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.

Oda Primary Health Care Network, Inc. (NPI 1720177066)

Field	Value
Entity Type	Organization
Organization	Oda Primary Health Care Network, Inc.
Address	14 Heyward St
City	Brooklyn
State	NY
ZIP	11249
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicaid	$83.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

186 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…	549,770	$40	$23.1M
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…	83,540	$80	$6.3M
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…	52,710	$110	$5.6M
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…	65,960	$50	$3.4M
D0120	Periodic oral evaluation - established patient	128,760	$30	$3.3M
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	185,410	$20	$3.2M
D0140	Limited oral evaluation – problem focused	65,520	$50	$3M
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.	52,830	$60	$3M
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	135,670	$20	$2.4M
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…	45,230	$50	$2.2M

Showing 1–10 of 186

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

Oda Primary Health Care Network, Inc. — 23 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

186 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90832	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…	606	1,510	1,010	$110	$1.1M
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…	53	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…	13	750	1,800	$80	$785.8K
T1015	Clinic visit/encounter, all-inclusive	55	120	1,230	$140	$539.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	154	620	1,130	$60	$370.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	176	1,320	140	$260	$334K
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.	21	2,060	1,300	$60	$322.2K
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…	9	19,110	360	$70	$321K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	267	270	360	$110	$319.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	138	430	680	$120	$299.9K

Showing 1–10 of 186

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oda Primary Health Care Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oda Primary Health Care Network, Inc.	NY	Federally Qualified Health Center (FQHC)	$0	$37M
Simon Fensterszaub	RI	Family Medicine Physician	$14.8M	$230.6K
Edward Bennett	NY	Internal Medicine Physician	$152.7K	$6.7M
Chaim Moeller	NY	Clinical Cardiac Electrophysiology Physician	$158.9K	$265.3K
Jeffrey Aronoff	NY	Colon & Rectal Surgery Physician	$99.4K	$0
Mariya Rozenfeld	NY	Obstetrics Physician	$63.3K	$14.8K
Joel Arbisser	NY	Ophthalmology Physician	$61.9K	$0
George Opio	NY	Pediatrics Physician	$52.5K	$960
Jason Zimmerman	NY	Emergency Medicine Physician	$39.5K	$890

Nearby Providers

Other providers in the same ZIP code as Oda Primary Health Care Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hda Cdpas LLC	NY	Case Management Agency	$0	$66.8M
Excellent Home Care Services, LLC	NY	Home Health Agency	$0	$31.3M
Siblings Home Care Services LLC	NY	Home Health Agency	$0	$30.6M
Valera Medical, P.C.	NY	Psychiatry Physician	$0	$20.7M
Ryan Whitney	NY	General Practice Physician	$3.3M	$491.8K
Daniel Culliford	NY	Psychiatry Physician	$633.4K	$280.6K

Oda Primary Health Care Network, Inc. — Billing Profile & Reimbursement Data

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Oda Primary Health Care Network, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References