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.

Ent And Allergy Associates LLP (NPI 1376598326)

Ent And Allergy Associates LLP is a otolaryngology physician provider located in Tarrytown, New York. This profile covers 0 Medicare and 55 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	Ent And Allergy Associates LLP
Address	660 White Plains Rd Ste 400
City	Tarrytown
State	NY
ZIP	10591
Taxonomy	Otolaryngology Physician
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$117.8M
Medicare	$0

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

55 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	119,870	$230	$27M
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…	144,860	$130	$18.5M
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.	32,010	$520	$16.6M
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	54,100	$290	$15.7M
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…	146,540	$100	$14.1M
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…	47,750	$140	$6.5M
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…	29,910	$190	$5.6M
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	184,390	$10	$2.6M
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	64,490	$40	$2.4M
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	15,070	$140	$2.2M

Showing 1–10 of 55

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

Ent And Allergy Associates LLP — 16 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

55 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	27	60	90	$1,190	$359.7K
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.	2	200	470	$150	$336.9K
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.	1	260	300	$170	$325.9K
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…	69	19,110	360	$70	$321K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	14	80	80	$1,020	$306.3K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	72	150	110	$520	$248.5K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	20	20	80	$1,260	$204.6K
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…	109	16,550	220	$90	$186.8K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	26	30	220	$540	$174K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	918	5,420	210	$70	$154.3K

Showing 1–10 of 55

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cameron Budenz	NY	Otology & Neurotology Physician	$110.7K	$11.3M
Michael Singer	NY	Diagnostic Radiology Physician	$1.2M	$0
Leslie Miller	NY	Diagnostic Radiology Physician	$533.7K	$9.5K
Mayer Adler	NY	Otolaryngology Physician	$501.5K	$8.1K
Dan Moskowitz	NY	Facial Plastic Surgery Physician	$440.3K	$0
Deya Jourdy	NY	Otolaryngology Physician	$402.6K	$2.2K
Craig Zalvan	NY	Otolaryngology Physician	$401.4K	$750
Kevin Braat	NY	Otolaryngology Physician	$388.5K	$0
Edward Rhee	NY	Otolaryngology Physician	$359.8K	$0
Michael Bergstein	NY	Facial Plastic Surgery Physician	$349.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Home Health Care Inc	NY	Home Health Agency	$0	$58.5M
Phelps Memorial Hospital Association	NY	General Acute Care Hospital	$0	$20.2M
Bridge Dermatopathology Services PLLC	NY	Clinical Medical Laboratory	$4.3M	$762.7K
Brian Gruber	NY	Physician Assistant	$523.2K	$0
Jozef Debiec	NY	Interventional Pain Medicine Physician	$514K	$0
Robert Shirinov	NY	Surgery Physician	$390.4K	$52.9K
Joseph Castellano	NY	Ophthalmology Physician	$71.6K	$367.6K
Sanda Carniciu	NY	Specialist	$319.5K	$0
Jack Hershman	NY	Specialist	$284.9K	$14.3K
Borys Mychalczak	NY	Radiation Oncology Physician	$270K	$0

Ent And Allergy Associates LLP — 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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