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.

North Shore Lij, Urgent Care, P.C. (NPI 1679970891)

North Shore Lij, Urgent Care, P.C. is a urgent care clinic/center provider located in Rockville Centre, New York. This profile covers 0 Medicare and 45 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	North Shore Lij, Urgent Care, P.C.
Address	243 Merrick Rd
City	Rockville Centre
State	NY
ZIP	11570
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	December 3, 2014

Payer Source	Total Paid
Medicaid	$111.7M
Medicare	$0

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	251,250	$200	$49M
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…	113,830	$180	$20.7M
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…	87,530	$190	$16.6M
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,…	45,780	$180	$8.1M
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	43,770	$180	$7.9M
S9083	Global fee urgent care centers	24,150	$130	$3M
99204	The provider sees a new 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 provider…	11,510	$230	$2.7M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	117,100	$20	$1.9M
99201	Deleted code, effective Jan. 1, 2021	5,790	$130	$764.7K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	38,720	$10	$387.2K

Showing 1–10 of 45

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

North Shore Lij, Urgent Care, P.C. — 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9083	Global fee urgent care centers	20	200	340	$120	$1.7M
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…	33	19,110	360	$70	$321K
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…	34	16,550	220	$90	$186.8K
99201	Deleted code, effective Jan. 1, 2021	4	190	90	$70	$167.3K
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,…	38	5,420	210	$70	$154.3K
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…	6	4,700	130	$100	$136.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	258	2,050	90	$140	$121.2K
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.	630	1,660	160	$20	$106.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	4	1,260	110	$80	$100.2K
99204	The provider sees a new 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 provider…	34	3,820	100	$130	$99.7K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michelle Ordoveza	CT	Student in an Organized Health Care Education/Training Program	$117.8K	$500
Eugene Connolly	NY	Medical Physician Assistant	$93.8K	$0
Pamela Barrett	CT	Physician Assistant	$69.8K	$0
Neal Shipley	NY	Emergency Medicine Physician	$63.2K	$130
Dennis Zaide	WI	Internal Medicine Physician	$54.4K	$0
Claudia Halstead	DE	Physician Assistant	$20.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Medical Center	NY	General Acute Care Hospital	$0	$43.9M
Better Home Health Care Agency, Inc.	NY	Home Health Agency	$0	$22.3M
Glenn Stoller	NY	Ophthalmology Physician	$4.6M	$637.1K
Emmanouil Vasilakis	NY	Orthopedic Physical Therapist	$648.6K	$4.3M
Angelito Tan	NY	Neurology Physician	$1.4M	$675.6K
Jeff Kopelman	NY	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$287.1K	$1.1M
Todd Halper	NY	Family Medicine Physician	$1.1M	$196.6K
Charles Mitgang	NY	Internal Medicine Physician	$1M	$3K
Khawaja Hassan	NY	Plastic Surgery Physician	$1M	$0
Farid Shahkoohi	NY	Internal Medicine Physician	$840.4K	$5.1K

North Shore Lij, Urgent Care, P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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