, University Faculty Practice Corporatio — 11 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

101 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	80	1,420	90	$130	$715.2K
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.	77	450	370	$170	$674.1K
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.	195	2,210	80	$130	$473K
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.	7	40	90	$380	$367K
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…	104	19,110	360	$70	$321K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	7	10	50	$860	$273.3K
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…	59	90	190	$150	$260.8K
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.	317	2,330	100	$140	$254.7K
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,…	100	150	110	$520	$248.5K
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	16,550	220	$90	$186.8K

Showing 1–10 of 101

Other providers that share a Tax Identification Number (TIN) with Stony Brook Children's Service, University Faculty Practice Corporatio, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Weissbart	NY	Urology Physician	$375.5K	$4.7K
Ernest Batista	MD	Diagnostic Radiology Physician	$311.4K	$12K
Howard Adler	NY	Urology Physician	$153.6K	$330

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospital At Stony Brook	NY	General Acute Care Hospital	$0	$105.3M
Dinko Franceschi	NY	Nuclear Radiology Physician	$1.8M	$73.6K
William Caldwell	NY	Pain Medicine (Anesthesiology) Physician	$788K	$5.1K
Matthew Comito	NY	Diagnostic Radiology Physician	$642.6K	$67K
Jordan Slutsky	NY	MOHS-Micrographic Surgery Physician	$605.1K	$0
Roger Fan	NY	Cardiovascular Disease Physician	$539.3K	$100
Travis Bench	NY	Cardiovascular Disease Physician	$471.2K	$200
Lachlan Smith	NY	Diagnostic Radiology Physician	$416.1K	$46.6K
Jason Kim	NY	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$418.6K	$5.9K
Abhijeet Singh	NY	Clinical Cardiac Electrophysiology Physician	$393.8K	$0

Stony Brook Children's Service, University Faculty Practice Corporatio — Billing Profile & Reimbursement Data

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Stony Brook Children's Service, University Faculty Practice Corporatio — 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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