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 Medical Center (NPI 1093777492)

Field	Value
Entity Type	Organization
Organization	Maimonides Medical Center
Address	4802 10th Ave
City	Brooklyn
State	NY
ZIP	11219
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 3, 2006

Payer Source	Total Paid
Medicaid	$260.9M
Medicare	$0

Key Findings

MAIMONIDES MEDICAL CENTER reports no Medicare billing on file and $260.9M in Medicaid revenue, making its public payer footprint effectively single-payer Medicaid in the available data. This concentration means payer exposure, contract negotiation leverage, and revenue sensitivity are overwhelmingly tied to Medicaid reimbursement and policy changes rather than Medicare dynamics.

Revenue concentration is high: the top three Medicaid codes (99214, 99213, 99283) together account for 40.4% of this provider's total Medicaid revenue. Individually those codes appear as 99214 — $24.8M revenue (15.9% of this provider's total Medicaid revenue), 99213 — $21.8M revenue (14.0% of this provider's total Medicaid revenue), and 99283 — $16.6M revenue (10.6% of this provider's total Medicaid revenue), indicating a heavy reliance on a small set of E/M services.

The code mix is dominated by high-volume outpatient evaluation & management and emergency department throughput, consistent with its General Acute Care Hospital taxonomy: large volumes of office visits (99214, 99213) and ED E/Ms (99283, 99284, 99285) point to substantial ambulatory clinic activity plus a busy emergency department. High counts for specimen collection and basic labs (36415; 80048) and imaging (93306, 74177) further support a broad acute-care service platform that handles diagnostics, procedures, and ED-to-inpatient flow.

Competitive standing in-state is strong for core ambulatory and ED codes: 99214 ranks #16 of 16554 providers in-state (100th percentile; extreme outlier) and 99213 ranks #66 of 19110 (100th percentile; extreme outlier), indicating MAIMONIDES is a dominant statewide outlier for established-patient office visits. ED and high-acuity visit codes also show elevated standing (e.g., 99283 ranks #25 of 1423, 98th percentile; extreme outlier and 99285 ranks #18 of 2333, 99th percentile), underscoring its role as a major regional hub for emergency care billed to Medicaid.

Operational depth is evident in high procedural and diagnostic throughput: 36415 has 125.7K claims and $3.5M revenue (2.3%) and ranks #30 of 5089 (99th percentile; extreme outlier), while 93306 (17K claims, $2.8M, 1.8%) ranks #10 of 1711 (99th percentile; extreme outlier) and 74177 (12.3K claims, $2.2M, 1.4%) ranks #16 of 814 (98th percentile; notably above typical). These volumes indicate sustained lab, echo, and CT activity that supports both ambulatory and emergency services.

Oncology and specialty infusion revenue is material but not singularly dominant among in-state peers: J9271 (pembrolizumab) shows 1.4K claims and $12.6M revenue (8.0%) and ranks #7 of 23 providers in-state (73th percentile; typical, unremarkable volume for this code), while biosimilar pegfilgrastim Q5111 accounts for $2.3M (1.5%) and ranks #2 of 11 (90th percentile; typical, unremarkable). This pattern signals meaningful oncology infusion activity within a broader service mix rather than exclusive specialty-market dominance.

Behavioral health is a significant component of the outpatient mix — psychotherapy codes 90834 (45.5K claims, $10.3M, 6.6%) and 90832 (40.1K claims, $7.0M, 4.5%) rank in high state percentiles (97th and 96th respectively; both noted as typical or unremarkable volumes in absolute terms but large in aggregate). Combined psychotherapy and group therapy billing (90853 $2.0M, 1.3%) point to a substantial Medicaid-funded behavioral health footprint integrated into the hospital's ambulatory services.

The provider has a long-tenured NPI (enumerated 2006-04-03, ~20 years ago), and that longevity combined with extreme outlier ranks on multiple high-volume Medicaid codes suggests entrenched referral patterns and sustained Medicaid patient flow. Given the absence of Medicare billing and the concentrated Medicaid revenue base, strategic and financial risk will largely track Medicaid policy, program changes, and state-level competitive dynamics.

Medicaid: Complete Services Breakdown

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

767 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…	173,710	$140	$24.8M
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…	150,500	$150	$21.8M
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.	73,980	$220	$16.6M
J9271	Injection, pembrolizumab, 1 mg	1,360	$9,230	$12.6M
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.	54,510	$190	$10.5M
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…	45,510	$230	$10.3M
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.	42,970	$160	$7M
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…	40,110	$170	$7M
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…	26,780	$180	$4.8M
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.	15,730	$230	$3.7M

Showing 1–10 of 767

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 Medical Center — 15 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

767 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	7	20	750	$8,890	$8.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	18	20	730	$2,870	$3.5M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	314	420	950	$170	$1.6M
J2505	Injection, pegfilgrastim, 6 mg	8	10	490	$2,730	$1.5M
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…	119	340	1,090	$70	$1.4M
J9306	Injection, pertuzumab, 1 mg	2	10	180	$4,520	$1.4M
G0378	Hospital observation service, per hour	26	130	1,270	$560	$1.2M
59840	In this procedure, the provider deliberately terminates a pregnancy for elective or therapeutic reasons. He removes the fetus and products of conception by dilating the cervix and then using a…	30	30	370	$510	$1.2M
Q5118	Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg	2	10	720	$1,760	$1.1M
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.	25	210	2,850	$180	$1.1M

Showing 1–10 of 767

Related Providers

Other providers that share a Tax Identification Number (TIN) with Maimonides Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Leonid Chernobelsky	NY	Surgery Physician	$708.5K	$731.2K
Vladimir Krichevsky	NY	Urology Physician	$858.7K	$230.9K
Gopika Nandini Are	NY	Obstetrics & Gynecology Physician	$117.2K	$298.8K
Himansh Khanna	NY	Urology Physician	$281.9K	$7.1K
Douglas Campbell	NY	Podiatrist	$102.4K	$177.4K
Victor Sasson	NY	Specialist	$218.3K	$570
Giti Bensinger	NY	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$118.6K	$1.4K

Nearby Providers

Other providers in the same ZIP code as Maimonides Medical Center, ranked by combined Medicare and Medicaid revenue.

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
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
Greater New York Home Care LLC	NY	Home Health Agency	$0	$135M

Maimonides Medical Center — Billing Profile & Reimbursement Data

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Maimonides Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References