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.

West Asc, LLC (NPI 1720388465)

Field	Value
Entity Type	Organization
Organization	West Asc, LLC
Address	5700 W Genesee St
City	Camillus
State	NY
ZIP	13031
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 28, 2010

Payer Source	Total Paid
Medicare	$34K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
28285	The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.	50	$720	$34K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

West Asc, LLC — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
28285	2	30	30	$430	$12K

Nearby Providers

Other providers in the same ZIP code as West Asc, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epc, LLC	NY	Endoscopy Clinic/Center	$433.7K	$521.6K
Mark Potenza	NY	Plastic and Reconstructive Surgery Physician	$287.9K	$0
Alexander Knudsen	NY	Internal Medicine Physician	$156.6K	$0
Samuel Alpert	NY	Ophthalmology Physician	$105.1K	$47.8K
John Sun	NY	Gastroenterology Physician	$71.4K	$200
Alice Miller	NY	Family Medicine Physician	$69.2K	$0
Jessica Town	NY	Orthopedic Physical Therapist	$52.9K	$0
Nicole Anzalone	NY	Audiologist-Hearing Aid Fitter	$16.4K	$0

West Asc, LLC — Billing Profile & Reimbursement Data

Sign up for West Asc, LLC — Billing Profile & Reimbursement Data policy alerts

West Asc, LLC — Billing Profile & Reimbursement Data

Sign up for West Asc, LLC — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References