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.

Montefiore New Rochelle Hospital (NPI 1720414154)

Montefiore New Rochelle Hospital is a general acute care hospital provider located in New Rochelle, New York. This profile covers 0 Medicare and 231 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	Montefiore New Rochelle Hospital
Address	16 Guion Pl
City	New Rochelle
State	NY
ZIP	10801
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 17, 2013

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

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

231 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	38,720	$120	$4.6M
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.	45,800	$90	$3.9M
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…	18,150	$140	$2.5M
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.	4,380	$260	$1.1M
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.	9,150	$100	$951.8K
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.	2,840	$260	$747.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,790	$140	$679.8K
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…	4,250	$140	$608.3K
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,…	4,400	$140	$607.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	27,160	$20	$570.3K

Showing 1–10 of 231

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

Montefiore New Rochelle Hospital — 3 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

231 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	179	210	2,850	$180	$1.1M
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…	1,157	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	103	180	3,200	$90	$1M
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.	53	1,420	90	$130	$715.2K
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.	6	450	370	$170	$674.1K
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.	190	2,210	80	$130	$473K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	242	610	310	$380	$397.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	170	290	1,900	$30	$390.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	158	390	240	$450	$332.2K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	272	490	840	$90	$323.6K

Showing 1–10 of 231

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kameswari Lakshmi	NY	Nephrology Physician	$321.6K	$199.6K
Randall Berliner	NY	Neurology Physician	$229.1K	$252.5K
Stephen Trauzzi	NY	Urology Physician	$417.5K	$62.2K
Aaron Roth	NY	Surgery Physician	$396.9K	$0
Marc Janis	NY	Urology Physician	$295.6K	$66.9K
Arash Gohari	NY	Vascular & Interventional Radiology Physician	$301.5K	$33.1K
Emad Soliman	NY	Psychiatry Physician	$259.7K	$42.6K
Aaron Hagge-greenberg	NY	Urology Physician	$222.7K	$0
Joseph Casino	CT	Pulmonary Disease Physician	$202.5K	$1.1K
Valdet Nikci	CT	Orthopaedic Surgery Physician	$176.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New York Care At Home Ltd	NY	In Home Supportive Care Agency	$0	$29M
Eye Surgery Center Of Westchester, Inc	NY	Ophthalmologic Surgery Clinic/Center	$1.8M	$2.4M
Kyle Lipton	NY	Obstetrics & Gynecology Physician	$74K	$1.3M
Mordechai Bar	NY	Internal Medicine Physician	$659K	$391.2K
David Lans	NY	Rheumatology Physician	$701.7K	$0
Jefffrey Belmont	NY	Otolaryngology Physician	$350.1K	$290.4K
Shyam Shivdasani	NY	Internal Medicine Physician	$457.5K	$34.1K
Mark Weigle	NY	Physical Medicine & Rehabilitation Physician	$362.3K	$42.6K
Felipe Urdaneta	NY	Diagnostic Radiology Physician	$308.5K	$0
Hirendra Dave	NY	Family Medicine Physician	$263.7K	$0

Montefiore New Rochelle Hospital — 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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