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.

Emergency Physician Services Of New York, P.C. (NPI 1093759847)

Field	Value
Entity Type	Organization
Organization	Emergency Physician Services Of New York, P.C.
Address	241 North Rd
City	Poughkeepsie
State	NY
ZIP	12601
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicaid	$33.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	166,270	$100	$16M
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.	85,010	$130	$11.4M
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.	115,130	$50	$6.2M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	37,000	$10	$259K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	370	$190	$68.4K
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.	440	$40	$17.8K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	670	$10	$8.1K
99053	The provider renders overnight services at a 24 hour facility.	62,570	$0	$0

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

Emergency Physician Services Of New York, P.C. — 4 of 7 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

8 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.	9	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.	223	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.	5	2,210	80	$130	$473K
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.	6	2,330	100	$140	$254.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	174	860	80	$120	$46.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	31	2,130	340	$10	$17.8K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	179	810	140	$10	$7.5K
99053	The provider renders overnight services at a 24 hour facility.	1	90	100	$1	$300

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Physician Services Of New York, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Goldstein	RI	Emergency Medicine Physician	$42.3K	$1.9M
Andre Bonnet	NJ	Emergency Medicine Physician	$448.2K	$9.9K
Sekuleo Gathers	NY	Family Medicine Physician	$221.2K	$181.5K
Jody Gerard	CT	Family Medicine Physician	$378.2K	$0
Shakeel Usmani	NY	Internal Medicine Physician	$160.1K	$82.6K
Mirabelle Beck	NY	Family Nurse Practitioner	$183K	$620
Ozlem Bilgen	OH	Emergency Medicine Physician	$153.3K	$24.9K
Sowdhamani Bellapu	NY	Emergency Medicine Physician	$106K	$5.6K
Nicholas Gilfus	NY	Family Nurse Practitioner	$72.1K	$23.4K
Andrew Bushnell	VT	Emergency Medicine Physician	$71.5K	$11.9K

Nearby Providers

Other providers in the same ZIP code as Emergency Physician Services Of New York, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vassar Brothers Hospital	NY	General Acute Care Hospital	$0	$39.3M
Family Services, Inc.	NY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22.6M
Westchester County Health Care Corporation	NY	General Acute Care Hospital	$0	$19.6M
21 Reade Place Asc LLC	NY	Endoscopy Clinic/Center	$859.4K	$1.7M
Ramamohana Kancherla	NY	Hematology & Oncology Physician	$2M	$28.7K
Howard Kaplan	NY	Retina Specialist (Ophthalmology) Physician	$1.9M	$11.9K
Nancy Miller-rivero	NY	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Central New York Eye Center, Ltd	NY	Clinic/Center	$1.2M	$227.6K
Michael Maresca	NY	Hematology & Oncology Physician	$1.4M	$9.5K
Payam Shakouri	NY	Nephrology Physician	$1.3M	$55.2K

Emergency Physician Services Of New York, P.C. — Billing Profile & Reimbursement Data

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Emergency Physician Services Of New York, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References