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.

New York City Health And Hospitals Corporation (NPI 1679587679)

Field	Value
Entity Type	Organization
Organization	New York City Health And Hospitals Corporation
Address	1400 Pelham Pkwy S
City	Bronx
State	NY
ZIP	10461
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicaid	$217.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

765 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	129,730	$190	$24.4M
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…	181,470	$80	$15.2M
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.	77,520	$180	$14M
G9005	Coordinated care fee, risk adjusted maintenance	43,610	$310	$13.5M
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…	92,570	$110	$10.4M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	37,200	$210	$7.7M
T1016	Case management, each 15 minutes	31,290	$240	$7.6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	13,720	$500	$6.8M
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…	90,750	$60	$5.2M
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,…	57,020	$70	$3.8M

Showing 1–10 of 765

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

New York City Health And Hospitals Corporation — 18 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

765 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9005	Coordinated care fee, risk adjusted maintenance	26	40	105,510	$300	$55.6M
H0040	Assertive community treatment program, per diem	72	90	1,990	$1,780	$5.3M
T1016	Case management, each 15 minutes	10	40	3,630	$220	$3.7M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	21	110	1,520	$250	$1.5M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	22	50	930	$160	$1.4M
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…	16	340	1,090	$70	$1.4M
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	8	10	120	$2,560	$1.4M
59840	In this procedure, the provider deliberately terminates a pregnancy for elective or therapeutic reasons. He removes the fetus and products of conception by dilating the cervix and then using a…	21	30	370	$510	$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.	14	210	2,850	$180	$1.1M
S9131	Physical therapy; in the home, per diem	22	90	2,630	$100	$1.1M

Showing 1–10 of 765

Nearby Providers

Other providers in the same ZIP code as New York City Health And Hospitals Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cupid Homecare Agency	NY	In Home Supportive Care Agency	$0	$114.1M
Citywide Mobile Response Corp	NY	Ambulance	$1.7M	$30.5M
Ability Builders For Children, LLC	NY	Early Intervention Provider Agency	$0	$22.5M
New York Gi Center LLC	NY	Endoscopy Clinic/Center	$518.6K	$5.4M
Rajesh Bhatnagar	NY	Neurology Physician	$479.2K	$982.2K
Gary Tubman	NY	Diagnostic Radiology Physician	$617.9K	$447.2K
Eric Wolf	NY	Ophthalmology Physician	$819.6K	$0
Nabil Elhadidy	NY	Internal Medicine Physician	$222.3K	$470K
Luciano Tuluca	NY	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$280.8K	$383.8K
Daniel Gurell	NY	Diagnostic Radiology Physician	$450.4K	$85.3K

New York City Health And Hospitals Corporation — Billing Profile & Reimbursement Data

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New York City Health And Hospitals Corporation — 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