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.

North Shore University Hospital (NPI 1366459570)

Field	Value
Entity Type	Organization
Organization	North Shore University Hospital
Address	300 Community Drive
City	Manhasset
State	NY
ZIP	11030
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicaid	$87.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

428 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	33,080	$130	$4.3M
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.	23,120	$170	$3.9M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	36,570	$110	$3.8M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	12,380	$280	$3.4M
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…	21,070	$140	$3M
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…	21,980	$120	$2.7M
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	5,080	$520	$2.6M
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.	13,670	$190	$2.6M
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.	12,890	$170	$2.2M
C1889	Implantable/insertable device, not otherwise classified	20,940	$100	$2.1M

Showing 1–10 of 428

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

North Shore University Hospital — 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

428 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	40	90	2,220	$120	$1.7M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	16	420	950	$170	$1.6M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	69	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	43	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.	106	210	2,850	$180	$1.1M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	8	310	830	$200	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	110	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…	1,511	2,200	1,010	$130	$892.2K
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.	151	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.	135	450	370	$170	$674.1K

Showing 1–10 of 428

Nearby Providers

Other providers in the same ZIP code as North Shore University Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dimitri Kessaris	NY	Urology Physician	$275.7K	$2.8M
Michael Ohebshalom	NY	Urology Physician	$1M	$1.1M
John Yuan	NY	Vascular Surgery Physician	$521.6K	$901.2K
Tiffany Randazzo	NY	Gerontology Nurse Practitioner	$135.9K	$833.8K
Anna Imperato	NY	Internal Medicine Physician	$951.5K	$0
Alexander Heisman	NY	Psychiatry Physician	$703.2K	$72.4K
Sarah Girardi	NY	Urology Physician	$744.2K	$1
Omid Javdan	NY	Cardiovascular Disease Physician	$566.6K	$110.5K
Gary Goldberg	NY	Urology Physician	$652K	$0
Barbara Hirsch	NY	Endocrinology, Diabetes & Metabolism Physician	$643.8K	$0

North Shore University Hospital — Billing Profile & Reimbursement Data

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North Shore University Hospital — 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