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.

Rochester General Hospital (NPI 1063531929)

Rochester General Hospital is a general acute care hospital provider located in Rochester, New York. This profile covers 0 Medicare and 15 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	Rochester General Hospital
Address	1425 Portland Ave
City	Rochester
State	NY
ZIP	14621
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$21.7M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	74,020	$140	$10.4M
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.	96,110	$100	$9.3M
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.	29,070	$50	$1.5M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	36,820	$10	$257.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	570	$180	$105.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	1,310	$30	$44.6K
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…	410	$60	$23.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	290	$40	$11.6K
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…	40	$80	$3.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	10	$130	$1.5K

Showing 1–10 of 15

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

Rochester General Hospital — 3 of 15 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

15 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.	82	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.	351	450	370	$170	$674.1K
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.	12	2,210	80	$130	$473K
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…	9,167	19,110	360	$70	$321K
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.	8	2,330	100	$140	$254.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	299	640	1,080	$60	$251.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	254	440	530	$80	$199.7K
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…	12,783	16,550	220	$90	$186.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	118	860	80	$120	$46.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,066	1,420	300	$20	$38.8K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rochester General Hospital	NY	General Acute Care Hospital	$0	$226.8M
Rochester General Hospital-lab	NY	Clinical Medical Laboratory	$0	$33.4M
Rochester General Hospital	NY	Family Medicine Physician	$0	$25.2M
Vijay Aluri	IA	Rheumatology Physician	$2M	$0
Anthony Andrews	PA	Ophthalmology Physician	$1.3M	$100
Matthew Witmer	NY	Retina Specialist (Ophthalmology) Physician	$889.6K	$46K
Edward Hall	NY	Retina Specialist (Ophthalmology) Physician	$736.3K	$8.8K
Brian Connolly	NY	Retina Specialist (Ophthalmology) Physician	$695.8K	$3.2K
Michael Fazio	IL	Diagnostic Radiology Physician	$294.3K	$184.3K
Wesley Pruett	MN	Diagnostic Radiology Physician	$441.3K	$770

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary M. Gooley Hemophilia Center Inc	NY	Clinic/Center	$0	$22.9M
Tahira Ahmed	NY	Diagnostic Radiology Physician	$708.7K	$0
Anees Ahmad	NY	Internal Medicine Physician	$231K	$45.3K
Kevin Geary	NY	Vascular Surgery Physician	$213K	$49.6K
Amanda Baldauf	NY	Medical Physician Assistant	$209.6K	$0
Angel Boev	NY	Neurological Surgery Physician	$70.2K	$4K
Daniel Demilio	NY	Physician Assistant	$52K	$0
Bipul Baibhav	NY	Cardiovascular Disease Physician	$33.5K	$2.7K
Vasyl Kasiyan	NY	Geriatric Medicine (Internal Medicine) Physician	$29.7K	$0
Ryan Lydon	NY	Vascular Surgery Physician	$28K	$0

Rochester General Hospital — Billing Profile & Reimbursement Data

Sign up for Rochester General Hospital — Billing Profile & Reimbursement Data policy alerts

Rochester General Hospital — Billing Profile & Reimbursement Data

Sign up for Rochester General 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