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.

University Hospital At Stony Brook (NPI 1972523348)

Field	Value
Entity Type	Organization
Organization	University Hospital At Stony Brook
Address	Nicolls Rd
City	Stony Brook
State	NY
ZIP	11794
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 20, 2006

Payer Source	Total Paid
Medicaid	$105.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

535 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	13,010	$1,010	$13.1M
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.	56,090	$170	$9.8M
G0378	Hospital observation service, per hour	12,350	$600	$7.4M
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…	52,320	$130	$6.7M
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.	36,150	$160	$5.7M
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…	34,670	$140	$4.9M
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.	18,610	$170	$3.2M
99391	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…	18,630	$120	$2.2M
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…	17,700	$100	$1.8M
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	14,440	$120	$1.7M

Showing 1–10 of 535

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

University Hospital At Stony Brook — 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

535 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	21	20	750	$8,890	$8.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	14	20	730	$2,870	$3.5M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	65	90	2,220	$120	$1.7M
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…	24	100	1,490	$70	$1.3M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	3	10	140	$3,790	$1.2M
G0378	Hospital observation service, per hour	1	130	1,270	$560	$1.2M
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.	94	210	2,850	$180	$1.1M
S9485	Crisis intervention mental health services, per diem	9	30	270	$1,190	$1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	55	180	3,200	$90	$1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	18	40	200	$1,280	$940.3K

Showing 1–10 of 535

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Hospital At Stony Brook, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexander Slade	NY	Radiation Oncology Physician	$230.3K	$0
Andrei Zaslavsky	ME	Internal Medicine Physician	$187.1K	$0
Craig Grossman	PA	Radiation Oncology Physician	$143.2K	$0
Alexander Stessin	NY	Radiation Oncology Physician	$139.1K	$0
Edward Valentine	NY	Therapeutic Radiology Physician	$90.4K	$0
John Amato	NY	Speech-Language Pathologist	$33.1K	$0

Nearby Providers

Other providers in the same ZIP code as University Hospital At Stony Brook, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stony Brook Children's Service, University Faculty Practice Corporatio	NY	Pediatrics Physician	$0	$24.1M
Dinko Franceschi	NY	Nuclear Radiology Physician	$1.8M	$73.6K
William Caldwell	NY	Pain Medicine (Anesthesiology) Physician	$788K	$5.1K
Matthew Comito	NY	Diagnostic Radiology Physician	$642.6K	$67K
Jordan Slutsky	NY	MOHS-Micrographic Surgery Physician	$605.1K	$0
Roger Fan	NY	Cardiovascular Disease Physician	$539.3K	$100
Travis Bench	NY	Cardiovascular Disease Physician	$471.2K	$200
Lachlan Smith	NY	Diagnostic Radiology Physician	$416.1K	$46.6K
Jason Kim	NY	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$418.6K	$5.9K
Abhijeet Singh	NY	Clinical Cardiac Electrophysiology Physician	$393.8K	$0

University Hospital At Stony Brook — Billing Profile & Reimbursement Data

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University Hospital At Stony Brook — 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