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.

Long Island Jewish Medical Center (NPI 1285641514)

Field	Value
Entity Type	Organization
Organization	Long Island Jewish Medical Center
Address	270-05 76 Ave
City	New Hyde Park
State	NY
ZIP	11040
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicaid	$370.9M
Medicare	$0

Key Findings

LONG ISLAND JEWISH MEDICAL CENTER reports no Medicare billing on file and $370.9M in lifetime Medicaid revenue, making its public claims footprint effectively single‑payer (Medicaid) based on the available data. Analysts should treat Medicaid claims as the primary driver of volume and revenue when modeling this facility’s payer exposure.

Revenue for Medicaid is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 34.2% of this provider's total Medicaid revenue. Those top three are J9271 ($30.2M, 12.7%), J7170 ($26.5M, 11.2%), and 99283 ($24.6M, 10.3%), indicating a small set of high‑value services dominate a large share of Medicaid receipts.

The code mix indicates a strong oncology/infusion service line: high‑value oncology drugs appear among the top revenue drivers (J9271 – pembrolizumab $30.2M; J7170 – emicizumab $26.5M; J1745 – infliximab $18.1M), supported by chemotherapy administration code 96413 ($4.4M) and infusion‑related procedures such as 36430 ($4.6M). This constellation of biologics, chemotherapy administration, and transfusion activity (P9040 $3.0M) is consistent with a large hospital‑based infusion/oncology program.

Emergency care is a major volume and revenue driver for Medicaid at this hospital: multiple ED E/M codes are extreme outliers in-state, including 99283 ($24.6M, ranks #10 of 1423, 99th percentile), 99284 ($23.3M, ranks #8 of 2210, 100th percentile), 99285 ($8.3M, 99th percentile) and 99282 ($7.4M, 98th percentile). The very high claim counts for these codes point to substantial emergency department throughput and associated observation/acute care utilization.

Behavioral health and outpatient clinic services comprise a meaningful secondary service line: psychotherapy codes 90834 ($10.9M) and 90832 ($8.6M), plus substance‑use codes H0005 ($6.3M) and H0020 ($3.1M), show notable volumes and above‑typical state standing for several behavioral‑health services. Combined with high primary care/outpatient office E/M volume (99214 $17.4M; 99213 $9.9M), the data suggest broad outpatient, psychiatric, and addiction treatment capacity alongside acute services.

The provider occupies a dominant statewide competitive position for several specialized services: J7170 ranks #1 of 5 providers in-state (100th percentile) and P9040 ranks #1 of 18 providers in-state (100th percentile), while multiple ED and diagnostic codes sit at the 98th–100th percentiles. These ranks indicate the hospital is a major Medicaid provider in New York for high‑cost infusible therapies, transfusion products, and emergency/acute diagnostic throughput.

High diagnostic, observation, and lab throughput supports the acute care profile: G0378 (hospital observation service $4.0M, 95th percentile), CT imaging codes 74177 ($3.8M, 99th percentile) and 70450 ($3.1M, 98th percentile), and lab panel 80053 ($2.9M, 98th percentile) all register substantial revenue and above‑typical state volume. Together these codes are consistent with sustained inpatient/observation stays and heavy diagnostic utilization tied to ED and oncology caseloads.

The provider has an established tenure in national enrollment, with NPI enumeration on 2006-08-01 (~20 years ago), and is classified as a General Acute Care Hospital; this long registration combined with the Medicaid‑weighted revenue profile suggests an institution with enduring local market presence that operates large acute, oncology/infusion, and behavioral health service lines within New York’s Medicaid population.

Medicaid: Complete Services Breakdown

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

745 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	2,180	$13,810	$30.2M
J7170	Injection, emicizumab-kxwh, 0.5 mg	1,070	$24,740	$26.5M
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.	114,880	$210	$24.6M
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.	117,670	$200	$23.3M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	2,340	$7,760	$18.1M
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…	125,220	$140	$17.4M
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…	62,860	$170	$10.9M
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…	73,910	$130	$9.9M
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…	61,620	$140	$8.6M
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.	42,590	$200	$8.3M

Showing 1–10 of 745

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

Long Island Jewish Medical Center — 16 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

745 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7170	Injection, emicizumab-kxwh, 0.5 mg	1	10	100	$24,640	$10.7M
J9271	Injection, pembrolizumab, 1 mg	3	20	750	$8,890	$8.1M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	33	90	5,000	$210	$4.5M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	58	120	61,480	$30	$4.4M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	4	20	730	$2,870	$3.5M
J9299	Injection, nivolumab, 1 mg	3	10	360	$6,430	$3M
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	6	10	300	$4,540	$2.5M
H2018	Psychosocial rehabilitation services, per diem	69	90	720	$1,900	$2.4M
S5102	Day care services, adult; per diem	347	360	11,920	$90	$2.4M
J3380	Injection, vedolizumab, intravenous, 1 mg	8	20	120	$5,050	$1.9M

Showing 1–10 of 745

Related Providers

Other providers that share a Tax Identification Number (TIN) with Long Island Jewish Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ann Anderson	NY	Clinical Pathology/Laboratory Medicine Physician	$5.2M	$0
Barry Kaplan	NY	Cardiovascular Disease Physician	$406.5K	$10.4K
Adarsh Gupta	NY	Psychiatry Physician	$374.6K	$0
Craig Warshall	NY	Neuroradiology Physician	$277.6K	$81.9K
Robert Villani	RI	Diagnostic Radiology Physician	$212.9K	$52.4K
Karen Black	NY	Neuroradiology Physician	$216.8K	$42.5K
Eran Ben-levi	NY	Diagnostic Radiology Physician	$223.8K	$16.5K
Elizabeth Lustrin	NY	Diagnostic Radiology Physician	$230.8K	$4.6K
Adam Evans	NY	Diagnostic Radiology Physician	$184.3K	$33.5K
Barbara Podwall	NY	Diagnostic Radiology Physician	$183.4K	$28.6K

Nearby Providers

Other providers in the same ZIP code as Long Island Jewish Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Truetox Laboratories LLC	NY	Clinical Medical Laboratory	$647.5K	$56.4M
Advanced Dermatology PC	NY	Dermatology Physician	$0	$43.9M
United Seating And Mobility LLC	NY	Durable Medical Equipment & Medical Supplies	$0	$21M
Allen Rothpearl	NY	Diagnostic Radiology Physician	$433.2K	$12.2M
United Sleep Diagnostics Inc	NY	Sleep Disorder Diagnostic Clinic/Center	$828.3K	$4.4M
Edward Rutkovsky	NY	Internal Medicine Physician	$2.1M	$10.3K
Nimish Dharia	NY	Cardiovascular Disease Physician	$1.4M	$37.4K
Vincent Macaluso	NY	Neurology Physician	$1.3M	$0
Sajid Khan	NY	Internal Medicine Physician	$623K	$373.8K
Sarat Bhumi	NY	Cardiovascular Disease Physician	$569K	$367.9K

Long Island Jewish Medical Center — Billing Profile & Reimbursement Data

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Long Island Jewish Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References