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.

Lenox Hill Radiology & Medical Imaging Associates, PC (NPI 1821036807)

Lenox Hill Radiology & Medical Imaging Associates, PC is a diagnostic radiology physician provider located in New York, New York. This profile covers 0 Medicare and 139 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	Lenox Hill Radiology & Medical Imaging Associates, PC
Address	61 E 77th St
City	New York
State	NY
ZIP	10021
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicaid	$145.7M
Medicare	$0

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

139 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	291,700	$110	$30.9M
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	186,610	$80	$14.4M
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	266,380	$40	$11.2M
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	73,800	$100	$7.6M
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	26,000	$240	$6.3M
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	25,570	$240	$6M
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	25,800	$220	$5.8M
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	55,140	$90	$4.9M
77065	The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…	34,640	$110	$3.7M
72197	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.	8,770	$400	$3.5M

Showing 1–10 of 139

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

Lenox Hill Radiology & Medical Imaging Associates, PC — 25 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

139 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1	490	840	$90	$323.6K
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…	10,131	19,110	360	$70	$321K
19083	Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.	1	40	80	$760	$273.7K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	2	110	80	$570	$236.2K
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.	122	810	220	$150	$230.6K
72197	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.	1	60	210	$350	$207.9K
19081	Under stereotactic guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.	1	10	90	$600	$203.9K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	4	240	120	$260	$185.5K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	1	410	290	$80	$185.3K
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.	100	970	330	$100	$181.4K

Showing 1–10 of 139

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Karolyn Kerr	NY	Diagnostic Radiology Physician	$1.8M	$676.7K
Jason Chalifoux	NY	Student in an Organized Health Care Education/Training Program	$1.1M	$83.2K
John Melnick	NY	Diagnostic Radiology Physician	$958.8K	$35.4K
Patrick Kang	NY	Diagnostic Radiology Physician	$804.7K	$74.6K
Eric Trenkmann	NY	Diagnostic Radiology Physician	$734.2K	$35.7K
Richard Friedlander	NY	Cardiovascular Disease Physician	$251.3K	$359K
Leslie Miller	NY	Diagnostic Radiology Physician	$533.7K	$9.5K
Robert Waxman	NJ	Specialist	$511.3K	$0
Scott Stickles	NY	Diagnostic Radiology Physician	$489.5K	$7.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manhattan Home Care Ltd	NY	Home Health Agency	$0	$27.3M
New York Society For The Relief Of Ruptured & Crippled Maintaining	NY	General Acute Care Hospital	$0	$20.4M
Ru-ik Chee	NY	Surgery Physician	$1M	$2M
Szilard Kiss	NY	Retina Specialist (Ophthalmology) Physician	$2.1M	$910.2K
Jennifer Krawitz	NY	Ophthalmology Physician	$2.9M	$0
Daniel Rosberger	NY	Specialist	$2.7M	$4.7K
Kenneth Wald	NY	Ophthalmology Physician	$1.5M	$824.9K
Roger Pearse	NY	Medical Oncology Physician	$2.2M	$1.6K
Michael Nissen	NY	Ophthalmology Physician	$2.1M	$0
Lawrence Blum	NY	Ophthalmology Physician	$189.6K	$1.7M

Lenox Hill Radiology & Medical Imaging Associates, PC — Billing Profile & Reimbursement Data

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Lenox Hill Radiology & Medical Imaging Associates, 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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