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.

St Lukes Roosevelt Hospital Center (NPI 1104982917)

Field	Value
Entity Type	Organization
Organization	St Lukes Roosevelt Hospital Center
Address	1000 10th Ave
City	New York
State	NY
ZIP	10019
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 28, 2006

Payer Source	Total Paid
Medicaid	$190.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

676 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9005	Coordinated care fee, risk adjusted maintenance	61,620	$290	$17.9M
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…	117,020	$120	$14.2M
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.	77,950	$160	$12.7M
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…	92,630	$120	$11.1M
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.	58,290	$160	$9.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	11,200	$800	$8.9M
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…	52,730	$170	$8.9M
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.	38,160	$150	$5.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	33,330	$150	$5.1M
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…	39,920	$130	$5.1M

Showing 1–10 of 676

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

St Lukes Roosevelt Hospital 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

676 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9005	Coordinated care fee, risk adjusted maintenance	25	40	105,510	$300	$55.6M
T2022	Case management, per month	18	80	360	$550	$11.6M
H2036	Alcohol and/or other drug treatment program, per diem	40	100	10,060	$200	$4.9M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	42	90	5,000	$210	$4.5M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	76	120	61,480	$30	$4.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	296	420	950	$170	$1.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	37	100	5,790	$110	$1.3M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	19	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	50	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…	28	30	370	$510	$1.2M

Showing 1–10 of 676

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Lukes Roosevelt Hospital Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jasminka Balderacchi	NY	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
Wen Fan	NY	Anatomic Pathology & Clinical Pathology Physician	$1.1M	$0
Nebras Zeizafoun	NY	Anatomic Pathology & Clinical Pathology Physician	$206.5K	$70.3K
Martin Baskin	NY	Pulmonary Disease Physician	$216.4K	$0
Lisa Travis	NY	Dermatology Physician	$139.7K	$0
Elizabeth Eapen	NJ	Anatomic Pathology Physician	$132.2K	$0
Jean-marc Cohen	NY	Anatomic Pathology Physician	$108.7K	$0
Bruce Wenig	FL	Anatomic Pathology Physician	$38.3K	$0

Nearby Providers

Other providers in the same ZIP code as St Lukes Roosevelt Hospital Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Karen Thornton	NY	Family Medicine Physician	$183K	$13.5M
West Side Gi, LLC	NY	Ambulatory Surgical Clinic/Center	$566.4K	$13M
Armistead Williams	NY	Neurology Physician	$6.7M	$0
Roosevelt Surgery Center, LLC	NY	Ambulatory Surgical Clinic/Center	$1.1M	$938.4K
Elizabeth Kavaler	NY	Urology Physician	$1.7M	$0
Esoterix Genetic Laboratories, LLC	NY	Clinical Medical Laboratory	$418.7K	$724.2K
Suelane Do Ouro	NY	Interventional Pain Medicine Physician	$682.3K	$332.8K
Robert Howard	NY	Registered Dietitian	$17K	$962.8K
James Stark	NY	Neurology Physician	$827.7K	$0
Alexander Volvovsky	NY	Diagnostic Radiology Physician	$814.1K	$0

St Lukes Roosevelt Hospital Center — Billing Profile & Reimbursement Data

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St Lukes Roosevelt Hospital Center — 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