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.

The New York And Presbyterian Hospital (NPI 1780196345)

The New York And Presbyterian Hospital is a general acute care hospital provider located in Bronxville, New York. This profile covers 0 Medicare and 269 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	The New York And Presbyterian Hospital
Address	55 Palmer Ave
City	Bronxville
State	NY
ZIP	10708
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 3, 2017

Payer Source	Total Paid
Medicaid	$18.8M
Medicare	$0

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

269 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	11,920	$170	$2.1M
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.	11,940	$160	$1.9M
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.	12,100	$160	$1.9M
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.	6,890	$250	$1.7M
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…	8,980	$100	$879.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,590	$290	$741K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	1,050	$680	$709.4K
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.	2,460	$280	$690.1K
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…	690	$920	$629.7K
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.	810	$650	$529.3K

Showing 1–10 of 269

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

The New York And Presbyterian Hospital — 2 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

269 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.	54	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	173	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.	170	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.	154	450	370	$170	$674.1K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	29	140	360	$130	$492.1K
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.	166	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.	200	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.	168	290	1,900	$30	$390.6K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	66	70	160	$720	$353.6K
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	27	60	230	$370	$340.9K

Showing 1–10 of 269

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$0	$455.2M
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$276.3K	$207.4M
New York And Presbyterian Hospital	NY	General Acute Care Hospital	$0	$49.5M
Eyal Levit	NY	MOHS-Micrographic Surgery Physician	$1.3M	$0
Wayne Luo	NY	Dermatology Physician	$1.1M	$0
Gwen Abeles	NJ	Procedural Dermatology Physician	$1M	$0
Stephen Nychay	NJ	MOHS-Micrographic Surgery Physician	$956.4K	$0
Peter Okin	NY	Cardiovascular Disease Physician	$322.8K	$576.7K
Donald Liss	NJ	Physical Medicine & Rehabilitation Physician	$575.1K	$0
John Walczyk	NY	Dermatology Physician	$504K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Bodine	NY	Ophthalmology Physician	$802.7K	$1.2M
Charles Mango	NY	Ophthalmology Physician	$1.7M	$77.5K
Dev Panigrahi	NY	Specialist	$233.7K	$11.7K
Anthony Salvate	NY	Cardiovascular Disease Physician	$140.7K	$1.3K
Deborah Cappell	NY	Sleep Medicine (Internal Medicine) Physician	$56.2K	$0

The New York And Presbyterian Hospital — Billing Profile & Reimbursement Data

Sign up for The New York And Presbyterian Hospital — Billing Profile & Reimbursement Data policy alerts

The New York And Presbyterian Hospital — Billing Profile & Reimbursement Data

Sign up for The New York And Presbyterian Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References