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 1669578324)

Field	Value
Entity Type	Organization
Organization	Nyu Langone Hospitals
Address	301 E 17th St
City	New York
State	NY
ZIP	10003
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 16, 2006

Payer Source	Total Paid
Medicaid	$32.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

182 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	31,410	$140	$4.2M
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…	51,340	$80	$4.2M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	2,080	$1,610	$3.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	18,130	$160	$3M
C1889	Implantable/insertable device, not otherwise classified	1,860	$980	$1.8M
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,…	14,710	$110	$1.6M
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…	11,070	$120	$1.3M
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…	8,650	$140	$1.2M
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…	8,890	$120	$1.1M
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	8,780	$110	$992.3K

Showing 1–10 of 182

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 — 9 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

182 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1745	Injection, infliximab, excludes biosimilar, 10 mg	18	20	730	$2,870	$3.5M
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…	170	340	1,090	$70	$1.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	29	180	3,200	$90	$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…	1,674	2,200	1,010	$130	$892.2K
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…	156	750	1,800	$80	$785.8K
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.	1,176	1,420	90	$130	$715.2K
C1889	Implantable/insertable device, not otherwise classified	11	40	320	$260	$533.3K
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.	1,857	2,210	80	$130	$473K
U0005	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, cdc or non-cdc,…	170	300	1,710	$20	$458.6K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	27	90	260	$360	$435.5K

Showing 1–10 of 182

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nyu Langone Hospitals, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nyu Langone Hospitals	NY	General Acute Care Hospital	$0	$303.2M
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
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

Nearby Providers

Other providers in the same ZIP code as Nyu Langone Hospitals, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Health Management Services, Inc.	NY	Home Health Agency	$0	$85.7M
New York Eye & Ear Infirmary	NY	Special Hospital	$0	$38.9M
Realization Center, Inc.	NY	Clinic/Center	$0	$27.2M
Gpddc, LLC	NY	Ambulatory Surgical Clinic/Center	$401.4K	$11.7M
Jonathan Feistmann	NY	Ophthalmology Physician	$2.7M	$3.1M
Louis Angioletti	NY	Retina Specialist (Ophthalmology) Physician	$2.2M	$31.6K
Jasminka Balderacchi	NY	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
Navin Mehta	NY	Ophthalmology Physician	$460K	$875.8K
Alan Dayan	NY	Retina Specialist (Ophthalmology) Physician	$838.6K	$226.1K
Wen Fan	NY	Anatomic Pathology & Clinical Pathology Physician	$1.1M	$0

Nyu Langone Hospitals — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References