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    OpenPayerNPI Medicare & MedicaidMercy Hospital Of Buffalo
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    Mercy Hospital Of Buffalo — Billing Profile & Reimbursement Data

    NPI 1164464921 · Buffalo, NY · General Acute Care Hospital

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    Mercy Hospital Of Buffalo is a general acute care hospital provider located in Buffalo, New York. This profile covers 0 Medicare and 311 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMercy Hospital Of Buffalo
    Address565 Abbott Rd
    CityBuffalo
    StateNY
    ZIP14220
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJune 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$29.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    311 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The 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.31,290$190$5.8M
    99284The 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.19,820$210$4.1M
    G0378Hospital observation service, per hour3,680$950$3.5M
    99282The 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.10,370$160$1.6M
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.7,270$160$1.1M
    74177The 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.5,030$200$991.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.106,600$10$852.8K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.3,950$200$769.3K
    G0463Hospital outpatient clinic visit for assessment and management of a patient6,920$100$712.3K
    99213The 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…16,890$40$675.7K

    Showing 1–10 of 311

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    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.

    Full comparison — all codes billed, vs. New York median

    311 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003Infectious 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…1033401,090$70$1.4M
    G0378Hospital observation service, per hour251301,270$560$1.2M
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.522102,850$180$1.1M
    G0463Hospital outpatient clinic visit for assessment and management of a patient661803,200$90$1M
    99283The 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.751,42090$130$715.2K
    99282The 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.49450370$170$674.1K
    99284The 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.1112,21080$130$473K
    U0005Infectious 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,…1133001,710$20$458.6K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…218090$1,300$403.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1032901,900$30$390.6K

    Showing 1–10 of 311

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mercy Hospital Of Buffalo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eugene SpearNYCardiovascular Disease Physician$245.5K$0
    Michael BanasNYCardiovascular Disease Physician$176.9K$19K
    Joseph OrieNYPediatric Cardiology Physician$15.2K$173.7K
    Peterkin Lee-kwenNYNeurology Physician$130.7K$27.6K
    Katherine FreemanNYGastroenterology Physician$138.2K$0
    Manjunath MarkandayaGANeurocritical Care Physician$137.5K$0
    Daniel BrownNYPulmonary Disease Physician$127.6K$440
    Jeffery NeuNYPulmonary Disease Physician$71.8K$22K
    Rajarshi ParaiNYInternal Medicine Physician$67.7K$18.5K
    Henry MeltserNYCardiovascular Disease Physician$77.9K$2.4K

    Nearby Providers

    Other providers in the same ZIP code as Mercy Hospital Of Buffalo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ifad RahmanNYCardiovascular Disease Physician$57.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New York Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Mercy Hospital Of Buffalo — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York