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.

Samaritan Hospital Of Troy, New York (NPI 1043267727)

Field	Value
Entity Type	Organization
Organization	Samaritan Hospital Of Troy, New York
Address	2215 Burdett Ave
City	Troy
State	NY
ZIP	12180
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$132.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

542 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9005	Coordinated care fee, risk adjusted maintenance	131,010	$330	$43.4M
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.	52,530	$130	$6.6M
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.	40,250	$130	$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…	58,840	$80	$4.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	46,890	$80	$3.9M
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…	41,370	$80	$3.1M
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.	15,160	$210	$3.1M
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.	26,080	$120	$3.1M
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.	22,800	$130	$2.9M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	10,820	$250	$2.7M

Showing 1–10 of 542

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

Samaritan Hospital Of Troy, New York — 16 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

542 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9005	Coordinated care fee, risk adjusted maintenance	16	40	105,510	$300	$55.6M
J2323	Injection, natalizumab, 1 mg	10	10	360	$4,710	$2.5M
H2018	Psychosocial rehabilitation services, per diem	32	90	720	$1,900	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	59	170	1,390	$570	$1.6M
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…	61	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	18	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.	23	210	2,850	$180	$1.1M
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…	160	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9	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…	168	2,200	1,010	$130	$892.2K

Showing 1–10 of 542

Related Providers

Other providers that share a Tax Identification Number (TIN) with Samaritan Hospital Of Troy, New York, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Wrzesinski	NY	Medical Oncology Physician	$1.2M	$0
Sos Nalghranyan	FL	Hematology & Oncology Physician	$1.1M	$0
Kyle Washington	NY	Family Nurse Practitioner	$353.4K	$14.9K
Scott Rogge	VT	Cardiovascular Disease Physician	$239.5K	$0
Sayed Tariq Rizvi	OH	Cardiovascular Disease Physician	$215.8K	$0
Padmapriya Menakuru	NY	Internal Medicine Physician	$158K	$1.6K
Pang Lam	NY	Critical Care Medicine (Internal Medicine) Physician	$110.8K	$980
Annabi Djalo	MN	Family Medicine Physician	$108.5K	$1.6K
Brian Murray	NY	Urology Physician	$106.2K	$0
Tanner Boes	MO	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$102.4K	$350

Nearby Providers

Other providers in the same ZIP code as Samaritan Hospital Of Troy, New York, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
R Morris	NY	Cardiovascular Disease Physician	$464.8K	$97.1K
Arturo Miranda Gelpi	NY	Family Medicine Physician	$247.3K	$38K
Britton Limes	NY	Diagnostic Radiology Physician	$192K	$2K
Yogesh Gupta	NY	Gastroenterology Physician	$147.9K	$18K
Judith Archibold	NY	Optometrist	$118.5K	$17.7K
Tracey Weigel	NY	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$82.3K	$0
Home Aide Service Of Eastern New York, Inc.	NY	Home Infusion Agency	$73.4K	$0
William Robinson	NY	Gastroenterology Physician	$53.9K	$0
Margaret Meenan	NY	Certified Registered Nurse Anesthetist	$34.4K	$0
Jockular Ford	NY	Obstetrics & Gynecology Physician	$32.4K	$0

Samaritan Hospital Of Troy, New York — Billing Profile & Reimbursement Data

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Samaritan Hospital Of Troy, New York — 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