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.

Sbh Physicians, PC (NPI 1740595917)

Sbh Physicians, PC is a internal medicine physician provider located in Bronx, New York. This profile covers 0 Medicare and 194 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	Sbh Physicians, PC
Address	4422 Third Avenue
City	Bronx
State	NY
ZIP	10457
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 12, 2010

Payer Source	Total Paid
Medicaid	$31.5M
Medicare	$0

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

194 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.	83,250	$100	$7.9M
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…	88,170	$50	$4.2M
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…	51,160	$60	$3.2M
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.	58,700	$50	$3.1M
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.	17,340	$130	$2.2M
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…	32,370	$50	$1.5M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	9,030	$160	$1.4M
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…	14,330	$90	$1.2M
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.	32,480	$30	$1.1M
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	14,510	$50	$710.9K

Showing 1–10 of 194

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

Sbh Physicians, PC — 17 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

194 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.	36	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.	10	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.	16	2,210	80	$130	$473K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	114	160	140	$720	$423.8K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	36	80	90	$1,300	$403.9K
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.	130	610	310	$380	$397.9K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	253	280	210	$150	$381K
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…	208	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.	823	1,320	140	$260	$334K
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…	162	390	240	$450	$332.2K

Showing 1–10 of 194

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Barnabas Hospital	NY	General Acute Care Hospital	$149.3K	$163.4M
Middletown Medical PC	NY	Emergency Medicine Physician	$0	$49.3M
Rami Sartawi	NY	Vascular & Interventional Radiology Physician	$3.7M	$4.9M
Saadet Atay-rosenthal	AZ	Diagnostic Radiology Physician	$1.1M	$0
Jonathan Segal	VA	Cardiovascular Disease Physician	$632.2K	$13.6K
Mayank Patel	NY	Surgery Physician	$350.3K	$46.2K
Sandra Boateng-wilson	NY	Psychiatric/Mental Health Nurse Practitioner	$236.2K	$86.6K
Gregory Bender	CA	Diagnostic Radiology Physician	$233.1K	$9.1K
Yoram Amsalem	NY	Interventional Cardiology Physician	$182.1K	$46.9K
Chris Donikyan	NY	Diagnostic Radiology Physician	$189.8K	$9.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bronxcare Health System	NY	General Acute Care Hospital	$0	$348.5M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc	NY	Substance Use Disorder Rehabilitation Clinic/Center	$439.8K	$64.2M
Bronxcare Health System	NY	Internal Medicine Physician	$0	$62.3M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc	NY	Methadone Clinic	$0	$38.1M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc	NY	Substance Abuse Rehabilitation Facility	$201.9K	$36.3M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc	NY	Substance Use Disorder Rehabilitation Clinic/Center	$457.1K	$23.5M
Joshua Rubinstein	NY	Specialist	$438.6K	$71K
Harvey Stern	NY	Diagnostic Radiology Physician	$260.6K	$80.3K
Shahin Gharib	NY	Emergency Medicine Physician	$291.6K	$7.5K
Misbahuddin Khaja	NY	Pulmonary Disease Physician	$69.3K	$179.3K

Sbh Physicians, PC — Billing Profile & Reimbursement Data

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Sbh Physicians, PC — 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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