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.

Olean General Hospital (NPI 1225083074)

Olean General Hospital is a general acute care hospital provider located in Olean, New York. This profile covers 0 Medicare and 307 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	Olean General Hospital
Address	515 Main St
City	Olean
State	NY
ZIP	14760
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$22.9M
Medicare	$0

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

307 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	24,980	$200	$4.9M
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.	10,880	$140	$1.5M
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.	6,080	$210	$1.3M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	45,780	$20	$1M
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.	4,250	$220	$922K
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.	11,310	$80	$859.6K
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.	3,270	$220	$705.9K
70450	The 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.	3,360	$200	$658.8K
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.	2,310	$240	$550.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	9,720	$50	$495.8K

Showing 1–10 of 307

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

Olean General Hospital — 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

307 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…	154	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	48	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.	35	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	112	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.	93	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.	109	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.	223	2,210	80	$130	$473K
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.	322	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.	78	290	1,900	$30	$390.6K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	69	70	160	$720	$353.6K

Showing 1–10 of 307

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Schekall	MN	Diagnostic Radiology Physician	$1.7M	$710
Israr Abbasi	NY	Psychiatry Physician	$99K	$423.1K
Ernst Hansch	MN	Diagnostic Radiology Physician	$240.8K	$10.9K
Brent Steadman	MN	Diagnostic Radiology Physician	$236.8K	$3.2K
Kimberly Jordan	MN	Diagnostic Radiology Physician	$215.2K	$0
Mark Welch	NY	Diagnostic Radiology Physician	$179.7K	$18.6K
Matthew Cox	NY	Cardiovascular Disease Physician	$188.2K	$8.8K
Michael Seymour	CO	Diagnostic Radiology Physician	$196K	$490
Raymond Welsh	MN	Diagnostic Radiology Physician	$190.8K	$0
Christopher Leoni	MN	Diagnostic Radiology Physician	$186.3K	$860

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ross Horsley	NY	Diagnostic Radiology Physician	$334.5K	$110
Daniel Lai	NY	Otolaryngology Physician	$153.2K	$138.2K
Michael Droney	NY	Physical Therapist	$177.4K	$0
Fred Lewis	NY	Allergy & Immunology Physician	$78.8K	$62.3K
Christopher Mallavarapu	NY	Cardiovascular Disease Physician	$112.7K	$0
Jessica Witte	NY	Obesity Medicine (Family Medicine) Physician	$84.5K	$4.6K
County Of Cattaraugus	NY	Clinical Medical Laboratory	$32.6K	$620

Olean General 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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