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.

Main Street Radiology At Bayside LLC (NPI 1942397880)

Main Street Radiology At Bayside LLC is a diagnostic radiology physician provider located in Flushing, New York. This profile covers 0 Medicare and 62 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	Main Street Radiology At Bayside LLC
Address	13625 37th Ave
City	Flushing
State	NY
ZIP	11354
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	35,260	$140	$5M
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	42,210	$110	$4.8M
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	32,510	$100	$3.2M
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	12,080	$140	$1.6M
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	24,890	$60	$1.4M
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	37,010	$30	$925.3K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	3,560	$250	$896.9K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	9,890	$80	$791.3K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	6,150	$110	$651.4K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,080	$210	$432.4K

Showing 1–10 of 62

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

Main Street Radiology At Bayside LLC — 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	7	490	840	$90	$323.6K
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…	10,646	19,110	360	$70	$321K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	158	810	220	$150	$230.6K
72197	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.	33	60	210	$350	$207.9K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	35	240	120	$260	$185.5K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	3	410	290	$80	$185.3K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	22	210	150	$220	$158.8K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	154	770	340	$130	$154.1K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	3	670	250	$110	$150.7K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	216	840	460	$80	$139.7K

Showing 1–10 of 62

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
David Mobley	NY	Vascular & Interventional Radiology Physician	$826.1K	$7.5K
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Adam Brandeberry	NJ	Diagnostic Radiology Physician	$690.5K	$0
Arthur Ballard	FL	Diagnostic Radiology Physician	$671.4K	$0
Tiffany Newman	NY	Diagnostic Radiology Physician	$381.3K	$0
Daniel Klein	NY	Diagnostic Neuroimaging (Radiology) Physician	$326.7K	$16.4K
Hei Shun Yu	AZ	Diagnostic Radiology Physician	$322.1K	$0
Adam Bernheim	NY	Diagnostic Radiology Physician	$196.5K	$25.9K
Wales Shao	NY	Diagnostic Radiology Physician	$190.3K	$60

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Longevity Health Services LLC	NY	Home Health Agency	$0	$428.6M
Evergreen Homecare Service Of Ny Inc	NY	Home Health Agency	$0	$112.7M
Life Improvement Homecare, Inc.	NY	Home Health Agency	$0	$108.9M
Red Sun Home Care Inc.	NY	Home Health Agency	$0	$87.7M
Supreme Homecare Agency Of Ny Inc	NY	Home Health Agency	$0	$71.5M
Centerlight Healthcare, Inc.	NY	PACE Provider Organization	$0	$67.7M
1st Class Care Services, Inc.	NY	Home Health Agency	$0	$61.5M
Supreme Home Care Agency Of Ny Inc	NY	Home Health Agency	$0	$58.5M
Help Home Health Care Agency LLC	NY	Home Health Agency	$0	$48.9M
Sunrise Senior Service LLC	NY	Adult Development & Aging Psychologist	$0	$45M

Main Street Radiology At Bayside LLC — Billing Profile & Reimbursement Data

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Main Street Radiology At Bayside LLC — 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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