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.

Montefiore Nyack Hospital (NPI 1104808062)

Montefiore Nyack Hospital is a general acute care hospital provider located in Nyack, New York. This profile covers 0 Medicare and 316 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	Montefiore Nyack Hospital
Address	160 N Midland Ave
City	Nyack
State	NY
ZIP	10960
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 16, 2005

Payer Source	Total Paid
Medicaid	$26.1M
Medicare	$0

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

316 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.	21,570	$160	$3.5M
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.	18,240	$160	$2.9M
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.	12,200	$160	$1.9M
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.	5,180	$270	$1.4M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	6,060	$210	$1.3M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,200	$250	$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…	8,610	$120	$1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	3,630	$270	$965.6K
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.	6,990	$140	$951.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	103,990	$10	$935.9K

Showing 1–10 of 316

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

Montefiore Nyack Hospital — 4 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

316 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	45	130	1,270	$560	$1.2M
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.	76	210	2,850	$180	$1.1M
19318	Breast reduction is the removal of excess breast tissue which results from top scarring, calcification, or architectural distortion.	6	10	110	$2,760	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	145	180	3,200	$90	$1M
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…	2,071	2,200	1,010	$130	$892.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	90	230	3,600	$60	$805.5K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	129	250	1,290	$110	$761.7K
T1030	Nursing care, in the home, by registered nurse, per diem	120	210	450	$120	$728.3K
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.	119	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.	74	450	370	$170	$674.1K

Showing 1–10 of 316

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rami Sartawi	NY	Vascular & Interventional Radiology Physician	$3.7M	$4.9M
Keyur Mehta	NY	Therapeutic Radiology Physician	$254.6K	$3.5K
Justin Tang	NY	Radiation Oncology Physician	$250.1K	$6.3K
Jonathan Sterman	NY	Student in an Organized Health Care Education/Training Program	$244K	$500
Vipul Shah	NY	Gastroenterology Physician	$190K	$0
Yaron Langman	NY	Gastroenterology Physician	$184.6K	$0
Viyada Sarabanchong	NY	Gastroenterology Physician	$165K	$0
Byung-han Rhieu	NY	Radiation Oncology Physician	$131.1K	$0
Edward Mardakhaev	NJ	Diagnostic Radiology Physician	$113.7K	$15.7K
Mohamed Azeem Latib	NY	Interventional Cardiology Physician	$117.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Any-time Home Care, Inc.	NY	Home Health Agency	$0	$77.4M
Azfar Chak	NY	Internal Medicine Physician	$553K	$397.8K
Miriam Knoll	NY	Radiation Oncology Physician	$374.2K	$0
Johanna Baeuerle	NY	Procedural Dermatology Physician	$210.3K	$0
Anita Bhola	NY	Sleep Medicine (Family Medicine) Physician	$59.4K	$0
Sally Roberts	NY	Anesthesiology Physician	$24.8K	$0
Mitchell Cohn	NY	Anesthesiology Physician	$20.3K	$0
Stefanie Sokoloff	NY	Physician Assistant	$7.1K	$0

Montefiore Nyack Hospital — 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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