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.

Advantagecare Physicians PC (NPI 1336578772)

Advantagecare Physicians PC is a general practice physician provider located in New York, New York. This profile covers 0 Medicare and 190 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Advantagecare Physicians PC
Address	215 E 95th St
City	New York
State	NY
ZIP	10128
Taxonomy	General Practice Physician
NPI Enumerated	November 6, 2013

Payer Source	Total Paid
Medicaid	$60.4M
Medicare	$0

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

190 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	362,400	$60	$20.7M
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…	254,590	$70	$18.1M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	109,690	$30	$2.9M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	45,400	$50	$2.4M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	37,560	$60	$2.1M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	38,140	$60	$2.1M
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…	6,280	$190	$1.2M
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	16,060	$70	$1.1M
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	14,880	$70	$1.1M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	15,460	$50	$772.9K

Showing 1–10 of 190

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

Advantagecare Physicians PC — 19 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

190 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…	1,260	1,510	1,010	$110	$1.1M
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…	955	2,200	1,010	$130	$892.2K
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.	218	610	310	$380	$397.9K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	94	200	470	$150	$336.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	653	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…	208	390	240	$450	$332.2K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	217	490	840	$90	$323.6K
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…	18	19,110	360	$70	$321K
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.	224	430	680	$120	$299.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,131	2,430	1,310	$40	$257.8K

Showing 1–10 of 190

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Francesco Rotatori	NY	Cardiovascular Disease Physician	$210.2K	$8.3K
Abid Akram	NY	Podiatrist	$132.4K	$31.1K
Avneet Singh	NY	Cardiovascular Disease Physician	$86K	$13.3K
Anup Gheewala	NY	Surgery of the Hand (Plastic Surgery) Physician	$89.3K	$1.4K
Frank Acerra	NY	Pulmonary Disease Physician	$53.3K	$0
Mihaela Vladutiu	NY	Gastroenterology Physician	$51.9K	$0
Sunil Gopal	NY	Anesthesiology Physician	$22.7K	$50

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Jonathan Schiff	NY	Urology Physician	$556.2K	$780

Advantagecare Physicians PC — Billing Profile & Reimbursement Data

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Advantagecare Physicians PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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