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.

Monica Mcnicholas (NPI 1275193922)

Field	Value
Entity Type	Individual
Organization	Monica Mcnicholas
Address	1844 2nd Ave
City	New York
State	NY
ZIP	10128
Taxonomy	Speech-Language Pathologist
NPI Enumerated	June 15, 2019

Payer Source	Total Paid
Medicare	$115.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	580	$80	$43.1K
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…	450	$60	$26.1K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	1,240	$20	$23.5K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	520	$20	$10.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	40	$210	$7.6K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	30	$80	$2.4K
92524	The provider, typically a speech language pathologist, evaluates a patient for the quality of voice, nasality, and vocal behavior of the patient.	30	$80	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Monica Mcnicholas — 0 of 7 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. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	86	220	330	$60	$29.2K
92526	13	100	180	$80	$21.6K
97130	10	40	740	$20	$20.6K
97129	14	60	270	$20	$7.1K
92523	25	90	20	$190	$6.6K
92524	29	50	30	$90	$3.8K
92610	43	110	30	$70	$2.9K

Nearby Providers

Other providers in the same ZIP code as Monica Mcnicholas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advantagecare Physicians PC	NY	General Practice Physician	$0	$60.4M
Robert Gelfand	NY	Hematology & Oncology Physician	$4.2M	$0
Carnegie Hill Institute, Inc.	NY	Methadone Clinic	$49.1K	$3.7M
Yorkville Endoscopy, LLC	NY	Ambulatory Surgical Clinic/Center	$1.6M	$1M
Rachel Kramer	NY	Hematology & Oncology Physician	$2.1M	$0
Vicken Pamoukian	NY	Vascular Surgery Physician	$1.7M	$860
George Young	NY	Urology Physician	$128.7K	$818.3K
Carnegie Hill Of New York, Inc	NY	Methadone Clinic	$52.9K	$815.9K
Zaher Hamadeh	NY	Internal Medicine Physician	$624.2K	$164.5K
Newsha Ghodsi	NY	Cardiovascular Disease Physician	$666K	$2.9K

Monica Mcnicholas — Billing Profile & Reimbursement Data

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Monica Mcnicholas — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References