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.

South Nassau Communities Hospital (NPI 1922079094)

South Nassau Communities Hospital is a general acute care hospital provider located in Oceanside, New York. This profile covers 0 Medicare and 317 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	South Nassau Communities Hospital
Address	1 Healthy Way
City	Oceanside
State	NY
ZIP	11572
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 27, 2006

Payer Source	Total Paid
Medicaid	$49.4M
Medicare	$0

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

317 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	45,510	$150	$6.9M
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.	36,000	$180	$6.6M
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…	21,590	$160	$3.4M
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…	28,740	$100	$3M
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.	14,280	$180	$2.6M
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.	11,290	$180	$2M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	2,940	$410	$1.2M
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…	8,900	$130	$1.1M
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.	5,950	$180	$1.1M
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…	7,830	$130	$1M

Showing 1–10 of 317

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

South Nassau Communities Hospital — 4 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

317 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	30	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	71	130	1,270	$560	$1.2M
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.	136	210	2,850	$180	$1.1M
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…	277	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	10	180	3,200	$90	$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…	158	2,200	1,010	$130	$892.2K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	13	30	2,060	$220	$867.8K
T1030	Nursing care, in the home, by registered nurse, per diem	98	210	450	$120	$728.3K
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.	66	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.	39	450	370	$170	$674.1K

Showing 1–10 of 317

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ann Anderson	NY	Clinical Pathology/Laboratory Medicine Physician	$5.2M	$0
Rachel Piechowiak	VA	Vascular & Interventional Radiology Physician	$2.4M	$0
Muhammad Ahmad	NY	Pulmonary Disease Physician	$159.6K	$1M
Iheanyichukwu Aja-onu	NY	Gastroenterology Physician	$536.4K	$597.3K
Manish Undavia	NY	Clinical Cardiac Electrophysiology Physician	$482K	$6K
Yuval Hiltzik	NY	Pulmonary Disease Physician	$458.2K	$3.1K
Jeffrey Schaffer	NY	Cardiovascular Disease Physician	$292.6K	$2.4K
Karl Ziermann	NY	Sports Medicine (Internal Medicine) Physician	$226.2K	$1.4K
Antonio Uria	NY	Specialist	$211.4K	$0
Michael Sood	NY	Cardiovascular Disease Physician	$159.8K	$10.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caring24 Technologies, Inc	NY	Emergency Response System Companies	$0	$48.6M
Michael Cohen	NY	MOHS-Micrographic Surgery Physician	$1.1M	$0
Craig Kornreich	NY	Dermatology Physician	$910.1K	$0
Icahn School Of Medicine At Mount Sinai	NY	Diagnostic Radiology Physician	$605.6K	$0
Russell Cohen	NY	Dermatology Physician	$604.4K	$0
Sari Weinstein	NY	Dermatology Physician	$578.9K	$0
Elie Lowenstein	NY	Dermatology Physician	$565K	$0
Steven Greenstein	NY	Cardiovascular Disease Physician	$383.5K	$17.4K
Roxanne Abitbol	NY	Dermatology Physician	$367.1K	$0
Mark Silverman	NY	Specialist	$349.7K	$0

South Nassau Communities Hospital — Billing Profile & Reimbursement Data

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South Nassau Communities Hospital — 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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