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    OpenPayerNPI Medicare & MedicaidSt. Barnabas Hospital
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    St. Barnabas Hospital — Billing Profile & Reimbursement Data

    NPI 1548367873 · Bronx, NY · General Acute Care Hospital

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    St. Barnabas Hospital is a general acute care hospital provider located in Bronx, New York. This profile covers 1 Medicare and 622 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSt. Barnabas Hospital
    Address4422 Third Avenue
    CityBronx
    StateNY
    ZIP10457
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedSeptember 20, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$163.4M
    Medicare$149.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…550$270$149.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G20672940780$240$232K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    622 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90832In 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…146,140$150$22.4M
    99213The 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…137,610$130$18M
    99214The 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…122,600$140$16.7M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)511,370$30$14.8M
    99283The 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.62,390$220$13.6M
    99284The 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.45,380$200$9M
    99282The 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.28,700$230$6.6M
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.3,260$1,520$4.9M
    99212The 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,…27,700$100$2.9M
    99281The provider sees a patient for the lowest level emergency department visit.11,900$230$2.7M

    Showing 1–10 of 622

    • More pages

    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.

    Full comparison — all codes billed, vs. New York median

    622 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2022Case management, per month7880360$550$11.6M
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…68905,000$210$4.5M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)912061,480$30$4.4M
    U0003Infectious 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…743401,090$70$1.4M
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.1142102,850$180$1.1M
    90832In 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…101,5101,010$110$1.1M
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.1561702,850$100$1M
    G0463Hospital outpatient clinic visit for assessment and management of a patient381803,200$90$1M
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.440200$1,280$940.3K
    90834In 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…5152,2001,010$130$892.2K

    Showing 1–10 of 622

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with St. Barnabas Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Middletown Medical PCNYEmergency Medicine Physician$0$49.3M
    Sbh Physicians, PCNYInternal Medicine Physician$0$31.5M
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M
    Saadet Atay-rosenthalAZDiagnostic Radiology Physician$1.1M$0
    Jonathan SegalVACardiovascular Disease Physician$632.2K$13.6K
    Mayank PatelNYSurgery Physician$350.3K$46.2K
    Sandra Boateng-wilsonNYPsychiatric/Mental Health Nurse Practitioner$236.2K$86.6K
    Gregory BenderCADiagnostic Radiology Physician$233.1K$9.1K
    Yoram AmsalemNYInterventional Cardiology Physician$182.1K$46.9K
    Chris DonikyanNYDiagnostic Radiology Physician$189.8K$9.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bronxcare Health SystemNYGeneral Acute Care Hospital$0$348.5M
    Puerto Rican Organization To Motivate Enlighten And Serve Addicts IncNYSubstance Use Disorder Rehabilitation Clinic/Center$439.8K$64.2M
    Bronxcare Health SystemNYInternal Medicine Physician$0$62.3M
    Puerto Rican Organization To Motivate Enlighten And Serve Addicts IncNYMethadone Clinic$0$38.1M
    Puerto Rican Organization To Motivate Enlighten And Serve Addicts, IncNYSubstance Abuse Rehabilitation Facility$201.9K$36.3M
    Puerto Rican Organization To Motivate Enlighten And Serve Addicts, IncNYSubstance Use Disorder Rehabilitation Clinic/Center$457.1K$23.5M
    Joshua RubinsteinNYSpecialist$438.6K$71K
    Harvey SternNYDiagnostic Radiology Physician$260.6K$80.3K
    Shahin GharibNYEmergency Medicine Physician$291.6K$7.5K
    Misbahuddin KhajaNYPulmonary Disease Physician$69.3K$179.3K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    St. Barnabas Hospital — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    St. Barnabas Hospital — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York