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 Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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 Jersey (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.

Esther Hou (NPI 1417276981)

Field	Value
Entity Type	Individual
Organization	Esther Hou
Address	370 Grand Ave Ste 102
City	Englewood
State	NJ
ZIP	07631
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	May 24, 2010

Payer Source	Total Paid
Medicare	$241.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1,140	$110	$128.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,370	$80	$105.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	80	$60	$4.3K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	30	$100	$3.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Esther Hou — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	93	1,400	210	$80	$37.5K
99310	8	570	70	$120	$17.8K
99316	165	310	40	$100	$5K
99497	342	1,060	40	$60	$5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Esther Hou, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Associates Of Englewood, PC	NJ	Internal Medicine Physician	$0	$36.9M
Jersey Irish Medical	NJ	Urgent Care Clinic/Center	$0	$25.9M
Ananth Shankar	NY	Nuclear Cardiology Physician	$358.3K	$5.3M
Joseph Degregorio	NJ	Cardiovascular Disease Physician	$2.7M	$0
Sarika Sharma	NJ	Specialist	$740.1K	$90.7K
Mariem Abedullah	NJ	Family Nurse Practitioner	$672.2K	$0
Asit Shah	NJ	Orthopaedic Surgery Physician	$495.7K	$0
Mena Yacoub	NY	Clinical Cardiac Electrophysiology Physician	$480.5K	$0
Ramadevi Enugala	NJ	Internal Medicine Physician	$462K	$0
Asad Cheema	NJ	Clinical Cardiac Electrophysiology Physician	$451.7K	$0

Nearby Providers

Other providers in the same ZIP code as Esther Hou, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Englewood Hospital And Medical Center	NJ	General Acute Care Hospital	$0	$136.9M
Our Home Adult Day Care, LLC	NJ	Adult Day Care Clinic/Center	$0	$28.5M
L&l Staffing And Home Care Services, Inc.	NJ	Home Health Agency	$0	$25.4M
Nj Eye And Ear LLC	NJ	Ophthalmology Physician	$0	$23.6M
Vantage Health System, Inc.	NJ	Community/Behavioral Health Agency	$0	$8.2M
Benjamin Freilich	NJ	Ophthalmology Physician	$1.5M	$111.3K
Patient Care Associates, LLC	NJ	Clinic/Center	$1.1M	$0
Joseph Schwartz	NJ	Endocrinology, Diabetes & Metabolism Physician	$953.3K	$0
Kurt Wengerter	NJ	Vascular Surgery Physician	$584.8K	$0
Donald Liss	NJ	Physical Medicine & Rehabilitation Physician	$575.1K	$0

Esther Hou — Billing Profile & Reimbursement Data

Sign up for Esther Hou — Billing Profile & Reimbursement Data policy alerts

Esther Hou — Billing Profile & Reimbursement Data

Sign up for Esther Hou — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References