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.

Premier Healthcare, Inc. (NPI 1760436190)

Field	Value
Entity Type	Organization
Organization	Premier Healthcare, Inc.
Address	227 East 41st Street, 8th Floor
City	New York
State	NY
ZIP	10017
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$20.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

66 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…	74,500	$100	$7.6M
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…	45,940	$100	$4.4M
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,…	18,280	$130	$2.4M
D0120	Periodic oral evaluation - established patient	36,270	$60	$2.2M
D0190	N/A	8,460	$70	$600.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	24,290	$20	$583K
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	3,810	$130	$491.6K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	8,890	$40	$328.8K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	1,850	$140	$262.1K
G0127	Trimming of dystrophic nails, any number	1,830	$130	$230.5K

Showing 1–10 of 66

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

Premier Healthcare, Inc. — 10 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	299	1,320	140	$260	$334K
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…	177	19,110	360	$70	$321K
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…	1,761	2,430	1,310	$40	$257.8K
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…	113	16,550	220	$90	$186.8K
99201	Deleted code, effective Jan. 1, 2021	123	190	90	$70	$167.3K
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,…	127	5,420	210	$70	$154.3K
99203	The provider sees a new 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 provider…	1,306	4,700	130	$100	$136.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,112	2,050	90	$140	$121.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	479	1,660	160	$20	$106.1K
95708	The patient undergoes an unmonitored electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours. No video recording is made, and an EEG technologist reviews the…	21	20	70	$270	$105.2K

Showing 1–10 of 66

Related Providers

Other providers that share a Tax Identification Number (TIN) with Premier Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amit Khaneja	NY	Clinical Neurophysiology Physician	$1.3M	$301K
Steven Wolf	NY	Neurology Physician	$79.3K	$23.2K
Marisol Cruz	NY	Family Nurse Practitioner	$13.7K	$0
Dalia Zwick	NY	Physical Therapist	$7.2K	$0
Michael Bergen	NY	Specialist	$5K	$0

Nearby Providers

Other providers in the same ZIP code as Premier Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Partners, Inc	NY	Home Health Agency	$0	$1.1B
Visiting Nurse Service Of New York Home Care Ii	NY	Home Health Agency	$0	$98.4M
Karolyn Kerr	NY	Diagnostic Radiology Physician	$1.8M	$676.7K
Manhattan Endoscopy Center LLC	NY	Ambulatory Surgical Clinic/Center	$1.2M	$299.7K
Haroon Kamran	NY	Interventional Cardiology Physician	$908.4K	$35.6K
Noah Gratch	NY	Dermatology Physician	$678.4K	$160
Surgicare Of Manhattan, LLC	NY	Ambulatory Surgical Clinic/Center	$419.9K	$0
Yosef Golowa	NY	Vascular & Interventional Radiology Physician	$409.5K	$0
Elana Rosenberg	NY	Ophthalmology Physician	$360.6K	$5.2K
Joseph Panarelli	NY	Ophthalmology Physician	$316K	$49.4K

Premier Healthcare, Inc. — Billing Profile & Reimbursement Data

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Premier Healthcare, 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