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.

Bronxcare Dr. Martin Luther King Jr. Health Center (NPI 1437231693)

Field	Value
Entity Type	Organization
Organization	Bronxcare Dr. Martin Luther King Jr. Health Center
Address	1265 Franklin Ave
City	Bronx
State	NY
ZIP	10456
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 19, 2006

Payer Source	Total Paid
Medicaid	$60.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

175 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	258,690	$90	$22.5M
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…	52,100	$100	$5.1M
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,…	58,580	$90	$5M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	58,220	$40	$2.6M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	22,670	$90	$2M
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…	17,840	$110	$1.9M
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…	15,590	$100	$1.5M
D0120	Periodic oral evaluation - established patient	49,580	$20	$1.2M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	18,930	$60	$1M
D0220	Intraoral - periapical first radiographic image	71,320	$10	$998.5K

Showing 1–10 of 175

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

Bronxcare Dr. Martin Luther King Jr. Health Center — 21 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

175 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	188	1,510	1,010	$110	$1.1M
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…	764	2,200	1,010	$130	$892.2K
D8670	N/A	31	430	1,210	$170	$513.1K
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.	78	200	470	$150	$336.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,124	1,320	140	$260	$334K
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…	30	19,110	360	$70	$321K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	24	50	340	$80	$246K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	11	120	700	$40	$203.2K
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…	100	16,550	220	$90	$186.8K
D2930	N/A	281	380	320	$150	$186.1K

Showing 1–10 of 175

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bronxcare Dr. Martin Luther King Jr. Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bronxcare Health System	NY	Internal Medicine Physician	$0	$62.3M
Mahmood Kazmi	NY	Psychiatry Physician	$540.6K	$760.6K
Jayanthi Loganathan	NY	Cardiovascular Disease Physician	$301.8K	$21.6K
Misbahuddin Khaja	NY	Pulmonary Disease Physician	$69.3K	$179.3K
Sindhaghatta Venkatram	NY	Pulmonary Disease Physician	$49.4K	$108K
Dmitry Lvovsky	NY	Pulmonary Disease Physician	$42.4K	$112K
Simeon Lauer	NY	Ophthalmology Physician	$103.2K	$26.7K
Alan Miller	RI	Physician Assistant	$83K	$0
Raja Flores	NY	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$78.4K	$140
Jeffrey Kornreich	NY	Physical Medicine & Rehabilitation Physician	$66.8K	$3.8K

Nearby Providers

Other providers in the same ZIP code as Bronxcare Dr. Martin Luther King Jr. Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fejost LLC	NY	Transportation Broker	$0	$125.1M
Hilda Mascaro	NY	Child & Adolescent Psychiatry Physician	$8.2K	$0

Bronxcare Dr. Martin Luther King Jr. Health Center — Billing Profile & Reimbursement Data

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Bronxcare Dr. Martin Luther King Jr. Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References