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.

Westchester County Health Care Corporation (NPI 1932280666)

Westchester County Health Care Corporation is a general acute care hospital provider located in Valhalla, New York. This profile covers 0 Medicare and 486 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	Westchester County Health Care Corporation
Address	100 Woods Rd
City	Valhalla
State	NY
ZIP	10595
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 18, 2006

Payer Source	Total Paid
Medicaid	$64.5M
Medicare	$0

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

486 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.	28,860	$230	$6.7M
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.	25,110	$200	$4.9M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,860	$1,610	$3M
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.	8,500	$300	$2.5M
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.	10,480	$230	$2.4M
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…	13,480	$150	$2M
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.	2,320	$800	$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.	9,700	$190	$1.8M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	1,010	$1,740	$1.7M
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.	4,500	$290	$1.3M

Showing 1–10 of 486

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

Westchester County Health Care Corporation — 6 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

486 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	88	90	1,990	$1,780	$5.3M
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…	100	340	1,090	$70	$1.4M
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…	43	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	13	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.	44	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…	662	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	108	180	3,200	$90	$1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	10	40	200	$1,280	$940.3K
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…	421	2,200	1,010	$130	$892.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	599	750	1,800	$80	$785.8K

Showing 1–10 of 486

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Westchester County Health Care Corporation	NY	General Acute Care Hospital	$0	$19.6M
Liying Han	NY	Anatomic Pathology & Clinical Pathology Physician	$360.6K	$20.4K
Huan Sue Zhou	NY	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$248.5K	$0
Amy Kells	MO	Plastic Surgery Physician	$17.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blythedale Children's Hospital	NY	Children's Rehabilitation Hospital	$0	$44.4M
Boston Children's Health Physicians Of New Jersey, LLC	NY	Pediatrics Physician	$0	$23.5M
Nagwa Saleh	NY	Radiation Oncology Physician	$312.2K	$210.6K
Jay Doshi	NY	Cardiovascular Disease Physician	$445K	$9.3K
Gerald Zaidman	NY	Ophthalmology Physician	$119.5K	$285.5K
Nigel Knox	NY	Pain Medicine (Anesthesiology) Physician	$302.8K	$0
Ma. Lourdes De Asis	NY	Allergy & Immunology Physician	$183.7K	$0
Dana Adkins	NY	Neurological Surgery Physician	$159.1K	$0
Shalabh Bobra	NY	Neuroradiology Physician	$138.5K	$8.6K
Shari Friedman	NY	Diagnostic Radiology Physician	$127K	$5.4K

Westchester County Health Care Corporation — Billing Profile & Reimbursement Data

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Westchester County Health Care Corporation — 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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