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.

Oda Primary Health Care Network, Inc. (NPI 1184186496)

Oda Primary Health Care Network, Inc. is a federally qualified health center (fqhc) provider located in Brooklyn, New York. This profile covers 0 Medicare and 133 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	Oda Primary Health Care Network, Inc.
Address	74 Wallabout Street
City	Brooklyn
State	NY
ZIP	11249
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 4, 2019

Payer Source	Total Paid
Medicaid	$37M
Medicare	$0

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

133 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	338,140	$40	$13.5M
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	219,440	$30	$5.9M
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	116,280	$20	$2.4M
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,…	53,900	$40	$2.3M
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…	33,170	$50	$1.6M
99392	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…	43,280	$40	$1.5M
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…	22,440	$40	$987.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	28,190	$30	$930.2K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	22,130	$40	$862.9K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	8,150	$100	$839.8K

Showing 1–10 of 133

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

Oda Primary Health Care Network, Inc. — 20 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

133 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	670	750	1,800	$80	$785.8K
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…	21	19,110	360	$70	$321K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	60	430	680	$120	$299.9K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	27	120	700	$40	$203.2K
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…	158	16,550	220	$90	$186.8K
D2930	N/A	160	380	320	$150	$186.1K
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…	23	1,150	480	$70	$178K
99392	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…	8	1,420	490	$70	$176.8K
D2751	N/A	69	190	100	$510	$164.4K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	17	340	260	$100	$156.1K

Showing 1–10 of 133

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oda Primary Health Care Network, Inc.	NY	Primary Care Clinic/Center	$0	$83.1M
Simon Fensterszaub	RI	Family Medicine Physician	$14.8M	$230.6K
Edward Bennett	NY	Internal Medicine Physician	$152.7K	$6.7M
Chaim Moeller	NY	Clinical Cardiac Electrophysiology Physician	$158.9K	$265.3K
Jeffrey Aronoff	NY	Colon & Rectal Surgery Physician	$99.4K	$0
Mariya Rozenfeld	NY	Obstetrics Physician	$63.3K	$14.8K
Joel Arbisser	NY	Ophthalmology Physician	$61.9K	$0
George Opio	NY	Pediatrics Physician	$52.5K	$960
Jason Zimmerman	NY	Emergency Medicine Physician	$39.5K	$890

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hda Cdpas LLC	NY	Case Management Agency	$0	$66.8M
Excellent Home Care Services, LLC	NY	Home Health Agency	$0	$31.3M
Siblings Home Care Services LLC	NY	Home Health Agency	$0	$30.6M
Valera Medical, P.C.	NY	Psychiatry Physician	$0	$20.7M
Ryan Whitney	NY	General Practice Physician	$3.3M	$491.8K
Daniel Culliford	NY	Psychiatry Physician	$633.4K	$280.6K

Oda Primary Health Care Network, Inc. — Billing Profile & Reimbursement Data

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Oda Primary Health Care Network, Inc. — 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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