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.

Staten Island University Hospital (NPI 1407877137)

Staten Island University Hospital is a general acute care hospital provider located in Staten Island, New York. This profile covers 0 Medicare and 570 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	Staten Island University Hospital
Address	475 Seaview Ave
City	Staten Island
State	NY
ZIP	10305
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 21, 2006

Payer Source	Total Paid
Medicaid	$118.3M
Medicare	$0

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

570 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	503,160	$40	$19.1M
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.	59,550	$180	$10.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	81,420	$120	$10.1M
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.	47,310	$170	$7.9M
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.	24,100	$170	$4.2M
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…	30,670	$110	$3.4M
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.	19,570	$170	$3.4M
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	28,360	$110	$3.2M
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.	13,280	$230	$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…	23,190	$110	$2.6M

Showing 1–10 of 570

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

Staten Island University Hospital — 11 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

570 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	61	90	5,000	$210	$4.5M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	10	120	61,480	$30	$4.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	304	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…	132	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	20	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.	123	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…	233	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	4	180	3,200	$90	$1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	29	40	200	$1,280	$940.3K
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…	523	2,200	1,010	$130	$892.2K

Showing 1–10 of 570

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vincent Giovinazzo	NY	Ophthalmology Physician	$594.5K	$316.1K
Allan Perel	NY	Neurology Physician	$539.7K	$6.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nys Office Of Mental Health	NY	Adult Mental Health Clinic/Center	$0	$37.8M
Hope Home Care Inc	NY	In Home Supportive Care Agency	$0	$36.4M
Hope Home Care,inc.	NY	Home Health Agency	$0	$23.6M
Angel Home Care Agency Inc	NY	Home Health Agency	$0	$22.5M
Norbert Shtaynberg	NY	Internal Medicine Physician	$3.9M	$745.3K
Elliot Landau	NY	Vascular & Interventional Radiology Physician	$2M	$20.3K
Richmond Asc LLC	NY	Ambulatory Surgical Clinic/Center	$1.8M	$11.8K
Zvika Schreiber	NY	Anatomic Pathology & Clinical Pathology Physician	$283.7K	$1.5M
Frank Tamburrino	NY	Cardiovascular Disease Physician	$931.2K	$271.2K
Vincent Mustaciuolo	NY	Cardiovascular Disease Physician	$957.8K	$62.7K

Staten Island University Hospital — Billing Profile & Reimbursement Data

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Staten Island 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

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