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.

The Institute For Family Health (NPI 1972877017)

Field	Value
Entity Type	Organization
Organization	The Institute For Family Health
Address	1824 Madison Ave
City	New York
State	NY
ZIP	10035
Taxonomy	Family Medicine Physician
NPI Enumerated	March 7, 2012

Payer Source	Total Paid
Medicaid	$80.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

155 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	295,740	$70	$21M
90832	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…	122,070	$140	$17.6M
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…	85,090	$150	$12.9M
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	89,810	$120	$10.5M
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…	57,950	$70	$3.9M
D7999	N/A	110,780	$30	$2.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	12,590	$170	$2.1M
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,…	25,640	$60	$1.5M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	19,870	$30	$675.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	3,320	$180	$603.7K

Showing 1–10 of 155

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

The Institute For Family Health — 19 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

155 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9005	Coordinated care fee, risk adjusted maintenance	36	40	105,510	$300	$55.6M
T2022	Case management, per month	59	80	360	$550	$11.6M
T1016	Case management, each 15 minutes	39	40	3,630	$220	$3.7M
90832	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…	14	1,510	1,010	$110	$1.1M
D7999	N/A	1	10	25,730	$30	$953K
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…	31	2,200	1,010	$130	$892.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	312	620	1,130	$60	$370.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	24	1,320	140	$260	$334K
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…	25	19,110	360	$70	$321K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	36	50	340	$80	$246K

Showing 1–10 of 155

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Institute For Family Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ayesha Siddiqui	DC	Family Medicine Physician	$2.4M	$0
Georgia Forrest	GA	Family Medicine Physician	$39.5K	$0
Judith Townsend	MA	Physician Assistant	$22.4K	$0

Nearby Providers

Other providers in the same ZIP code as The Institute For Family Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ses Operating Corp	NY	Primary Care Clinic/Center	$340.7K	$90M
The New York Proton Center	NY	Radiation Oncology Clinic/Center	$0	$22.7M
Michael Rothstein	NY	Family Nurse Practitioner	$1.4M	$193.1K
Charles Simone	NY	Radiation Oncology Physician	$583.8K	$0
Solomon Aluko	NY	Family Nurse Practitioner	$70.2K	$111.6K
Jason Ogiste	NY	Urology Physician	$126.4K	$0
Nina Ragaz	NY	Family Medicine Physician	$63.4K	$0
Angela Amoako	NY	Medical Physician Assistant	$23.8K	$0
Costco Wholesale Corporation	NY	Community/Retail Pharmacy	$21.3K	$0
Panagiota Korenis	NY	Psychiatry Physician	$9.4K	$5.4K

The Institute For Family Health — Billing Profile & Reimbursement Data

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The Institute For Family Health — Billing Profile & Reimbursement Data

Sign up for The Institute For Family Health — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References