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.

Episcopal Health Services Inc (NPI 1346274537)

Field	Value
Entity Type	Organization
Organization	Episcopal Health Services Inc
Address	327 Beach 19th St
City	Far Rockaway
State	NY
ZIP	11691
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$46.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

286 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	30,650	$230	$7M
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…	41,060	$160	$6.6M
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…	30,980	$180	$5.5M
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.	16,910	$210	$3.5M
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.	12,990	$240	$3.1M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	114,110	$30	$2.9M
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…	9,530	$170	$1.6M
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.	6,980	$190	$1.3M
G0378	Hospital observation service, per hour	1,470	$730	$1.1M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	47,940	$20	$767K

Showing 1–10 of 286

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

Episcopal Health Services Inc — 4 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

286 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	62	130	1,270	$560	$1.2M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	69	210	2,850	$180	$1.1M
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…	92	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	59	180	3,200	$90	$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…	747	2,200	1,010	$130	$892.2K
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	26	30	570	$900	$820.7K
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.	78	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.	41	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.	130	2,210	80	$130	$473K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	247	350	350	$210	$393.4K

Showing 1–10 of 286

Nearby Providers

Other providers in the same ZIP code as Episcopal Health Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rockaway Home Attendant Services, Inc.	NY	Home Health Agency	$0	$86.2M
Foundation For The Elderly	NY	In Home Supportive Care Agency	$0	$63.1M
Vip Homecare Inc	NY	Home Health Agency	$0	$60.2M
Ameristar Home Care Services, LLC.	NY	Home Health Agency	$0	$32.7M
Nosheen Khan	NY	Podiatrist	$7.7M	$0
Daniel Buff	NY	Internal Medicine Physician	$748.9K	$519K
Olusegun Ogunfowora	NY	Internal Medicine Physician	$891.7K	$251.4K
Dmitriy Elkin	NY	Internal Medicine Physician	$671.9K	$448.4K
Igor Talis	NY	Family Medicine Physician	$341.2K	$221.3K
Maya Rankova	NY	Internal Medicine Physician	$435.7K	$20.6K

Episcopal Health Services Inc — Billing Profile & Reimbursement Data

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Episcopal Health Services Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References