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.

Flushing Hospital & Medical Center (NPI 1154461622)

Flushing Hospital & Medical Center is a general acute care hospital provider located in Flushing, New York. This profile covers 0 Medicare and 301 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	Flushing Hospital & Medical Center
Address	4500 Parsons Blvd
City	Flushing
State	NY
ZIP	11355
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicaid	$52.8M
Medicare	$0

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

301 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	61,790	$150	$9.2M
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…	55,210	$140	$7.8M
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.	27,480	$240	$6.5M
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.	13,640	$240	$3.3M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	105,260	$30	$2.9M
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.	11,330	$190	$2.2M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	17,780	$120	$2.2M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14,730	$140	$2.1M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	60,040	$30	$1.7M
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…	7,840	$150	$1.2M

Showing 1–10 of 301

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

Flushing Hospital & Medical Center — 9 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

301 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	372	420	950	$170	$1.6M
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…	213	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	99	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.	57	210	2,850	$180	$1.1M
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…	34	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	150	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…	1,414	2,200	1,010	$130	$892.2K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	162	250	1,290	$110	$761.7K
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.	88	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.	40	450	370	$170	$674.1K

Showing 1–10 of 301

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bronson Methodist Hospital	MI	Hospitalist Physician	$0	$64.8M
Bronson Battle Creek Hospital	MI	Internal Medicine Physician	$0	$9.8M
Rajendra Bhayani	NY	Facial Plastic Surgery Physician	$175.2K	$2.4M
Sherwin Batoon	NY	Geriatric Medicine (Internal Medicine) Physician	$103.9K	$497.1K
Vinay Kapoor	NY	Endocrinology, Diabetes & Metabolism Physician	$211.8K	$218.1K
Mitanshu Shah	NY	Gastroenterology Physician	$206.1K	$222.3K
Anil Kapoor	NY	Neurology Physician	$128K	$268.5K
David Maybee	NC	Pulmonary Disease Physician	$320.8K	$0
Jeffry Jones	CA	Pulmonary Disease Physician	$294.2K	$0
Riccardo Ricciardi	NY	Urology Physician	$199K	$40.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Business Institute Corp	NY	Home Health Agency	$0	$1.7B
Abi Fi Corp	NY	Home Health Agency	$0	$712.7M
Abest Care Inc	NY	Home Health Agency	$0	$280.5M
Newyork-presbyterian-queens	NY	General Acute Care Hospital	$0	$116.4M
Z & W Empire Enterprise, Inc.	NY	Adult Day Care Clinic/Center	$0	$37.5M
Confidence Home Care LLC	NY	Home Health Agency	$0	$34.8M
Bright Horizon Prime Care Inc	NY	Home Health Agency	$0	$33.3M
Bao Kang Adult Daycare Center Inc.	NY	Adult Day Care Clinic/Center	$0	$31.9M
Greater New York Social And Health Adult Day Care	NY	Adult Day Care Clinic/Center	$0	$28.1M
Zhiqing Social Day Care, Inc.	NY	Adult Day Care Clinic/Center	$0	$24M

Flushing Hospital & Medical Center — Billing Profile & Reimbursement Data

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Flushing Hospital & Medical 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

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