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.

Saratoga Hospital (NPI 1073569331)

Saratoga Hospital is a general acute care hospital provider located in Saratoga Springs, New York. This profile covers 0 Medicare and 392 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	Saratoga Hospital
Address	211 Church St
City	Saratoga Springs
State	NY
ZIP	12866
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$40.1M
Medicare	$0

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

392 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	80,380	$110	$8.8M
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…	36,820	$90	$3.3M
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…	25,840	$100	$2.6M
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.	19,050	$100	$2M
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.	14,790	$110	$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…	25,710	$60	$1.6M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	18,540	$80	$1.5M
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.	10,950	$110	$1.2M
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.	4,250	$270	$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.	5,530	$200	$1.1M

Showing 1–10 of 392

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

Saratoga Hospital — 8 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

392 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	79	80	360	$550	$11.6M
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…	39	340	1,090	$70	$1.4M
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…	51	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	77	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.	72	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…	450	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	5	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.	24	40	200	$1,280	$940.3K
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…	782	2,200	1,010	$130	$892.2K
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.	138	1,420	90	$130	$715.2K

Showing 1–10 of 392

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yoram Amsalem	NY	Interventional Cardiology Physician	$182.1K	$46.9K
Robert Donnarumma	NY	Emergency Medicine Physician	$181K	$0
William O'connor	NY	Orthopaedic Foot and Ankle Surgery Physician	$173.5K	$0
Rachid Daoui	NY	Internal Medicine Physician	$168.6K	$0
Hung Nguyen	NY	Internal Medicine Physician	$137.8K	$130
Romel Gobunsuy	NC	Critical Care Medicine (Internal Medicine) Physician	$119.6K	$0
Gordan Kuhar	NY	Pain Medicine Physician	$103.5K	$380
Sidharth Jogani	AR	Pulmonary Disease Physician	$100.7K	$0
Seth Capello	NY	Urology Physician	$87.6K	$0
Matthew Stringer	NY	Urology Physician	$68.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Faisal Chaudhary	NY	Rheumatology Physician	$964K	$3.6K
Nicholas Kondo	NY	Cardiovascular Disease Physician	$581.4K	$9.7K
William Field	NY	Anatomic Pathology & Clinical Pathology Physician	$514.4K	$0
George Knapp	NY	Family Medicine Physician	$248.4K	$81.3K
Justin Ferrara	NY	Orthopaedic Surgery Physician	$95.6K	$240
Joseph Larosa	NY	Sports Medicine (Orthopaedic Surgery) Physician	$95.5K	$0
Janne Rand	NY	Anatomic Pathology & Clinical Pathology Physician	$88.5K	$0
Bradley Rice	NY	Physician Assistant	$54K	$0
John Herzog	NY	Orthopaedic Surgery of the Spine Physician	$38.3K	$0
Hal Starnes	NY	Specialist	$36.9K	$0

Saratoga Hospital — Billing Profile & Reimbursement Data

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Saratoga Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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