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.

Auburn Community Hospital (NPI 1093712911)

Auburn Community Hospital is a general acute care hospital provider located in Auburn, New York. This profile covers 0 Medicare and 257 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	Auburn Community Hospital
Address	17 Lansing St
City	Auburn
State	NY
ZIP	13021
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicaid	$26.2M
Medicare	$0

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

257 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.	15,520	$140	$2.1M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	100,250	$20	$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.	11,160	$170	$1.9M
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…	14,570	$120	$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.	10,700	$150	$1.6M
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.	6,550	$220	$1.4M
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…	10,590	$120	$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.	3,560	$280	$1M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,080	$810	$880.2K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	710	$1,140	$811.5K

Showing 1–10 of 257

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

Auburn Community Hospital — 4 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

257 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	106	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	89	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.	58	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	89	180	3,200	$90	$1M
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.	177	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.	182	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.	177	2,210	80	$130	$473K
U0005	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, cdc or non-cdc,…	136	300	1,710	$20	$458.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	166	610	310	$380	$397.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	81	290	1,900	$30	$390.6K

Showing 1–10 of 257

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Daniel Zakhary	NY	Cardiovascular Disease Physician	$445K	$133.2K
Ramamurthy Godishala	NY	Cardiovascular Disease Physician	$299.1K	$0
Shakeel Usmani	NY	Internal Medicine Physician	$160.1K	$82.6K
Linda Schicker	NY	Therapeutic Radiology Physician	$196.8K	$0
Shashi Kumar	NY	Internal Medicine Physician	$172.6K	$7.8K
Ayman Iskander	NY	Cardiovascular Disease Physician	$154.8K	$0
Robert Biernbaum	NY	Emergency Medicine Physician	$138.3K	$13.7K
Michael Mix	NY	Radiation Oncology Physician	$137.9K	$0
Rajesh Rao	NY	Pulmonary Disease Physician	$94.9K	$14.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthony Chiaravalloti	NY	Dermatology Physician	$536.9K	$0
Ijaz Rashid	NY	Neurology Physician	$241.4K	$173.4K
Iqra Choudary	NY	Hematology & Oncology Physician	$406.5K	$1.9K
David Schnapp	NY	Urology Physician	$316.8K	$22K
Jeffrey Laduca	NY	Dermatology Physician	$199.1K	$20.1K
Gabriel Lurvey	NY	Sports Medicine (Family Medicine) Physician	$215.9K	$0
David Mizro	NY	Surgical Physician Assistant	$166.9K	$0
Kenneth Rescott	NY	Orthopedic Physical Therapist	$114K	$0
Alex Zwierzynski	NY	Physician Assistant	$57.1K	$0
Eric Leader	NY	Chiropractor	$51.5K	$0

Auburn Community Hospital — Billing Profile & Reimbursement Data

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Auburn Community 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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