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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

New York University (NPI 1285826438)

Key Findings

Field	Value
Entity Type	Organization
Organization	New York University
Address	3301 Quantum Blvd
City	Boynton Beach
State	FL
ZIP	33426
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	August 13, 2007

Payer Source	Total Paid
Medicaid	$162.4M
Medicare	$0

This provider is effectively single-payer in the Medicare/Medicaid mix: there is no Medicare billing on file while Medicaid revenue totals $162.4M, so all reported public-fee revenue for this NPI is concentrated in Medicaid rather than Medicare. That asymmetry makes Medicaid reimbursement and policy changes the primary driver of this entity’s public revenue profile.

Revenue concentration is high and driven by office/outpatient E/M services: the precomputed top three Medicaid codes account for 55.5% of total Medicaid revenue, with 99214 generating $31.9M (27.3%), 99213 generating $24.6M (21.0%), and 99204 generating $8.5M (7.3%). This shows that more than half of the provider’s Medicaid dollars flow from a small set of evaluation-and-management visit codes.

The code mix for the top revenue drivers indicates a large ambulatory evaluation-and-management operation anchored in both established and new patient visits: 99214 and 99213 (established-patient E/M) are the highest revenue contributors and 99204 (new-patient E/M) is also a top driver. Combined with the provider taxonomy of Cardiovascular Disease Physician, this pattern is consistent with a high-volume outpatient clinic or multisite practice that manages longitudinal cardiology care and new referrals.

Beyond primary E/M services, the provider reports substantial diagnostic and ancillary revenue lines, suggesting integrated or high-referral imaging and pathology activity: 93306 (echocardiography) appears with $3.9M and ranks #1 of 681 in-state (100th percentile; extreme outlier), 88305 (surgical pathology) also reports $3.9M (ranks #5 of 444, 99th percentile; extreme outlier), and imaging codes such as 77067 ($2.4M, ranks #4 of 286, 99th percentile) and 70553 ($1.9M, ranks #3 of 99, 98th percentile) are material contributors. These ancillary items point to significant diagnostic throughput alongside the E/M volume.

The provider’s billing footprint includes emergency and inpatient E/M and critical care codes, indicating activity in acute-care settings in addition to outpatient clinics: 99284 ($5.8M, ranks #48 of 739, 94th percentile; typical), 99283 ($3.6M, ranks #54 of 701, 92nd percentile; typical), 99232 ($2.7M, ranks #56 of 1976, 97th percentile; notably above typical), and 99291 ($1.6M, ranks #26 of 404, 94th percentile; typical). While some of these hospital/ED codes are described as “typical, unremarkable” volume for the state, their presence demonstrates involvement in emergency and inpatient care pathways.

Competitive standing within Florida is dominant for the provider’s highest-volume E/M codes: 99214 ranks #2 of 6379 providers in-state (100th percentile; extreme outlier), 99213 ranks #2 of 5934 (100th percentile; extreme outlier), and 99204 ranks #1 of 1853 (100th percentile; extreme outlier). Multiple other codes (e.g., 93306 at #1 of 681 and 76700 at #1 of 175, both 100th percentile; extreme outlier) reinforce that this NPI is a major statewide volume leader in several service lines rather than a modest participant.

Concentration of high-volume codes at extreme percentile ranks raises operational implications: because a large share of Medicaid revenue comes from a few visit codes and the practice ranks as an extreme outlier for many of them, payer negotiations, capacity planning, and documentation workflows tied to office visits and cardiac imaging will be disproportionately important to financial performance. Any changes in visit-level reimbursement or utilization management for those specific codes could materially affect Medicaid revenue for this provider.

The NPI has long tenure in the public registry (enumerated 2007-08-13, ~19 years ago), which aligns with the scale of reported Medicaid activity and the high statewide ranks. Sustained presence over nearly two decades makes it plausible that the practice has an established referral network and operational infrastructure capable of supporting the high volumes observed across outpatient E/M, diagnostic imaging, pathology, and selected inpatient/ED services.

Medicaid: Complete Services Breakdown

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

438 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	277,770	$120	$31.9M
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…	299,440	$80	$24.6M
99204	The provider sees a new 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 provider…	52,780	$160	$8.5M
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.	46,360	$130	$5.8M
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…	45,950	$110	$5M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	29,410	$130	$3.9M
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…	35,380	$110	$3.9M
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.	48,910	$70	$3.6M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	24,740	$120	$2.9M
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…	31,970	$80	$2.7M

Showing 1–10 of 438

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

Claims Volume vs. Florida Distribution

New York University — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

438 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	25	30	2,120	$320	$2.3M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	21	30	2,220	$350	$1.3M
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	700	2,400	$80	$1.2M
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.	48	740	2,180	$70	$1.1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	30	40	830	$100	$785.9K
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.	177	660	1,900	$70	$743.6K
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.	29	320	1,970	$90	$463.1K
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…	2	10	140	$1,600	$386.7K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	53	80	230	$400	$331.4K
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…	2,216	2,250	1,250	$50	$324.4K

Showing 1–10 of 438

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New York University	NY	Dental Clinic/Center	$0	$42.4M
Marian David	NY	Cardiovascular Disease Physician	$348.5K	$8.3M
New York University	FL	Anesthesiology Physician	$0	$7.4M
Ankur Shah	NY	Interventional Cardiology Physician	$772K	$3.6M
Kenneth Wald	NY	Ophthalmology Physician	$1.5M	$824.9K
Paul Guerriero	NY	Retina Specialist (Ophthalmology) Physician	$2M	$7K
Shane Meehan	NY	Dermatopathology (Pathology) Physician	$1.9M	$4.1K
Mark Gudesblatt	NY	Neurology Physician	$1.6M	$270K
Michael Levine	NY	Cardiovascular Disease Physician	$1.7M	$121.7K
Yasha Modi	OH	Ophthalmology Physician	$1.4M	$279.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vitas Healthcare Corporation Of Florida	FL	Community Based Hospice Care Agency	$0	$47.1M
Maxim Healthcare Services, Inc.	FL	Home Health Agency	$0	$17.4M
Randy Katz	FL	Ophthalmology Physician	$5.1M	$0
Thomas Niederman	FL	Specialist	$3.8M	$0
Boynton Beach Asc, LLC	FL	Ambulatory Surgical Clinic/Center	$1M	$0
Barry Schechter	FL	Ophthalmology Physician	$818.2K	$0
Michael Hart	FL	Physical Therapist	$459.7K	$0
Sunket Ahkee	FL	Infectious Disease Physician	$418.2K	$0
Maged Habib	FL	Specialist	$368.8K	$0
Steven Nadel	FL	Dentist	$310.7K	$0

New York University — 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