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 Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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 Jersey (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.

Garden State Healthcare Associates, LLC (NPI 1700014545)

Garden State Healthcare Associates, LLC is a emergency medicine physician provider located in Bayonne, New Jersey. This profile covers 0 Medicare and 139 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	Garden State Healthcare Associates, LLC
Address	29 E 29th St
City	Bayonne
State	NJ
ZIP	07002
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 1, 2009

Payer Source	Total Paid
Medicaid	$13.3M
Medicare	$0

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

139 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	60,570	$40	$2.6M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	64,630	$30	$1.7M
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.	58,750	$30	$1.6M
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.	53,900	$20	$1.1M
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…	20,280	$30	$547.5K
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.	11,580	$50	$544.1K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	10,620	$50	$509.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	23,300	$20	$489.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	7,560	$60	$453.8K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	23,160	$20	$416.8K

Showing 1–10 of 139

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Garden State Healthcare Associates, LLC — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

139 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	26	260	4,240	$220	$4.1M
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.	25	320	580	$230	$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.	77	280	920	$200	$2.6M
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.	1	140	1,410	$180	$1.3M
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…	527	720	1,690	$80	$629.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	18	170	2,330	$110	$578.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	161	330	650	$200	$465.1K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	57	90	190	$430	$429.3K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	84	90	15,540	$20	$425.8K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	70	100	320	$190	$394K

Showing 1–10 of 139

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Justin Ratcliffe	NY	Interventional Cardiology Physician	$1.8M	$266.5K
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Ajay Agarwala	NY	Cardiovascular Disease Physician	$1.1M	$288.1K
Peter Park	NJ	Vascular & Interventional Radiology Physician	$1.1M	$0
Artin Aharonian	MD	Diagnostic Radiology Physician	$1M	$0
Philip Green	NY	Interventional Cardiology Physician	$867.6K	$47K
Muhammad Ijaz	NJ	Internal Medicine Physician	$852.8K	$0
Ammar Taha	WI	Diagnostic Radiology Physician	$410.5K	$380K
Sainath Gaddam	TX	Interventional Cardiology Physician	$251.9K	$538.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fast Track Services LLC	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$47.3M
Alay Home Care	NJ	Community/Behavioral Health Agency	$0	$36.3M
Perfect Home Care	NJ	Home Health Agency	$0	$22.6M
Adult Medical Day Care Corp. Of Bayonne	NJ	Adult Day Care Clinic/Center	$0	$19.6M
Ijkg Opco LLC	NJ	General Acute Care Hospital	$0	$17.5M
Bayonne Board Of Education	NJ	Local Education Agency (LEA)	$0	$13.2M
Kessler Institute For Rehabilitation Inc	NJ	Physical Therapy Clinic/Center	$0	$13.1M
Windmill Alliance Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$10M
United Cerebral Palsy Of Hudson County	NJ	Developmentally Disabled Services Day Training Agency	$0	$8.9M
Jacob Jacoby	NJ	Psychiatry Physician	$107.2K	$6.7M

Garden State Healthcare Associates, LLC — 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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