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.

U Of R Neurology Department (NPI 1184725525)

Field	Value
Entity Type	Organization
Organization	U Of R Neurology Department
Address	601 Elmwood Ave
City	Rochester
State	NY
ZIP	14642
Taxonomy	Neurology Physician
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$61.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

462 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,830	$1,340	$7.8M
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…	21,770	$170	$3.7M
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…	14,940	$190	$2.8M
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.	12,220	$220	$2.7M
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.	13,950	$190	$2.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	14,820	$120	$1.8M
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…	20,330	$80	$1.7M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	9,310	$180	$1.7M
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	1,730	$860	$1.5M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	5,740	$220	$1.2M

Showing 1–10 of 462

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

U Of R Neurology Department — 2 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

462 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	26	30	47,730	$120	$24.8M
H0040	Assertive community treatment program, per diem	75	90	1,990	$1,780	$5.3M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	74	120	61,480	$30	$4.4M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	21	20	730	$2,870	$3.5M
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…	49	340	1,090	$70	$1.4M
J1459	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg	4	10	80	$2,490	$1.2M
G0378	Hospital observation service, per hour	24	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.	103	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…	443	1,510	1,010	$110	$1.1M
S9485	Crisis intervention mental health services, per diem	11	30	270	$1,190	$1M

Showing 1–10 of 462

Related Providers

Other providers that share a Tax Identification Number (TIN) with U Of R Neurology Department, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adam Juersivich	NY	Neurology Physician	$90.6K	$0
David Herrmann	NY	Neurology Physician	$16.2K	$0
Patricia Rogers	NY	Neurology Physician	$13.1K	$0
Michael Stanton	NY	Vascular Neurology Physician	$10.5K	$0

Nearby Providers

Other providers in the same ZIP code as U Of R Neurology Department, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Rochester	NY	General Acute Care Hospital	$0	$368.3M
Emergency Associates - University Of Rochester	NY	Emergency Care Clinic/Center	$0	$26.1M
Sana Idrees	NY	Retina Specialist (Ophthalmology) Physician	$1.7M	$1.6K
Daniel Ginat	NY	Diagnostic Radiology Physician	$202.7K	$867.5K
Andrew Chen	NY	Diagnostic Radiology Physician	$373.4K	$0
Andrew Dunn	NY	Anatomic Pathology & Clinical Pathology Physician	$358.9K	$0
Ankur Chandra	NY	Vascular Surgery Physician	$293.6K	$0
David Wagner	NY	Anatomic Pathology & Clinical Pathology Physician	$174.7K	$0
Sherry Wang	NY	Diagnostic Radiology Physician	$151.5K	$0
Tyler Slyngstad	NY	Cardiovascular Disease Physician	$145.3K	$0

U Of R Neurology Department — Billing Profile & Reimbursement Data

Sign up for U Of R Neurology Department — Billing Profile & Reimbursement Data policy alerts

U Of R Neurology Department — Billing Profile & Reimbursement Data

Sign up for U Of R Neurology Department — 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