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.

Roy Berryhill (NPI 1174663652)

Field	Value
Entity Type	Individual
Organization	Roy Berryhill
Address	525 E 68th St
City	New York
State	NY
ZIP	10021
Taxonomy	Physician Assistant
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicare	$7.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
55866	The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…	30	$150	$4.9K
51990	In this procedure, the provider surgically suspends the urethra by placing several sutures and stitching with the urethra to surrounding tissue. He performs this procedure with a laparoscope, a thin…	30	$50	$1.5K
38571	The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased…	30	$40	$1.2K
49321	In this procedure, the provider examines the inside of the abdomen through a laparoscope, a tubular instrument with a light source and camera, to look for the cause of abdominal or pelvic symptoms.…	30	$1	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Roy Berryhill — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
55866	7	40	20	$810	$17.8K
51990	2	10	30	$260	$8.5K
38571	7	30	20	$300	$5.6K
49321	3	10	30	$120	$4.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Roy Berryhill, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexis Te	NY	Specialist	$613.9K	$0
Mantu Gupta	NY	Specialist	$506.1K	$5.4K
Steven Kaplan	NY	Urology Physician	$506.1K	$20
Aaron Grotas	NY	Urology Physician	$393.7K	$78.5K
Michael Chung	VA	Diagnostic Radiology Physician	$282K	$31.2K
Ashutosh Tewari	NY	Urology Physician	$272.4K	$0
Adam Bernheim	NY	Diagnostic Radiology Physician	$196.5K	$25.9K
Adam Jacobi	NY	Diagnostic Radiology Physician	$187.8K	$23.5K
Ketan Badani	NY	Urology Physician	$190.8K	$2K
Michael Gorin	NY	Urology Physician	$185.8K	$0

Roy Berryhill — Billing Profile & Reimbursement Data

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Roy Berryhill — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References