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.

Equinox Inc (NPI 1477695021)

Field	Value
Entity Type	Organization
Organization	Equinox Inc
Address	95 Central Ave
City	Albany
State	NY
ZIP	12206
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$19.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2018	Psychosocial rehabilitation services, per diem	4,290	$3,050	$13.1M
H2019	Therapeutic behavioral services, per 15 minutes	3,600	$670	$2.4M
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…	9,600	$90	$845K
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…	8,160	$100	$791.1K
T1015	Clinic visit/encounter, all-inclusive	2,310	$300	$680.3K
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…	4,560	$80	$373.6K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	2,630	$100	$249.4K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	1,920	$130	$245.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	3,680	$50	$176.8K
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,…	780	$100	$76K

Showing 1–10 of 18

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

Equinox Inc — 1 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2018	Psychosocial rehabilitation services, per diem	4	90	720	$1,900	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	46	170	1,390	$570	$1.6M
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…	265	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…	352	2,200	1,010	$130	$892.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	114	230	3,600	$60	$805.5K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	98	250	1,290	$110	$761.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	179	270	1,340	$110	$658.2K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	74	190	1,030	$140	$613.3K
T1015	Clinic visit/encounter, all-inclusive	36	120	1,230	$140	$539.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	536	620	1,130	$60	$370.5K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Visiting Nurse Association Of Albany Home Care Corporation	NY	Home Health Agency	$0	$23.3M
St. Peter's Ambulatory Surgery Center LLC	NY	Ambulatory Surgical Clinic/Center	$1.2M	$2.8M
Laboratory Corporation Of America	NY	Clinical Medical Laboratory	$168.6K	$2.1M
Capital Region Ambulatory Surgery Center, L.L.C.	NY	Ambulatory Surgical Clinic/Center	$1.1M	$585.8K
Qin Zen	NY	Hematology & Oncology Physician	$1.3M	$2.9K
Joseph Dudek	NY	Hematology & Oncology Physician	$1.3M	$830
Lawrence Garbo	NY	Hematology & Oncology Physician	$947.1K	$210
Hao Wang	NY	Ophthalmology Physician	$852.5K	$40
Nischala Ammannagari	NY	Hematology & Oncology Physician	$787.2K	$0
Mohamad Younes	NY	Hematology & Oncology Physician	$780.5K	$380

Equinox Inc — Billing Profile & Reimbursement Data

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Equinox 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

Nearby Providers

Frequently Asked Questions

References