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.

Montefiore Mount Vernon Hospital (NPI 1992131320)

Montefiore Mount Vernon Hospital is a general acute care hospital provider located in Mount Vernon, New York. This profile covers 0 Medicare and 166 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	Montefiore Mount Vernon Hospital
Address	12 N 7th Ave
City	Mount Vernon
State	NY
ZIP	10550
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 17, 2013

Payer Source	Total Paid
Medicaid	$24.6M
Medicare	$0

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

166 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	2,610	$1,850	$4.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	114,280	$30	$3.4M
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.	12,380	$180	$2.2M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	10,030	$210	$2.1M
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.	8,280	$210	$1.7M
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.	8,980	$150	$1.3M
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.	6,210	$140	$838.9K
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…	4,850	$170	$824.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	12,370	$60	$717.5K
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.	2,350	$300	$710.8K

Showing 1–10 of 166

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

Montefiore Mount Vernon Hospital — 0 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

166 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	31	90	1,990	$1,780	$5.3M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	38	90	5,000	$210	$4.5M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	44	120	61,480	$30	$4.4M
G0378	Hospital observation service, per hour	129	130	1,270	$560	$1.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	91	180	3,200	$90	$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…	1,714	2,200	1,010	$130	$892.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	227	230	3,600	$60	$805.5K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	72	250	1,290	$110	$761.7K
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.	164	1,420	90	$130	$715.2K
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.	63	450	370	$170	$674.1K

Showing 1–10 of 166

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sachin Kumar Amruthlal Jain	NY	Cardiovascular Disease Physician	$773K	$663.1K
Mahmood Kazmi	NY	Psychiatry Physician	$540.6K	$760.6K
Kameswari Lakshmi	NY	Nephrology Physician	$321.6K	$199.6K
Aaron Roth	NY	Surgery Physician	$396.9K	$0
Marc Janis	NY	Urology Physician	$295.6K	$66.9K
Arash Gohari	NY	Vascular & Interventional Radiology Physician	$301.5K	$33.1K
Emad Soliman	NY	Psychiatry Physician	$259.7K	$42.6K
Jonathan Sterman	NY	Student in an Organized Health Care Education/Training Program	$244K	$500
Valdet Nikci	CT	Orthopaedic Surgery Physician	$176.1K	$0
Seymour Sprayregen	NY	Diagnostic Radiology Physician	$57K	$107K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diana's Angels Home Care, Inc	NY	Home Health Agency	$0	$38.5M
Satyavathi Sharma	NY	Internal Medicine Physician	$140.3K	$609K
Jiahuai Tan	NY	Internal Medicine Physician	$350.6K	$0
Bijou Dennis-nfor	NY	Foot & Ankle Surgery Podiatrist	$46.1K	$36.1K

Montefiore Mount Vernon Hospital — Billing Profile & Reimbursement Data

Sign up for Montefiore Mount Vernon Hospital — Billing Profile & Reimbursement Data policy alerts

Montefiore Mount Vernon Hospital — Billing Profile & Reimbursement Data

Sign up for Montefiore Mount Vernon Hospital — 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