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.

Mount Sinai Hospital (NPI 1245248939)

Field	Value
Entity Type	Organization
Organization	Mount Sinai Hospital
Address	2510 30th Ave
City	Long Island City
State	NY
ZIP	11102
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicaid	$91.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

631 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	134,030	$120	$15.8M
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.	54,300	$150	$8.3M
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.	38,230	$150	$5.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	32,670	$140	$4.5M
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	1,580	$2,710	$4.3M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	17,380	$160	$2.7M
G0378	Hospital observation service, per hour	2,340	$1,020	$2.4M
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.	9,950	$220	$2.2M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	8,780	$210	$1.9M
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…	34,730	$50	$1.8M

Showing 1–10 of 631

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

Mount Sinai Hospital — 10 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

631 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7170	Injection, emicizumab-kxwh, 0.5 mg	4	10	100	$24,640	$10.7M
J3380	Injection, vedolizumab, intravenous, 1 mg	7	20	120	$5,050	$1.9M
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	12	20	140	$2,120	$1.4M
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	2	10	120	$2,560	$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…	16	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	43	130	1,270	$560	$1.2M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	17	210	2,850	$180	$1.1M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	400	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	180	3,200	$90	$1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	368	2,200	1,010	$130	$892.2K

Showing 1–10 of 631

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mount Sinai Hospital	NY	General Acute Care Hospital	$0	$278.8M
Steven Tillem	NY	Urology Physician	$572.4K	$830
Daniel Acevedo	VA	Physician Assistant	$343.7K	$0
Randye Bernot	NY	Emergency Medicine Physician	$118.4K	$27.1K
Libo Qiu	NY	Anatomic Pathology & Clinical Pathology Physician	$87.5K	$1.4K
Vinayak Wagaskar	NY	Urology Physician	$78.8K	$3.7K
Andrew Rizzo	NJ	Emergency Medicine Physician	$50.7K	$29K
Wayne Axman	NY	Foot Surgery Podiatrist	$17.3K	$57.9K
Mandip Dhamoon	NY	Neurology Physician	$73.6K	$0

Nearby Providers

Other providers in the same ZIP code as Mount Sinai Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meadows Home Care LLC	NY	Home Health Agency	$0	$129.5M
Blossom Home Care LLC	NY	Home Health Agency	$0	$62.2M
Yakov Perper	NY	Pain Medicine Physician	$323.1K	$625.9K
Peter Condax	NY	Ophthalmology Physician	$269.2K	$465.6K
Jeremy Macaraig	NY	Physical Therapist	$510.4K	$0
John Phair	NY	Vascular Surgery Physician	$172.4K	$22K
Reza Samad	NY	Neurocritical Care Physician	$136.3K	$11.6K
Panagiota Christia	NY	Cardiovascular Disease Physician	$97.6K	$5.3K
Nikhil Waingankar	NY	Urology Physician	$79K	$22.5K
Stella Rubina	NY	Hospice and Palliative Medicine (Family Medicine) Physician	$81.2K	$550

Mount Sinai Hospital — Billing Profile & Reimbursement Data

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Mount Sinai Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References