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.

Bethpage Medical, PLLC (NPI 1205074739)

Bethpage Medical, PLLC is a obstetrics & gynecology physician provider located in Garden City, New York. This profile covers 0 Medicare and 124 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	Bethpage Medical, PLLC
Address	200 Garden City Plz
City	Garden City
State	NY
ZIP	11530
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	January 21, 2009

Payer Source	Total Paid
Medicaid	$32M
Medicare	$0

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

124 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…	55,520	$70	$4.1M
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	42,180	$80	$3.5M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	30,480	$90	$2.8M
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	33,560	$70	$2.5M
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,…	37,910	$50	$1.9M
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	17,340	$90	$1.6M
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	39,140	$40	$1.4M
58558	The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…	990	$1,230	$1.2M
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	14,990	$80	$1.2M
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	25,020	$40	$1.1M

Showing 1–10 of 124

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

Bethpage Medical, PLLC — 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

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	17	40	70	$3,040	$1.5M
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…	156	340	1,090	$70	$1.4M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	97	100	1,490	$70	$1.3M
59840	In this procedure, the provider deliberately terminates a pregnancy for elective or therapeutic reasons. He removes the fetus and products of conception by dilating the cervix and then using a…	19	30	370	$510	$1.2M
U0005	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, cdc or non-cdc,…	160	300	1,710	$20	$458.6K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	346	490	840	$90	$323.6K
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…	247	19,110	360	$70	$321K
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.	283	590	1,160	$20	$277.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	287	640	1,080	$60	$251.5K
58558	The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…	3	60	70	$1,220	$244.7K

Showing 1–10 of 124

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teresita Santiago-escalera	NY	Obstetrics & Gynecology Physician	$35.3K	$1M
Ruchir Gupta	AZ	Pain Medicine (Anesthesiology) Physician	$610.7K	$0
Katia Kaplan-list	FL	Diagnostic Radiology Physician	$502.3K	$64K
Gopika Nandini Are	NY	Obstetrics & Gynecology Physician	$117.2K	$298.8K
Boris Petrikovsky	NY	Maternal & Fetal Medicine Physician	$14.8K	$48.1K
Frankie Batiste	NY	Physician Assistant	$14.8K	$0
Christopher Wise	NY	Anesthesiology Physician	$13.6K	$0
Cynthia Gregorio	FL	Anesthesiology Physician	$9.5K	$3.5K
Tessy Thomas	NY	Adult Health Nurse Practitioner	$12.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regioncare Inc.	NY	Home Health Agency	$0	$96.6M
Sco Family Of Services	NY	Foster Care Agency	$0	$27.1M
Ann Anderson	NY	Clinical Pathology/Laboratory Medicine Physician	$5.2M	$0
Endo Group, LLC	NY	Ambulatory Surgical Clinic/Center	$3.7M	$1.4M
Endoscopy Center Of Long Island LLC	NY	Ambulatory Surgical Clinic/Center	$1.2M	$1.5M
Mark Fleckner	NY	Retina Specialist (Ophthalmology) Physician	$1.9M	$172.3K
Robin Ehrenpreis	NY	Diagnostic Radiology Physician	$1.6M	$0
Paul Lang	NY	Nuclear Radiology Physician	$1.3M	$70.2K
Richard Jacaruso	NY	Cardiovascular Disease Physician	$1.1M	$0
Carina Rizzo	NY	Dermatology Physician	$1.1M	$0

Bethpage Medical, PLLC — 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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