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.

Crystal Run Healthcare Physicians LLP (NPI 1952376410)

Field	Value
Entity Type	Organization
Organization	Crystal Run Healthcare Physicians LLP
Address	155 Crystal Run Rd
City	Middletown
State	NY
ZIP	10941
Taxonomy	General Practice Physician
NPI Enumerated	February 20, 2006

Payer Source	Total Paid
Medicaid	$34.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

316 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…	82,600	$120	$10.1M
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…	92,950	$80	$7.8M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	10,710	$130	$1.4M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	29,920	$30	$777.8K
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…	3,790	$200	$773.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	6,120	$120	$709.3K
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…	5,440	$130	$707.1K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	6,350	$90	$596.6K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	4,550	$130	$591.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,130	$90	$575.8K

Showing 1–10 of 316

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

Crystal Run Healthcare Physicians LLP — 5 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

316 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9083	Global fee urgent care centers	68	200	340	$120	$1.7M
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	26	40	70	$3,040	$1.5M
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…	167	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…	91	100	1,490	$70	$1.3M
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…	919	2,200	1,010	$130	$892.2K
U0005	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, cdc or non-cdc,…	177	300	1,710	$20	$458.6K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	99	110	690	$50	$442K
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.	351	610	310	$380	$397.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	224	290	1,900	$30	$390.6K
J0585	Injection, onabotulinumtoxina, 1 unit	54	80	150	$620	$380.1K

Showing 1–10 of 316

Related Providers

Other providers that share a Tax Identification Number (TIN) with Crystal Run Healthcare Physicians LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danbury Hospital	CT	General Acute Care Hospital	$0	$123.8M
Optum Medical Care, P.C.	NY	Cardiovascular Disease Physician	$0	$105.1M
North Shore Hematology Oncology Associates PC	NY	Specialist	$0	$61.9M
Middletown Medical PC	NY	Emergency Medicine Physician	$0	$49.3M
Nuvance Health Medical Practice Ct, Inc.	CT	Internal Medicine Physician	$0	$20.2M
Danbury Hospital	CT	General Acute Care Hospital	$0	$15.3M
David Cohen	NY	Dermatology Physician	$352K	$8.4M
Tony Abraham	NY	Nuclear Radiology Physician	$7.6M	$442.6K
Riem Badr	NY	Hematology (Pathology) Physician	$8M	$2.2K
Sergio Sokol	NY	Cardiovascular Disease Physician	$1.8M	$5.7M

Nearby Providers

Other providers in the same ZIP code as Crystal Run Healthcare Physicians LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access: Supports For Living Inc	NY	Community/Behavioral Health Agency	$0	$35M
Access: Supports For Living Inc	NY	Case Management Agency	$0	$19.8M
Mdinr, LLC	NY	Physiological Laboratory	$2.7M	$464.1K
Matthew Pomykala	NY	Ophthalmology Physician	$1.7M	$1M
Robert Dinsmore	NY	Hematology & Oncology Physician	$2.4M	$45.7K
Crystal Run Ambulatory Surgery Center Of Middletown, LLC	NY	Ambulatory Surgical Clinic/Center	$1.3M	$661.1K
Gnanamba Kondagunta	NY	Hematology & Oncology Physician	$1.6M	$185.4K
Manuel Perry	NY	Hematology & Oncology Physician	$1.3M	$101.7K
Gurvinder Sethi	NY	Hematology & Oncology Physician	$1.1M	$168.6K
Yong Ke	NY	Anatomic Pathology & Clinical Pathology Physician	$351.6K	$802.7K

Crystal Run Healthcare Physicians LLP — Billing Profile & Reimbursement Data

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Crystal Run Healthcare Physicians LLP — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References