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.

Newyork-presbyterian-queens (NPI 1952347205)

Newyork-presbyterian-queens is a general acute care hospital provider located in Flushing, New York. This profile covers 0 Medicare and 630 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	Newyork-presbyterian-queens
Address	5645 Main St
City	Flushing
State	NY
ZIP	11355
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicaid	$116.4M
Medicare	$0

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

630 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.	60,840	$170	$10.3M
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…	58,200	$150	$8.8M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	42,400	$170	$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.	32,370	$170	$5.5M
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.	34,320	$160	$5.5M
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,…	31,990	$150	$4.7M
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.	11,260	$280	$3.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	33,420	$80	$2.6M
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…	15,890	$160	$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.	14,640	$170	$2.4M

Showing 1–10 of 630

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

Newyork-presbyterian-queens — 13 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

630 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2505	Injection, pegfilgrastim, 6 mg	12	10	490	$2,730	$1.5M
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…	32	100	1,490	$70	$1.3M
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.	34	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	42	180	3,200	$90	$1M
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…	583	750	1,800	$80	$785.8K
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.	32	1,420	90	$130	$715.2K
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	15	20	1,670	$230	$705.8K
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.	38	450	370	$170	$674.1K
77412	The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…	6	20	1,020	$310	$657.6K
77387	The provider uses imaging guidance to locate the target site for delivery of radiation treatment over the tumor. This helps to protect the surrounding healthy tissues.	2	10	1,350	$340	$636.4K

Showing 1–10 of 630

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jerry Huo	NY	Otolaryngology Physician	$70.7K	$1.4M
Wael Kamel	NY	Neurology Physician	$332.1K	$898.4K
Hormoz Kianfar	NJ	Interventional Cardiology Physician	$905.4K	$0
Dmitriy Kolesnik	NY	Neurology Physician	$465.8K	$310.8K
Adrianne Mellos	NY	Cardiovascular Disease Physician	$375.7K	$213.9K
Steven Tillem	NY	Urology Physician	$572.4K	$830
Ashutosh Kacker	NY	Otolaryngology Physician	$399K	$79K
Mourhege Al-saloum	NY	Nephrology Physician	$305.7K	$23.7K
David Menchell	NY	Specialist	$148.6K	$93K
Syed Hussain	NY	Gastroenterology Physician	$122.3K	$71.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Business Institute Corp	NY	Home Health Agency	$0	$1.7B
Abi Fi Corp	NY	Home Health Agency	$0	$712.7M
Abest Care Inc	NY	Home Health Agency	$0	$280.5M
Flushing Hospital & Medical Center	NY	General Acute Care Hospital	$0	$52.8M
Z & W Empire Enterprise, Inc.	NY	Adult Day Care Clinic/Center	$0	$37.5M
Confidence Home Care LLC	NY	Home Health Agency	$0	$34.8M
Bright Horizon Prime Care Inc	NY	Home Health Agency	$0	$33.3M
Bao Kang Adult Daycare Center Inc.	NY	Adult Day Care Clinic/Center	$0	$31.9M
Greater New York Social And Health Adult Day Care	NY	Adult Day Care Clinic/Center	$0	$28.1M
Zhiqing Social Day Care, Inc.	NY	Adult Day Care Clinic/Center	$0	$24M

Newyork-presbyterian-queens — Billing Profile & Reimbursement Data

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Newyork-presbyterian-queens — 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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