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.

Essen Medical Associates, PC (NPI 1366418709)

Field	Value
Entity Type	Organization
Organization	Essen Medical Associates, PC
Address	2015 Grand Concourse
City	Bronx
State	NY
ZIP	10453
Taxonomy	Legal Medicine
NPI Enumerated	February 26, 2006

Payer Source	Total Paid
Medicaid	$37.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

236 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…	110,650	$60	$6.1M
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…	71,110	$80	$5.6M
99442	N/A	53,160	$50	$2.8M
99443	N/A	24,750	$80	$2M
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	9,640	$130	$1.3M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	35,760	$30	$1.1M
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	1,280	$880	$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…	24,180	$40	$1.1M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	19,410	$50	$1M
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…	8,600	$120	$997.6K

Showing 1–10 of 236

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

Essen Medical Associates, PC — 18 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

236 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…	122	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…	386	2,200	1,010	$130	$892.2K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	8	70	260	$840	$463.1K
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.	398	610	310	$380	$397.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	113	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…	307	390	240	$450	$332.2K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	210	260	300	$170	$325.9K
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…	325	490	840	$90	$323.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	218	2,060	1,300	$60	$322.2K
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…	100	19,110	360	$70	$321K

Showing 1–10 of 236

Related Providers

Other providers that share a Tax Identification Number (TIN) with Essen Medical Associates, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Essen Medical Urgicare, PLLC	NY	Urgent Care Clinic/Center	$0	$41.9M
Ananth Shankar	NY	Nuclear Cardiology Physician	$358.3K	$5.3M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Anthony Andrews	PA	Ophthalmology Physician	$1.3M	$100
Muhammad Ahmad	NY	Pulmonary Disease Physician	$159.6K	$1M
Marcel Benoit	NY	Nephrology Physician	$670.4K	$392.8K
Thomas Brown	FL	Diagnostic Radiology Physician	$451.9K	$357.4K
Adam Deutsch	NY	Cardiovascular Disease Physician	$771.5K	$32K
Shivang Desai	PA	Pain Medicine (Anesthesiology) Physician	$29.7K	$671.7K
Huascar Perez Torres	NY	Internal Medicine Physician	$348K	$336K

Nearby Providers

Other providers in the same ZIP code as Essen Medical Associates, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T.c. Ny Homecare, LLC	NY	Home Health Agency	$0	$44M
Morris Heights Health Center, Inc.	NY	Federally Qualified Health Center (FQHC)	$0	$38.7M
Soodabeh Zolfaghari	NY	Internal Medicine Physician	$874.2K	$108.6K
Emine Cosar	NY	General Practice Physician	$424K	$198.5K
Jacques Sainvil	NY	Adult Health Nurse Practitioner	$242.5K	$260.8K
Timothy Childs	NY	Family Nurse Practitioner	$384K	$84.6K
John Fadel	NY	Gynecology Physician	$2.5K	$452K
Sandra Boateng-wilson	NY	Psychiatric/Mental Health Nurse Practitioner	$236.2K	$86.6K
Germaine Mpoyi	NY	Family Nurse Practitioner	$163.8K	$155.1K
Bladimir Quijano Rondan	NY	Infectious Disease Physician	$200.8K	$58.4K

Essen Medical Associates, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References