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 Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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 Jersey (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.

Medical Associates Of Englewood, PC (NPI 1952681918)

Medical Associates Of Englewood, PC is a internal medicine physician provider located in Englewood, New Jersey. This profile covers 0 Medicare and 290 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	Medical Associates Of Englewood, PC
Address	350 Engle St
City	Englewood
State	NJ
ZIP	07631
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 23, 2011

Payer Source	Total Paid
Medicaid	$36.9M
Medicare	$0

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

290 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…	348,750	$30	$11.5M
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…	268,430	$30	$7.5M
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…	40,910	$60	$2.4M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	150,820	$20	$2.3M
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…	29,440	$50	$1.4M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	46,110	$20	$968.2K
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…	20,250	$40	$789.7K
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.	8,960	$90	$788.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	43,800	$20	$744.7K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	60,100	$10	$540.9K

Showing 1–10 of 290

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Medical Associates Of Englewood, PC — 24 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

290 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	226	260	4,240	$220	$4.1M
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…	360	720	1,690	$80	$629.2K
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.	3	280	360	$560	$567.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	43	70	210	$1,050	$539.3K
S9083	Global fee urgent care centers	54	90	780	$90	$481.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1	330	650	$200	$465.1K
L3000	Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each	86	110	340	$200	$461.3K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	15	50	120	$1,290	$423.6K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	86	100	320	$190	$394K
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.	82	90	6,760	$40	$359.8K

Showing 1–10 of 290

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jersey Irish Medical	NJ	Urgent Care Clinic/Center	$0	$25.9M
Rutgers Health-rwj Pediatric Critical Care	NJ	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$7.3M
Ananth Shankar	NY	Nuclear Cardiology Physician	$358.3K	$5.3M
Richard Lim	RI	Internal Medicine Physician	$52.2K	$3.4M
Joseph Degregorio	NJ	Cardiovascular Disease Physician	$2.7M	$0
Babar Rao	NY	Dermatology Physician	$1.3M	$0
Sarika Sharma	NJ	Specialist	$740.1K	$90.7K
Mariem Abedullah	NJ	Family Nurse Practitioner	$672.2K	$0
Asit Shah	NJ	Orthopaedic Surgery Physician	$495.7K	$0
Mena Yacoub	NY	Clinical Cardiac Electrophysiology Physician	$480.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Englewood Hospital And Medical Center	NJ	General Acute Care Hospital	$0	$136.9M
Our Home Adult Day Care, LLC	NJ	Adult Day Care Clinic/Center	$0	$28.5M
L&l Staffing And Home Care Services, Inc.	NJ	Home Health Agency	$0	$25.4M
Nj Eye And Ear LLC	NJ	Ophthalmology Physician	$0	$23.6M
Vantage Health System, Inc.	NJ	Community/Behavioral Health Agency	$0	$8.2M
Benjamin Freilich	NJ	Ophthalmology Physician	$1.5M	$111.3K
Patient Care Associates, LLC	NJ	Clinic/Center	$1.1M	$0
Joseph Schwartz	NJ	Endocrinology, Diabetes & Metabolism Physician	$953.3K	$0
Kurt Wengerter	NJ	Vascular Surgery Physician	$584.8K	$0
Donald Liss	NJ	Physical Medicine & Rehabilitation Physician	$575.1K	$0

Medical Associates Of Englewood, 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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