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.

Community Care Physicians, PLLC (NPI 1922048370)

Community Care Physicians, PLLC is a internal medicine physician provider located in Latham, New York. This profile covers 0 Medicare and 233 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	Community Care Physicians, PLLC
Address	6 Wellness Way Ste 201
City	Latham
State	NY
ZIP	12110
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 7, 2006

Payer Source	Total Paid
Medicaid	$41.8M
Medicare	$0

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

233 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…	242,250	$60	$14.3M
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…	76,200	$90	$6.7M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	45,540	$50	$2.2M
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	18,880	$110	$2.1M
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…	13,000	$130	$1.7M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	14,230	$80	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	12,860	$80	$1M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,500	$80	$1M
99205	The provider sees a new 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 provider…	5,250	$180	$945K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	12,350	$60	$716.2K

Showing 1–10 of 233

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

Community Care Physicians, PLLC — 15 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

233 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	63	340	1,090	$70	$1.4M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	219	1,510	1,010	$110	$1.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,975	2,200	1,010	$130	$892.2K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	61	300	1,710	$20	$458.6K
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.	515	610	310	$380	$397.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	54	350	350	$210	$393.4K
J0585	Injection, onabotulinumtoxina, 1 unit	76	80	150	$620	$380.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	87	1,320	140	$260	$334K
J1439	Injection, ferric carboxymaltose, 1 mg	33	40	160	$590	$323.8K
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…	55	490	840	$90	$323.6K

Showing 1–10 of 233

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lance Sullenberger	NY	Cardiovascular Disease Physician	$1.6M	$13.3K
Manish Mehta	NY	Vascular Surgery Physician	$1.4M	$320
Jeffrey Uzzilia	NY	Cardiovascular Disease Physician	$711.2K	$18.2K
Ronak Shah	GA	Diagnostic Radiology Physician	$710.2K	$0
Connor Healey	NY	Cardiovascular Disease Physician	$625.4K	$9.7K
Rana Jacob	NY	Hematology & Oncology Physician	$601.1K	$720
R Morris	NY	Cardiovascular Disease Physician	$464.8K	$97.1K
Xiaojun Yan	NY	Pulmonary Disease Physician	$370.3K	$103.5K
Jessica Chapman	NY	Rheumatology Physician	$459.7K	$460
Philip Paty	NY	Vascular Surgery Physician	$422.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Partnerships LLC	NY	Supports Brokerage Agency	$0	$7.2B
Albany Regional Eye Surgery Center, LLC	NY	Ophthalmologic Surgery Clinic/Center	$3.5M	$1.9M
Town Of Colonie	NY	Ambulance	$975.4K	$3.6M
Colonie Asc LLC	NY	Ambulatory Surgical Clinic/Center	$1.5M	$101.7K
Mobile Imaging Ltd.	NY	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$515.7K	$85.1K
Natalie Lopasic	NY	Ophthalmology Physician	$432.5K	$4.9K
Shirish Parikh	NY	Diagnostic Radiology Physician	$298.7K	$1.1K
Samit Shah	NY	Diagnostic Radiology Physician	$207.4K	$800
Hillary Siebeneck	NY	Dermatology Physician	$169.9K	$0
Timothy Shepard	NY	Diagnostic Radiology Physician	$125.3K	$2.8K

Community Care Physicians, PLLC — Billing Profile & Reimbursement Data

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Community Care Physicians, PLLC — 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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