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.

Modern Physician Services PC (NPI 1932590601)

Modern Physician Services PC is a urgent care clinic/center provider located in Brooklyn, New York. This profile covers 0 Medicare and 74 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	Modern Physician Services PC
Address	68 Graham Ave
City	Brooklyn
State	NY
ZIP	11206
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	February 16, 2015

Payer Source	Total Paid
Medicaid	$50.5M
Medicare	$0

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

74 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	135,130	$100	$14.1M
S9083	Global fee urgent care centers	97,500	$120	$11.4M
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…	66,520	$100	$6.6M
99204	The provider sees a new 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 provider…	41,020	$110	$4.3M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	39,370	$100	$3.7M
99203	The provider sees a new 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 provider…	35,730	$90	$3.3M
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	35,280	$90	$3.1M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	113,120	$20	$1.8M
99201	Deleted code, effective Jan. 1, 2021	4,640	$110	$491.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	47,040	$10	$470.4K

Showing 1–10 of 74

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

Modern Physician Services PC — 17 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

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9083	Global fee urgent care centers	7	200	340	$120	$1.7M
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…	196	19,110	360	$70	$321K
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…	21	16,550	220	$90	$186.8K
99201	Deleted code, effective Jan. 1, 2021	7	190	90	$70	$167.3K
97602	The provider removes dead tissue from a wound without differentiating between viable and nonviable tissues. This service helps in assessing the depth of the wound, reduces the risk of infection and…	5	20	110	$110	$159.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	45	5,420	210	$70	$154.3K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	123	140	210	$290	$144.7K
99203	The provider sees a new 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 provider…	19	4,700	130	$100	$136.6K
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…	237	2,050	90	$140	$121.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	524	1,660	160	$20	$106.1K

Showing 1–10 of 74

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cabs Home Attendants Service Inc.	NY	Home Health Agency	$0	$172.5M
Riseboro Homecare Inc	NY	Home Health Agency	$0	$156.9M
New York City Health And Hospitals Corporation	NY	General Acute Care Hospital	$0	$119.2M
Hda Ny LLC	NY	Home Health Agency	$0	$113.5M
Yechiel Zagelbaum	NY	Pediatrics Physician	$0	$70.4M
Pesach Tikvah Hope Development Inc	NY	Mental Health Counselor	$0	$49.9M
Williamsburg Infant & Early Childhood Development Center, Inc.	NY	Early Intervention Provider Agency	$0	$34.2M
Startcare, Inc.	NY	Substance Use Disorder Rehabilitation Clinic/Center	$211K	$30.9M
Azriel Hirschfeld	NY	Hematology & Oncology Physician	$589.5K	$8.6K
Kelly Berkowsky	NY	Physical Therapist	$237.7K	$0

Modern Physician Services PC — Billing Profile & Reimbursement Data

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Modern Physician Services 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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