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.

Planned Parenthood Of Greater New York Inc (NPI 1417959701)

Planned Parenthood Of Greater New York Inc is a ambulatory family planning facility provider located in Brooklyn, New York. This profile covers 0 Medicare and 129 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	Planned Parenthood Of Greater New York Inc
Address	44 Court St Fl 4
City	Brooklyn
State	NY
ZIP	11201
Taxonomy	Ambulatory Family Planning Facility
NPI Enumerated	June 1, 2005

Payer Source	Total Paid
Medicaid	$78.2M
Medicare	$0

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

129 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59840	In this procedure, the provider deliberately terminates a pregnancy for elective or therapeutic reasons. He removes the fetus and products of conception by dilating the cervix and then using a…	26,310	$690	$18.2M
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…	68,540	$140	$9.4M
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,…	37,890	$160	$6.1M
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	45,770	$110	$4.9M
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	9,140	$480	$4.4M
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	25,190	$150	$3.8M
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…	19,700	$150	$3M
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	27,200	$110	$2.9M
11981	The provider inserts a bioresorbable, biodegradable, or non–biodegradable implant, such as a capsule or pellet, containing a drug for long–term delivery.	7,730	$260	$2M
11982	The provider removes a non–biodegradable implant (a capsule or pellet with controlled–release properties containing a drug for long term delivery).	6,620	$300	$2M

Showing 1–10 of 129

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

Planned Parenthood Of Greater New York Inc — 23 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

129 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
59840	In this procedure, the provider deliberately terminates a pregnancy for elective or therapeutic reasons. He removes the fetus and products of conception by dilating the cervix and then using a…	1	30	370	$510	$1.2M
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	1	30	110	$620	$410.7K
11983	The provider removes a non–biodegradable implant (a capsule or pellet with controlled–release properties containing a drug for long term delivery) after which he inserts a new one.	1	10	1,100	$360	$391.7K
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…	190	19,110	360	$70	$321K
J7301	Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg	1	10	910	$350	$315.9K
11982	The provider removes a non–biodegradable implant (a capsule or pellet with controlled–release properties containing a drug for long term delivery).	1	10	230	$300	$274.1K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	419	640	1,080	$60	$251.5K
J7300	Intrauterine copper contraceptive (paragard)	1	20	40	$560	$224.4K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	17	410	1,190	$20	$209.8K
59841	In this procedure, the provider deliberately terminates a pregnancy for elective or therapeutic reasons. He removes the fetus and products of conception by dilating the cervix and then evacuating the…	1	20	40	$730	$205.8K

Showing 1–10 of 129

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Los Angeles Long Beach Center Lab	CA	Clinical Medical Laboratory	$0	$35M
Albert Petrossian	CA	Urology Physician	$443K	$0
Jeannie Su	CA	Urology Physician	$309.8K	$0
William Pearce	CA	Urology Physician	$187.8K	$0
Elissa Waskiewicz	NY	Family Nurse Practitioner	$103K	$950

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heart To Heart Home Care, Inc.	NY	Home Health Agency	$0	$1.1B
Alliance For Health	NY	Home Health Agency	$0	$436.9M
New York City Health And Hospitals Corporation	NY	Land Ambulance	$19.9M	$363.8M
City Of New York	NY	Local Education Agency (LEA)	$0	$300M
Heart To Heart Home Care, Inc.	NY	Home Health Agency	$0	$101.8M
The Brooklyn Hospital Center	NY	General Acute Care Hospital	$0	$92.7M
Sarah Care Usa	NY	Home Health Agency	$0	$72.8M
Community Counseling And Mediation	NY	Community/Behavioral Health Agency	$0	$42.7M
Catholic Charities Neighborhood Services, Inc.	NY	Mental Illness Community Based Residential Treatment Facility	$0	$27.8M
Catholic Charities Neighborhood Services, Inc.	NY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.2M

Planned Parenthood Of Greater New York Inc — Billing Profile & Reimbursement Data

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Planned Parenthood Of Greater New York Inc — 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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