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.

New York City Health And Hospitals Corporation (NPI 1548208127)

Field	Value
Entity Type	Organization
Organization	New York City Health And Hospitals Corporation
Address	227 Madison St
City	New York
State	NY
ZIP	10002
Taxonomy	Clinic/Center
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicaid	$57.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

322 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…	93,850	$90	$8.1M
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…	56,340	$120	$7M
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,…	54,140	$70	$3.7M
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…	31,570	$100	$3M
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…	19,160	$100	$1.9M
99441	N/A	26,450	$70	$1.8M
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…	24,800	$70	$1.8M
99442	N/A	20,970	$80	$1.7M
H2012	Behavioral health day treatment, per hour	14,830	$80	$1.2M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	115,580	$10	$1.2M

Showing 1–10 of 322

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

New York City Health And Hospitals Corporation — 16 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

322 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	17	40	14,460	$100	$3.4M
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…	40	340	1,090	$70	$1.4M
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…	155	1,510	1,010	$110	$1.1M
D0999	N/A	19	130	850	$120	$978.1K
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…	47	2,200	1,010	$130	$892.2K
81408	The lab analyst performs the technical lab test to complete one of the specific genetic analyses listed in this Tier 2, Level 9 molecular pathology code.	12	10	610	$1,180	$831.4K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	53	140	360	$130	$492.1K
U0005	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, cdc or non-cdc,…	75	300	1,710	$20	$458.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	68	350	350	$210	$393.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	137	290	1,900	$30	$390.6K

Showing 1–10 of 322

Nearby Providers

Other providers in the same ZIP code as New York City Health And Hospitals Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Assistance Resources & Extended Services Inc	NY	Case Management Agency	$0	$1B
Golden Touch Home Health LLC	NY	Home Health Agency	$0	$432.9M
The First Chinese Presbyterian Community Affairs Home Attendant Corp.	NY	Home Health Agency	$0	$156.8M
United Jewish Council Home Attendant Service Corp	NY	Home Health Agency	$0	$139.7M
Confucius Pharmacy Inc	NY	Pharmacy	$0	$29.3M
Longevity Adult Day Care Center LLC	NY	Adult Day Care Clinic/Center	$0	$22.7M
Lower Eastside Service Center, Inc.	NY	Methadone Clinic	$97K	$19.2M
Arkadiusz Jachimowicz	NY	Specialist	$262.5K	$83K
Alla Savransky	NY	Internal Medicine Physician	$104.1K	$1.9K
Piret Paas-holland	NY	Family Medicine Physician	$46.1K	$59.9K

New York City Health And Hospitals Corporation — Billing Profile & Reimbursement Data

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New York City Health And Hospitals Corporation — 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