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.

Icahn School Of Medicine At Mount Sinai (NPI 1487912416)

Icahn School Of Medicine At Mount Sinai is a cardiovascular disease physician provider located in New York, New York. This profile covers 0 Medicare and 76 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	Icahn School Of Medicine At Mount Sinai
Address	1 Gustave L Levy Pl
City	New York
State	NY
ZIP	10029
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	April 27, 2012

Payer Source	Total Paid
Medicaid	$21.7M
Medicare	$0

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

76 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	79,610	$80	$6.6M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	60,930	$80	$4.6M
99204	The provider sees a new 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 provider…	9,480	$140	$1.3M
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…	20,270	$60	$1.3M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	199,290	$10	$1.2M
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…	7,200	$140	$1M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,800	$80	$550.6K
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…	2,110	$240	$509.4K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	1,260	$360	$447.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	4,660	$90	$432.9K

Showing 1–10 of 76

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

Icahn School Of Medicine At Mount Sinai — 18 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

76 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	1,903	2,210	80	$130	$473K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	56	70	260	$840	$463.1K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	6	50	140	$1,050	$459.2K
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…	3	80	90	$1,300	$403.9K
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…	721	19,110	360	$70	$321K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	79	90	190	$150	$260.8K
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…	53	16,550	220	$90	$186.8K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	138	180	120	$90	$179K
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…	429	4,700	130	$100	$136.6K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	22	340	120	$230	$132.7K

Showing 1–10 of 76

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mount Sinai Hospital	NY	General Acute Care Hospital	$0	$278.8M
Mount Sinai Medical Center Of Florida, Inc	FL	General Acute Care Hospital	$0	$18.3M
Karthik Gujja	NY	Cardiovascular Disease Physician	$2.9M	$394.9K
Nimesh Patel	NY	Legal Medicine	$671.3K	$2M
Concord Hospital, Inc.	NH	Emergency Medicine Physician	$0	$2.5M
Jessica Lee	NY	Ophthalmology Physician	$1.9M	$120.9K
Shane Meehan	NY	Dermatopathology (Pathology) Physician	$1.9M	$4.1K
David Pinhas	NY	Ophthalmology Physician	$1.4M	$330.5K
Windsor Ting	NY	Vascular Surgery Physician	$36.3K	$1.6M
Jeffrey Weinberg	NY	Dermatology Physician	$273.5K	$1.4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Helping U Homecare, Inc.	NY	Home Health Agency	$0	$143.8M
New York City Health And Hospitals Corporation	NY	General Acute Care Hospital	$0	$100.7M
Fpa Hospital Based	NY	Emergency Medicine Physician	$0	$71M
Center For Comprehensive Health Practice Inc	NY	Multi-Specialty Clinic/Center	$125.5K	$11.9M
Ron Rosen	NY	Nuclear Medicine Physician	$2.4M	$8.9K
Carnegie Hill Endoscopy LLC	NY	Ambulatory Surgical Clinic/Center	$1.6M	$177.4K
Joseph Shams	NY	Vascular & Interventional Radiology Physician	$1.5M	$142.3K
Su Jung Lee	NY	Family Nurse Practitioner	$931.2K	$0
Ignatius Lau	NY	Vascular Surgery Physician	$853.5K	$0
David Mobley	NY	Vascular & Interventional Radiology Physician	$826.1K	$7.5K

Icahn School Of Medicine At Mount Sinai — 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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