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.

Nyu Langone Hospitals (NPI 1619341716)

Key Findings

Field	Value
Entity Type	Organization
Organization	Nyu Langone Hospitals
Address	150 55th St
City	Brooklyn
State	NY
ZIP	11220
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 30, 2015

Payer Source	Total Paid
Medicaid	$303.2M
Medicare	$0

This provider has no Medicare billing on file and reports $303.2M in lifetime Medicaid revenue, which makes its public billing footprint effectively single-payer Medicaid at scale. The absence of Medicare data means any payer/provider analysis should treat NYU LANGONE HOSPITALS (BROOKLYN) as a Medicaid-focused billing entity for the available claims universe. Given the size of the Medicaid revenue, the provider is a meaningful Medicaid counterparty despite lacking Medicare activity.

Medicaid revenue is highly concentrated: the precomputed top 3 codes account for 49.3% of total Medicaid revenue, driven by 99211 ($46M, 20.1%), 90832 ($37.7M, 16.5%), and 99213 ($29.2M, 12.8%). This concentration indicates the provider derives nearly half of its Medicaid receipts from a small set of high-volume outpatient E/M and psychotherapy services, so payer negotiations or utilization management focused on those codes would cover a large share of spend.

The code mix points to a large ambulatory care footprint with integrated behavioral health: 99211 and 99213 represent very high-volume office/outpatient E/M activity (489K claims and 255.9K claims respectively), while 90832 psychotherapy has 253.1K claims. These volumes and the revenue share suggest the provider operates high-throughput primary care and psychiatry/therapy clinics where brief visits and psychotherapy are central service lines, and behavioral health is a top revenue driver (90832 is an extreme outlier in-state).

Beyond primary care and behavioral health, the provider shows substantial pediatric preventive and vaccination activity alongside dental services. Codes 99392, 99391, and 99393 (well visits) and vaccines 90686 (138.2K claims, $4.4M; ranks #1 in-state, extreme outlier) and 90460 (99.6K claims, $2.6M) indicate heavy preventive and immunization throughput. Dental preventive codes D0120 (156.9K claims, $5.8M; ranks #5, extreme outlier) and D1110 (38.3K claims, $2.6M; ranks #8, extreme outlier) further show sizeable oral health activity billed to Medicaid.

Emergency and observation services are also material contributors to Medicaid revenue, reflecting a broad hospital service mix that includes acute care throughput. ED E/M codes 99283–99285 together contribute multi-million-dollar revenues (examples: 99283 $9.7M, 99284 $7.4M, 99285 $6.5M) and rank notably above typical state volume for several levels; hospital observation G0378 ($5.7M) is another meaningful line that ranks in the 92nd percentile. This pattern indicates the organization bills both ambulatory/clinic services and higher-acuity ED/observation care to Medicaid.

State-level competitive standing is dominant for multiple codes: numerous top codes are labeled as "extreme outlier" at the 100th percentile (for example, 99211 ranks #4 of 1655 providers in-state, 90832 ranks #6 of 1514, and 99213 ranks #32 of 19110). The provider also leads the state on vaccine code 90686 (rank #1 of 2415). These rankings signal that NYU LANGONE HOSPITALS (BROOKLYN) is a major Medicaid billing center in New York for a range of outpatient, preventive, behavioral health, and dental services.

The NPI was enumerated on 2015-11-30 (~11 years ago), establishing nearly a decade-plus presence in the public billing record. That tenure, combined with very high-volume claims counts across primary care, behavioral health, pediatric preventive, and dental codes, supports an interpretation of a well-established operational footprint in Medicaid markets rather than a transient billing entity.

From a payer perspective, the provider’s heavy reliance on a concentrated set of outpatient and psychotherapy codes presents both leverage and vulnerability: focusing care management and contract design on the top codes (the precomputed top 3 at 49.3% of Medicaid revenue) would address a large portion of spend, while changes in utilization or reimbursement for those few codes would materially affect the provider’s Medicaid revenue. The provider’s extreme-outlier status on many codes also makes it a natural candidate for targeted provider contracting, quality partnerships, and focused utilization review given the disproportionate volume it represents in-state.

Medicaid: Complete Services Breakdown

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

535 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	488,960	$90	$46M
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…	253,130	$150	$37.7M
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…	255,940	$110	$29.2M
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…	88,120	$110	$10M
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,…	66,600	$150	$9.7M
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.	45,360	$210	$9.7M
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…	52,060	$160	$8.1M
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.	35,710	$210	$7.4M
D0999	N/A	184,350	$40	$7.4M
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.	33,100	$200	$6.5M

Showing 1–10 of 535

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

Nyu Langone Hospitals — 24 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

535 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	57	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	12	130	1,270	$560	$1.2M
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.	11	210	2,850	$180	$1.1M
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…	6	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20	180	3,200	$90	$1M
D0999	N/A	3	130	850	$120	$978.1K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	8	40	200	$1,280	$940.3K
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…	55	2,200	1,010	$130	$892.2K
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	17	30	570	$900	$820.7K
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…	32	750	1,800	$80	$785.8K

Showing 1–10 of 535

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nyu Langone Hospitals	NY	General Acute Care Hospital	$0	$238.7M
Nyu Langone Hospitals	NY	Oncology Clinic/Center	$0	$117.7M
Nyu Langone Hospitals	NY	General Acute Care Hospital	$0	$69.8M
Nyu Langone Hospitals	NY	General Acute Care Hospital	$0	$32.2M
Long Island Community Hospital At Nyu Langone Health	NY	General Acute Care Hospital	$0	$27.6M
Yasha Modi	OH	Ophthalmology Physician	$1.4M	$279.8K
Thao Ngo	NY	Cardiovascular Disease Physician	$651.2K	$585.1K
Daniel Kane	RI	Pediatric Dentistry	$0	$1.2M
Haroon Kamran	NY	Interventional Cardiology Physician	$908.4K	$35.6K
Alexandra Ascher	NY	Internal Medicine Physician	$272.4K	$193.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allstar Homecare Agency, Inc	NY	Home Health Agency	$0	$234.3M
Empire City Laboratories, Inc	NY	Clinical Medical Laboratory	$6.7M	$143M
Allstar Homecare Fi, Inc.	NY	Personal Care Attendant	$0	$147.9M
Platinum Home Health Care Inc. Cdpap	NY	Home Health Agency	$0	$36M
Reliance Home Care Inc.	NY	Home Health Agency	$0	$32.2M
Jy Adult Social Day Care Service, Inc.	NY	Adult Day Care Clinic/Center	$0	$32.1M
Reliance Fi LLC	NY	Case Management Agency	$0	$32.1M
Family Respite Homecare Agency Inc.	NY	Home Health Agency	$0	$30.8M
Dart Medical Laboratory, Inc	NY	Clinical Medical Laboratory	$767.2K	$27.1M
Healthy Family Social Daycare Inc	NY	Adult Day Care Clinic/Center	$0	$27.2M

Nyu Langone Hospitals — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References