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.

Bronxcare Health System (NPI 1245390855)

Field	Value
Entity Type	Organization
Organization	Bronxcare Health System
Address	1650 Grand Concourse
City	Bronx
State	NY
ZIP	10457
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicaid	$62.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

138 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	107,530	$110	$11.7M
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.	55,610	$150	$8.6M
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…	117,140	$60	$7.5M
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…	161,010	$40	$6.9M
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…	115,490	$50	$6.2M
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.	93,180	$60	$5.7M
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	21,580	$60	$1.3M
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…	11,910	$110	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	7,420	$170	$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…	14,810	$70	$962.9K

Showing 1–10 of 138

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

Bronxcare Health System — 21 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

138 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,020	1,510	1,010	$110	$1.1M
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.	15	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.	209	450	370	$170	$674.1K
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.	11	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.	60	610	310	$380	$397.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,192	1,320	140	$260	$334K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	26	390	240	$450	$332.2K
99281	The provider sees a patient for the lowest level emergency department visit.	7	220	350	$170	$321.3K
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…	61	19,110	360	$70	$321K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	240	270	360	$110	$319.1K

Showing 1–10 of 138

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bronxcare Health System	NY	General Acute Care Hospital	$0	$348.5M
Bronxcare Dr. Martin Luther King Jr. Health Center	NY	Federally Qualified Health Center (FQHC)	$0	$60.5M
Mahmood Kazmi	NY	Psychiatry Physician	$540.6K	$760.6K
Fanyi Kong	NY	Anatomic Pathology & Clinical Pathology Physician	$577.7K	$6.8K
Jayanthi Loganathan	NY	Cardiovascular Disease Physician	$301.8K	$21.6K
Misbahuddin Khaja	NY	Pulmonary Disease Physician	$69.3K	$179.3K
Sindhaghatta Venkatram	NY	Pulmonary Disease Physician	$49.4K	$108K
Dmitry Lvovsky	NY	Pulmonary Disease Physician	$42.4K	$112K
Simeon Lauer	NY	Ophthalmology Physician	$103.2K	$26.7K
Alan Miller	RI	Physician Assistant	$83K	$0

Nearby Providers

Other providers in the same ZIP code as Bronxcare Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Barnabas Hospital	NY	General Acute Care Hospital	$149.3K	$163.4M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc	NY	Substance Use Disorder Rehabilitation Clinic/Center	$439.8K	$64.2M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc	NY	Methadone Clinic	$0	$38.1M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc	NY	Substance Abuse Rehabilitation Facility	$201.9K	$36.3M
Sbh Physicians, PC	NY	Internal Medicine Physician	$0	$31.5M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc	NY	Substance Use Disorder Rehabilitation Clinic/Center	$457.1K	$23.5M
Joshua Rubinstein	NY	Specialist	$438.6K	$71K
Harvey Stern	NY	Diagnostic Radiology Physician	$260.6K	$80.3K
Shahin Gharib	NY	Emergency Medicine Physician	$291.6K	$7.5K
Juan Acosta	NY	Emergency Medicine Physician	$201.4K	$16.3K

Bronxcare Health System — Billing Profile & Reimbursement Data

Sign up for Bronxcare Health System — Billing Profile & Reimbursement Data policy alerts

Bronxcare Health System — Billing Profile & Reimbursement Data

Sign up for Bronxcare Health System — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References