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.

Healthsmart Inc (NPI 1154488450)

Field	Value
Entity Type	Organization
Organization	Healthsmart Inc
Address	203 Main St
City	Ossining
State	NY
ZIP	10562
Taxonomy	Pharmacy
NPI Enumerated	January 3, 2007

Payer Source	Total Paid
Medicare	$55.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	120	$140	$17.6K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	1,360	$10	$16.3K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	130	$50	$6.1K
G0008	Administration of influenza virus vaccine	140	$40	$5.1K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	20	$280	$4.5K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	120	$30	$3.9K
0134A	N/A	20	$50	$1.2K
G0009	Administration of pneumococcal vaccine	20	$40	$560
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	20	$20	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Healthsmart Inc — 1 of 9 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. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	518	1,800	730	$10	$60.3K
91322	450	1,540	70	$140	$16.5K
90677	1,678	2,480	20	$280	$7.8K
90480	928	2,260	100	$40	$6.4K
G0008	1,180	7,140	50	$30	$2.8K
0134A	425	750	30	$40	$2.1K
90674	8	670	20	$30	$880
G0009	1,963	2,870	20	$30	$850
90686	322	770	20	$20	$610

Nearby Providers

Other providers in the same ZIP code as Healthsmart Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hudson Valley Care Coalition	NY	Case Management Agency	$0	$90.7M
Open Door Family Medical Center, Inc.	NY	Federally Qualified Health Center (FQHC)	$0	$35.5M
Hudson Pharmacy & Surgical Supplies Inc	NY	Community/Retail Pharmacy	$281.7K	$201.9K
Dean Cummins	NY	Ophthalmology Physician	$137.3K	$0
Charles Abate	NY	Pulmonary Disease Physician	$120.6K	$0

Healthsmart Inc — Billing Profile & Reimbursement Data

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Healthsmart Inc — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References