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 Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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 Jersey (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.

Bergen County Improvement Authority (NPI 1578641924)

Bergen County Improvement Authority is a psychiatry physician provider located in Paramus, New Jersey. This profile covers 0 Medicare and 21 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	Bergen County Improvement Authority
Address	230 E Ridgewood Ave
City	Paramus
State	NJ
ZIP	07652
Taxonomy	Psychiatry Physician
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$14.5M
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	27,770	$320	$8.8M
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	130,960	$20	$2.9M
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	10,930	$50	$546.4K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10,420	$50	$531.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	5,540	$80	$437.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,880	$230	$422.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	7,060	$50	$353.2K
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…	3,500	$50	$161.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2,930	$50	$134.7K
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…	1,980	$30	$65.3K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Bergen County Improvement Authority — 5 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

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

21 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.	164	320	580	$230	$4M
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.	153	280	920	$200	$2.6M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	2	480	220	$260	$260.3K
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…	1,512	4,450	740	$40	$229.8K
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…	2,439	3,790	580	$60	$204K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	39	230	210	$160	$189K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	504	550	280	$120	$131.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	116	1,020	550	$30	$105.3K
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…	77	660	330	$40	$82K
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,…	192	1,520	260	$40	$71.9K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bergen County Improvement Authority	NJ	General Acute Care Hospital	$0	$37.5M
Levi Sokol	NJ	Nuclear Medicine Physician	$898.1K	$0
Jeffrey Kempf	NJ	Nuclear Radiology Physician	$885.3K	$0
Thomas John	NJ	Orthopaedic Surgery Physician	$778K	$0
Oscar Vazquez	NJ	Orthopaedic Surgery Physician	$600.9K	$0
Payam Torrei	NJ	Diagnostic Radiology Physician	$588.9K	$0
Yekaterina Bulkin	NJ	Diagnostic Radiology Physician	$531.7K	$0
Mark Chase	NJ	Orthopaedic Surgery Physician	$511.9K	$0
Eric Margolis	NJ	Urology Physician	$487.2K	$0
Mohammed Saeed	NJ	Internal Medicine Physician	$457.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Concepts For Living	NJ	Developmentally Disabled Services Day Training Agency	$0	$123.8M
Children's Aid And Family Services, Inc.	NJ	In Home Supportive Care Agency	$0	$91M
Care Plus Nj, Inc	NJ	Community/Behavioral Health Agency	$0	$38.1M
Jewish Association For Developmental Disabilities	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$37.3M
The Valley Hospital Inc.	NJ	General Acute Care Hospital	$0	$31.5M
Bergen County Adult Day Care LLC	NJ	Adult Day Care Clinic/Center	$0	$28.7M
Help At Home Services	NJ	Home Health Agency	$0	$18.8M
Care Plus Nj, Inc	NJ	Community/Behavioral Health Agency	$0	$17.2M
Care Plus Nj, Inc.	NJ	Community/Behavioral Health Agency	$0	$17M
Bergen County Special Services School District	NJ	Local Education Agency (LEA)	$0	$15.4M

Bergen County Improvement Authority — 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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