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.

New York City Health And Hospital Corporation (NPI 1114558509)

Field	Value
Entity Type	Organization
Organization	New York City Health And Hospital Corporation
Address	160 Water St Fl 9
City	New York
State	NY
ZIP	10038
Taxonomy	Case Management Agency
NPI Enumerated	February 4, 2020

Payer Source	Total Paid
Medicaid	$45.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9005	Coordinated care fee, risk adjusted maintenance	98,230	$320	$31.6M
T1016	Case management, each 15 minutes	54,850	$260	$14.2M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	60	$80	$4.8K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	90	$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

New York City Health And Hospital Corporation — 0 of 3 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9005	Coordinated care fee, risk adjusted maintenance	20	40	105,510	$300	$55.6M
T1016	Case management, each 15 minutes	4	40	3,630	$220	$3.7M
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	100	180	120	$90	$179K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	135	200	140	$110	$65.4K

Nearby Providers

Other providers in the same ZIP code as New York City Health And Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Queens Homecare Agency	NY	Home Health Agency	$0	$194.1M
Bobby Buka, M.d., P.C.	NY	Dermatology Physician	$0	$58.7M
Alan Bienstock	NY	Plastic Surgery Physician	$3.9M	$0
Robert Buka	NY	Dermatology Physician	$694.9K	$975.9K
Baoen Jiang	NY	Internal Medicine Physician	$107.8K	$1.5M
Herrick Wun	NY	Vascular Surgery Physician	$220K	$1.4M
Neriy Yakubov	NY	Internal Medicine Physician	$883.1K	$41.1K
Chaim Mandelbaum	NY	Public Health & General Preventive Medicine Physician	$770.2K	$15.8K
Gerald Shepps	NY	Glaucoma Specialist (Ophthalmology) Physician	$621.9K	$2.6K
Amnon Beniaminovitz	NY	Cardiovascular Disease Physician	$348.5K	$0

New York City Health And Hospital Corporation — Billing Profile & Reimbursement Data

Sign up for New York City Health And Hospital Corporation — Billing Profile & Reimbursement Data policy alerts

New York City Health And Hospital Corporation — Billing Profile & Reimbursement Data

Sign up for New York City Health And Hospital Corporation — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References