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.

Medalliance Medical Health Services Inc (NPI 1558356741)

Medalliance Medical Health Services Inc is a clinic/center provider located in Bronx, New York. This profile covers 0 Medicare and 178 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	Medalliance Medical Health Services Inc
Address	625 E Fordham Rd
City	Bronx
State	NY
ZIP	10458
Taxonomy	Clinic/Center
NPI Enumerated	September 14, 2005

Payer Source	Total Paid
Medicaid	$32.5M
Medicare	$0

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

178 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…	106,090	$80	$8.9M
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…	39,780	$110	$4.5M
36478	In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code…	3,110	$930	$2.9M
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…	16,350	$100	$1.7M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	20,800	$50	$1.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	27,140	$30	$814.2K
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…	4,090	$200	$802.4K
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…	6,110	$130	$769.6K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	8,390	$90	$754.7K
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,…	14,210	$50	$724.6K

Showing 1–10 of 178

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

Medalliance Medical Health Services Inc — 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

178 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,209	1,510	1,010	$110	$1.1M
36478	In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code…	2	50	180	$1,040	$575K
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…	14	50	140	$1,050	$459.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	905	1,320	140	$260	$334K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	163	260	300	$170	$325.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	76	2,060	1,300	$60	$322.2K
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…	107	19,110	360	$70	$321K
10040	The provider performs extractions to treat skin lesions such as milia, comedones, cysts, or pustules. The procedure may involve surgically opening the lesion, draining it, or removing it entirely.	80	160	470	$100	$306.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	101	2,430	1,310	$40	$257.8K
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…	131	16,550	220	$90	$186.8K

Showing 1–10 of 178

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rami Sartawi	NY	Vascular & Interventional Radiology Physician	$3.7M	$4.9M
Iftikhar Ahmad	NY	Diagnostic Radiology Physician	$3.8M	$650.3K
Daniel Simon	NJ	Vascular & Interventional Radiology Physician	$4.2M	$0
Jeffrey Weinberg	NY	Dermatology Physician	$273.5K	$1.4M
Omar Noor	NJ	Student in an Organized Health Care Education/Training Program	$141.4K	$693.6K
Richard Daniels	NJ	Vascular Surgery Physician	$827.7K	$5.4K
Mayank Patel	NY	Surgery Physician	$350.3K	$46.2K
Daniel Beyda	NY	Diagnostic Radiology Physician	$283.6K	$61.5K
Kan Zhang	NY	Vascular & Interventional Radiology Physician	$305.3K	$4.1K
Vadim Kushnerik	NY	Pain Medicine (Anesthesiology) Physician	$283.3K	$7.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Home Care Services, Inc.	NY	Home Health Agency	$0	$329.6M
Cooperative Home Care Associates, Inc	NY	Home Health Agency	$0	$269.4M
Union Community Health Center, Inc.	NY	Clinic/Center	$0	$88.7M
Cooperative Home Care Associates, Inc	NY	Home Health Agency	$0	$38.9M
Mark Fromer, LLC	NY	Ambulatory Surgical Clinic/Center	$409.1K	$1.9M
Mitchell Butin	NY	Psychiatry Physician	$423.7K	$0
Medassure LLC	NY	Community/Retail Pharmacy	$86.5K	$87.8K
Darren Esposito	NY	Internal Medicine Physician	$121.5K	$10.7K
Rachel Spiers	NY	Occupational Therapist	$7.8K	$0

Medalliance Medical Health Services Inc — Billing Profile & Reimbursement Data

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Medalliance Medical Health Services 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

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