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 And Presbyterian Hospital (NPI 1548374549)

Field	Value
Entity Type	Organization
Organization	New York And Presbyterian Hospital
Address	506 6th St
City	Brooklyn
State	NY
ZIP	11215
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicaid	$49.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

436 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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,…	41,250	$150	$6.2M
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.	27,650	$160	$4.4M
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…	24,910	$150	$3.7M
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.	20,990	$160	$3.4M
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…	18,470	$140	$2.7M
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.	13,350	$160	$2.1M
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…	1,070	$1,780	$1.9M
99282	The 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.	7,470	$160	$1.2M
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	2,730	$390	$1.1M
99281	The provider sees a patient for the lowest level emergency department visit.	4,610	$180	$829.8K

Showing 1–10 of 436

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 And Presbyterian Hospital — 6 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

436 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	18	20	750	$8,890	$8.1M
J2323	Injection, natalizumab, 1 mg	13	10	360	$4,710	$2.5M
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.	139	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	88	180	3,200	$90	$1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	651	750	1,800	$80	$785.8K
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.	85	1,420	90	$130	$715.2K
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	14	20	1,670	$230	$705.8K
99282	The 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.	70	450	370	$170	$674.1K
77412	The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…	21	20	1,020	$310	$657.6K
S0109	Methadone, oral, 5 mg	4	10	40	$290	$633.7K

Showing 1–10 of 436

Related Providers

Other providers that share a Tax Identification Number (TIN) with New York And Presbyterian Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$0	$455.2M
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$276.3K	$207.4M
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$0	$18.8M
Eyal Levit	NY	MOHS-Micrographic Surgery Physician	$1.3M	$0
David Zelman	NY	Diagnostic Radiology Physician	$580.2K	$563.4K
Wayne Luo	NY	Dermatology Physician	$1.1M	$0
Gwen Abeles	NJ	Procedural Dermatology Physician	$1M	$0
Stephen Nychay	NJ	MOHS-Micrographic Surgery Physician	$956.4K	$0
Peter Okin	NY	Cardiovascular Disease Physician	$322.8K	$576.7K
Laurence Cohen	NY	Diagnostic Radiology Physician	$464.6K	$131.9K

Nearby Providers

Other providers in the same ZIP code as New York And Presbyterian Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Home Care Services Of Brooklyn & Queens, Inc.	NY	Home Health Agency	$0	$158.5M
Novel Home Health Care Services Of New York Corp.	NY	Home Health Agency	$0	$79.1M
Kings Physician Services, PC	NY	Diagnostic Radiology Physician	$0	$47.3M
New York Dialysis Services, Inc.	NY	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$20M
Racquel Volkowitz	NY	Physician Assistant	$2M	$0
Vinod Patel	NY	Interventional Cardiology Physician	$1.1M	$349.6K
Zev Lati	NY	Internal Medicine Physician	$854.1K	$82.1K
Shazia Amar	NY	Foot & Ankle Surgery Podiatrist	$144.6K	$775.5K
Robert Feig	NY	Ophthalmology Physician	$376.6K	$413.5K
Igor Mamkin	NY	Cardiovascular Disease Physician	$466.7K	$168.6K

New York And Presbyterian Hospital — Billing Profile & Reimbursement Data

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New York And Presbyterian 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

Related Providers

Nearby Providers

Frequently Asked Questions

References