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.

Tjh Medical Services, P.C. (NPI 1184670465)

Tjh Medical Services, P.C. is a internal medicine physician provider located in Jamaica, New York. This profile covers 0 Medicare and 159 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	Tjh Medical Services, P.C.
Address	8906 135th St
City	Jamaica
State	NY
ZIP	11418
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$30M
Medicare	$0

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

159 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…	79,440	$70	$5.7M
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…	27,810	$110	$2.9M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	31,780	$70	$2.2M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	23,020	$60	$1.3M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	16,100	$80	$1.3M
99203	The provider sees a new 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 provider…	9,940	$110	$1.1M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	129,700	$10	$1M
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	8,720	$110	$993.9K
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,…	20,570	$40	$864.1K
99204	The provider sees a new 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 provider…	5,190	$150	$789.5K

Showing 1–10 of 159

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

Tjh Medical Services, P.C. — 19 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

159 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	301	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.	218	450	370	$170	$674.1K
36478	In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code…	18	50	180	$1,040	$575K
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.	2,022	2,210	80	$130	$473K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	301	610	310	$380	$397.9K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	175	200	470	$150	$336.9K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	199	260	300	$170	$325.9K
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…	162	19,110	360	$70	$321K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	15	150	230	$260	$312.4K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	69	90	190	$150	$260.8K

Showing 1–10 of 159

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Jonathan Feistmann	NY	Ophthalmology Physician	$2.7M	$3.1M
Daniel Novick	NY	Vascular & Interventional Radiology Physician	$3M	$658.6K
Amit Khaneja	NY	Clinical Neurophysiology Physician	$1.3M	$301K
Anuraag Sahai	NY	Diagnostic Radiology Physician	$714.4K	$531.7K
Mujibur Majumder	NY	Pulmonary Disease Physician	$151.6K	$555.7K
Sherwin Batoon	NY	Geriatric Medicine (Internal Medicine) Physician	$103.9K	$497.1K
Arash Gohari	NY	Vascular & Interventional Radiology Physician	$301.5K	$33.1K
Riccardo Ricciardi	NY	Urology Physician	$199K	$40.9K
Brendan Miner	MN	Diagnostic Radiology Physician	$225.6K	$11.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samaritan Daytop Village, Inc.	NY	Substance Abuse Rehabilitation Facility	$0	$191.8M
Jamaica Hospital	NY	General Acute Care Hospital	$0	$178.3M
Jamaica Hospital	NY	Emergency Medical Services (Emergency Medicine) Physician	$0	$37.9M
Vip Health Care Services Inc.	NY	Home Health Agency	$0	$31.9M
Jamaica Hospital	NY	General Acute Care Hospital	$0	$27.8M
Outreach Development Corporation	NY	Addiction (Substance Use Disorder) Counselor	$0	$21.1M
Tracy Marmer	NY	Physician Assistant	$579.6K	$0
David Schechter	NY	Cardiovascular Disease Physician	$258.7K	$117.6K
Merita Bania	NY	Diagnostic Radiology Physician	$51.2K	$246.8K
Mark Herskovits	NY	Diagnostic Radiology Physician	$93.3K	$38.9K

Tjh Medical Services, P.C. — Billing Profile & Reimbursement Data

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Tjh Medical Services, P.C. — 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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