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.

Lenox Hill Hospital (NPI 1477616571)

Field	Value
Entity Type	Organization
Organization	Lenox Hill Hospital
Address	100 E 77th St
City	New York
State	NY
ZIP	10075
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 19, 2006

Payer Source	Total Paid
Medicaid	$63.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

335 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.	37,650	$180	$6.9M
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.	33,090	$170	$5.5M
19318	Breast reduction is the removal of excess breast tissue which results from top scarring, calcification, or architectural distortion.	730	$4,900	$3.6M
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.	17,510	$190	$3.3M
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	1,180	$2,190	$2.6M
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…	11,590	$180	$2.1M
C1889	Implantable/insertable device, not otherwise classified	3,850	$530	$2M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	7,220	$270	$1.9M
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.	6,140	$280	$1.7M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	810	$1,830	$1.5M

Showing 1–10 of 335

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

Lenox Hill Hospital — 4 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

335 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1745	Injection, infliximab, excludes biosimilar, 10 mg	17	20	730	$2,870	$3.5M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	204	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…	96	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	52	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.	101	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…	670	1,510	1,010	$110	$1.1M
19318	Breast reduction is the removal of excess breast tissue which results from top scarring, calcification, or architectural distortion.	2	10	110	$2,760	$1.1M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	184	310	830	$200	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	135	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…	276	2,200	1,010	$130	$892.2K

Showing 1–10 of 335

Nearby Providers

Other providers in the same ZIP code as Lenox Hill Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Marcus	NY	Ophthalmology Physician	$3.9M	$1.3M
Retinal Ambulatory Surgery Center Of New York, Inc.	NY	Ambulatory Surgical Clinic/Center	$1.7M	$2.7M
Ben Cohen	NY	Retina Specialist (Ophthalmology) Physician	$2.5M	$942.8K
Sergiu Marcus	NY	Ophthalmology Physician	$1.7M	$706.4K
Leslie Miller	NY	Diagnostic Radiology Physician	$533.7K	$9.5K
Maurice Peters	NY	Diagnostic Radiology Physician	$301.8K	$13.9K
Matthew Hepinstall	NY	Orthopaedic Surgery Physician	$294.6K	$0
Philip Rabito	NY	Specialist	$256.7K	$670
Michael Cellini	NY	Diagnostic Radiology Physician	$237.8K	$0
Paul-michel Dossous	NY	Diagnostic Radiology Physician	$195.4K	$25.9K

Lenox Hill Hospital — Billing Profile & Reimbursement Data

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Lenox Hill 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

Nearby Providers

Frequently Asked Questions

References