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.

Ellen Cooper Associates Inc. (NPI 1659529402)

Ellen Cooper Associates Inc. is a early intervention provider agency provider located in Syosset, New York. This profile covers 0 Medicare and 24 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	Ellen Cooper Associates Inc.
Address	2 Roosevelt Ave Ste 300
City	Syosset
State	NY
ZIP	11791
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	September 5, 2008

Payer Source	Total Paid
Medicaid	$25.7M
Medicare	$0

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	75,490	$80	$5.9M
0373T	Two or more technicians, under the direction of an on–site physician or other qualified healthcare professional, administer adaptive behavior treatment with modifications in protocol for a patient…	48,750	$110	$5.1M
H2014	Skills training and development, per 15 minutes	44,780	$80	$3.6M
T1017	Targeted case management, each 15 minutes	88,490	$30	$2.7M
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.	28,920	$80	$2.2M
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…	21,550	$80	$1.6M
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	3,110	$340	$1M
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	33,820	$30	$1M
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	8,480	$80	$661.5K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	6,040	$80	$458.8K

Showing 1–10 of 24

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

Ellen Cooper Associates Inc. — 4 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0373T	Two or more technicians, under the direction of an on–site physician or other qualified healthcare professional, administer adaptive behavior treatment with modifications in protocol for a patient…	1	10	48,750	$110	$5.1M
H2014	Skills training and development, per 15 minutes	20	160	3,210	$200	$4.5M
H2019	Therapeutic behavioral services, per 15 minutes	79	170	1,390	$570	$1.6M
H2027	Psychoeducational service, per 15 minutes	53	70	2,430	$100	$1.1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	46	90	980	$110	$880.5K
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…	16	750	1,800	$80	$785.8K
T1017	Targeted case management, each 15 minutes	9	240	4,610	$30	$561.8K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	45	50	1,520	$80	$395.3K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	82	80	1,480	$80	$383.6K
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.	48	2,060	1,300	$60	$322.2K

Showing 1–10 of 24

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Noa Diagnostics Of Ny LLC	NY	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.9M	$653K
Endo Group, LLC	NY	Ambulatory Surgical Clinic/Center	$1.3M	$393.9K
Faisal Sheikh	NY	Gastroenterology Physician	$759.3K	$462.3K
Aleksander Shalshin	NY	Pulmonary Disease Physician	$1M	$190.8K
Darren Mollick	NY	MOHS-Micrographic Surgery Physician	$754.8K	$0
Alexander Weingarten	NY	Interventional Pain Medicine Physician	$584.5K	$27.4K
Mark Kahn	NY	Internal Medicine Physician	$473.5K	$0
Kostas Sideridis	NY	Gastroenterology Physician	$391.3K	$64.4K
Fredric Mintz	NY	Internal Medicine Physician	$420.3K	$960
Richard Federbush	NY	Internal Medicine Physician	$415.1K	$0

Ellen Cooper Associates 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

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References