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.

West Midtown Management Group Inc (NPI 1609805993)

Field	Value
Entity Type	Organization
Organization	West Midtown Management Group Inc
Address	311 W 35th St
City	New York
State	NY
ZIP	10001
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$34.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	89,480	$220	$20M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	276,410	$30	$8.3M
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	25,670	$100	$2.6M
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,…	11,710	$130	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	16,950	$50	$779.8K
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…	5,930	$120	$705.7K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	3,020	$140	$419.5K
H0005	Alcohol and/or drug services; group counseling by a clinician	2,790	$60	$161.7K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,190	$120	$146.4K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	690	$170	$119.2K

Showing 1–10 of 23

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

West Midtown Management Group Inc — 1 of 22 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	6	90	5,000	$210	$4.5M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	18	120	61,480	$30	$4.4M
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…	1,096	1,510	1,010	$110	$1.1M
90834	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…	2,150	2,200	1,010	$130	$892.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	130	230	3,600	$60	$805.5K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	18	250	1,290	$110	$761.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	26	270	1,340	$110	$658.2K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	56	190	1,030	$140	$613.3K
H0014	Alcohol and/or drug services; ambulatory detoxification	27	40	430	$150	$440K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	329	620	1,130	$60	$370.5K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as West Midtown Management Group Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Management Partners LLC (ccmp)	NY	Case Management Agency	$0	$247M
Greatcare Inc	NY	Home Health Agency	$0	$231.6M
Xincon Home-healthcare Services, Inc.	NY	Home Health Agency	$0	$191.8M
Act On It Home Care Inc.	NY	Home Health Agency	$0	$57.4M
Theracare Of New York Inc	NY	Early Intervention Provider Agency	$0	$43.6M
Young Adult Institute, Inc.	NY	Developmental Disabilities Clinic/Center	$0	$37.2M
Community Healthcare Network, Inc	NY	Federally Qualified Health Center (FQHC)	$0	$35.6M
Services For The Underserved - Mental Health Programs Inc	NY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$34.6M
Greatcare Inc	NY	Home Health Agency	$0	$33.2M
The Association For Rehabilitative Case Management And Housing	NY	Mental Illness Community Based Residential Treatment Facility	$0	$23.2M

West Midtown Management Group Inc — Billing Profile & Reimbursement Data

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West Midtown Management Group 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

Nearby Providers

Frequently Asked Questions

References