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.

Fred Cushner (NPI 1588637938)

Field	Value
Entity Type	Individual
Organization	Fred Cushner
Address	535 E 70th St
City	New York
State	NY
ZIP	10021
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	February 8, 2006

Payer Source	Total Paid
Medicare	$311.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	150	$1,210	$178.2K
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…	280	$140	$38.9K
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…	360	$70	$25.6K
20985	A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…	160	$140	$22.3K
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…	130	$110	$14.1K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	10	$1,080	$13K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	140	$70	$9K
29880	In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…	10	$510	$6.6K
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…	30	$90	$3.2K
J1030	Injection, methylprednisolone acetate, 40 mg	160	$10	$960

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Fred Cushner — 2 of 10 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. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	11	480	30	$1,120	$43.7K
99214	12,032	30,450	90	$100	$19K
29880	27	40	20	$890	$17.9K
27446	7	10	20	$980	$14.7K
99213	3,969	31,440	80	$70	$12.1K
20985	8	100	40	$140	$9.1K
20610	470	1,870	60	$60	$7K
99204	103	14,170	30	$130	$6.6K
99203	5,541	11,360	30	$90	$4.7K
J1030	127	690	60	$10	$690

Nearby Providers

Other providers in the same ZIP code as Fred Cushner, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lenox Hill Radiology & Medical Imaging Associates, PC	NY	Diagnostic Radiology Physician	$0	$145.7M
Manhattan Home Care Ltd	NY	Home Health Agency	$0	$27.3M
New York Society For The Relief Of Ruptured & Crippled Maintaining	NY	General Acute Care Hospital	$0	$20.4M
Ru-ik Chee	NY	Surgery Physician	$1M	$2M
Szilard Kiss	NY	Retina Specialist (Ophthalmology) Physician	$2.1M	$910.2K
Jennifer Krawitz	NY	Ophthalmology Physician	$2.9M	$0
Daniel Rosberger	NY	Specialist	$2.7M	$4.7K
Kenneth Wald	NY	Ophthalmology Physician	$1.5M	$824.9K
Roger Pearse	NY	Medical Oncology Physician	$2.2M	$1.6K
Michael Nissen	NY	Ophthalmology Physician	$2.1M	$0

Fred Cushner — Billing Profile & Reimbursement Data

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Fred Cushner — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References