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 Medical Center (NPI 1831461847)

Field	Value
Entity Type	Organization
Organization	Montefiore Medical Center
Address	100 Corporate Dr
City	Yonkers
State	NY
ZIP	10701
Taxonomy	Case Management Agency
NPI Enumerated	February 7, 2012

Payer Source	Total Paid
Medicaid	$73M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9005	Coordinated care fee, risk adjusted maintenance	226,100	$300	$68.5M
T2022	Case management, per month	9,370	$460	$4.3M
G9001	Coordinated care fee, initial rate	1,710	$80	$128K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	50	$190	$10.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	80	$80	$6K
99080	The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.	50	$0	$0

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 Medical Center — 0 of 5 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9005	Coordinated care fee, risk adjusted maintenance	10	40	105,510	$300	$55.6M
T2022	Case management, per month	12	80	360	$550	$11.6M
G9001	Coordinated care fee, initial rate	14	40	1,500	$80	$206.5K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	66	120	70	$140	$107.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	126	200	140	$110	$65.4K
99080	The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.	729	880	210	$1	$110

Nearby Providers

Other providers in the same ZIP code as Montefiore Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accentcare Of New York, Inc.	NY	Home Health Agency	$0	$265.4M
St. Joseph's Hospital, Yonkers	NY	General Acute Care Hospital	$214.8K	$69.7M
St. John's Riverside Hospital	NY	General Acute Care Hospital	$318.7K	$66.3M
Family Service Society Of Yonkers	NY	Home Health Agency	$0	$24.1M
Amit Khaneja	NY	Clinical Neurophysiology Physician	$1.3M	$301K
Sachin Kumar Amruthlal Jain	NY	Cardiovascular Disease Physician	$773K	$663.1K
Sherif El-masry	NY	Urology Physician	$238.2K	$447.9K
Majed Samarneh	NY	Internal Medicine Physician	$446.2K	$81.5K
Michael Ficazzola	NY	Urology Physician	$422K	$3.7K
Carl Gerardi	NY	Urology Physician	$273.9K	$0

Montefiore Medical Center — Billing Profile & Reimbursement Data

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Montefiore Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References