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.

White Plains Hospital Medical Center (NPI 1447255153)

White Plains Hospital Medical Center is a general acute care hospital provider located in White Plains, New York. This profile covers 0 Medicare and 442 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	White Plains Hospital Medical Center
Address	41 E Post Road
City	White Plains
State	NY
ZIP	10601
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 17, 2005

Payer Source	Total Paid
Medicaid	$47.6M
Medicare	$0

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

442 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	27,510	$160	$4.5M
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.	23,150	$150	$3.5M
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,…	13,390	$180	$2.4M
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…	14,410	$170	$2.4M
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.	8,500	$260	$2.2M
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.	9,920	$160	$1.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	13,340	$110	$1.5M
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.	8,110	$170	$1.3M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	5,430	$240	$1.3M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	70,010	$20	$1.2M

Showing 1–10 of 442

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

White Plains Hospital Medical Center — 5 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

442 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	23	20	750	$8,890	$8.1M
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…	175	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	102	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.	44	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…	1,469	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	133	180	3,200	$90	$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…	1,681	2,200	1,010	$130	$892.2K
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.	87	1,420	90	$130	$715.2K
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.	66	450	370	$170	$674.1K
C1889	Implantable/insertable device, not otherwise classified	14	40	320	$260	$533.3K

Showing 1–10 of 442

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanjeev Jain	NY	Hematology & Oncology Physician	$1.5M	$59.6K
Jefffrey Vainshtein	NY	Radiation Oncology Physician	$333.3K	$0
Amirhossein Zangiabadi	CA	Neurology Physician	$274.7K	$0
Marc Hamet	CT	Vascular & Interventional Radiology Physician	$272.5K	$370
Ameet Kamat	NY	Otolaryngology Physician	$231.2K	$0
Martin Engelhardt	NY	Internal Medicine Physician	$213.2K	$530
Tobi Klar	NY	Dermatology Physician	$203.4K	$1.2K
Michael Swirsky	NY	Diagnostic Radiology Physician	$135.4K	$29.3K
Paul Eugene Lleva	CT	Vascular Neurology Physician	$163K	$350
Aleksandr Maksumov	NY	Diagnostic Radiology Physician	$152.9K	$9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Link Home Care LLC	NY	Home Health Agency	$0	$115.6M
Personal Touch Home Care Of Westchester Inc	NY	Home Health Agency	$0	$23.6M
Priority Home Care Inc	NY	Home Health Registered Nurse	$0	$21.7M
Richard L. Aronson Inc.	NY	Nursing Care Agency	$0	$21.3M
Arthur Holmberg	NY	Internal Medicine Physician	$1.1M	$188.3K
Seth Potash	NY	Ophthalmology Physician	$687.4K	$950
Seth Lerner	NY	Urology Physician	$344.4K	$0
Daniel Wang	NY	Clinical Cardiac Electrophysiology Physician	$326.4K	$0
Randy Stevens	NY	Radiation Oncology Physician	$286K	$0
Samuel Beran	NY	Plastic and Reconstructive Surgery Physician	$264K	$0

White Plains Hospital Medical Center — Billing Profile & Reimbursement Data

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White Plains Hospital Medical 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

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