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.

Kaleida Health (NPI 1245365196)

Field	Value
Entity Type	Organization
Organization	Kaleida Health
Address	818 Ellicott St
City	Buffalo
State	NY
ZIP	14203
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicaid	$80.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

405 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.	57,270	$220	$12.4M
G0378	Hospital observation service, per hour	5,320	$1,470	$7.8M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	5,360	$1,210	$6.5M
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…	56,340	$110	$6.2M
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.	26,790	$210	$5.7M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	2,010	$1,310	$2.6M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	1,700	$1,350	$2.3M
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…	15,690	$120	$1.9M
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.	8,390	$190	$1.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	12,210	$130	$1.6M

Showing 1–10 of 405

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

Kaleida Health — 12 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

405 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…	108	340	1,090	$70	$1.4M
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	6	20	140	$2,120	$1.4M
G0378	Hospital observation service, per hour	15	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.	96	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…	314	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	43	180	3,200	$90	$1M
67311	The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…	5	10	400	$1,690	$1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1	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…	340	2,200	1,010	$130	$892.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	520	750	1,800	$80	$785.8K

Showing 1–10 of 405

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kaleida Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guthrie Medical Group, P.C.	PA	General Practice Physician	$0	$82.1M
Kaleida Health	NY	General Acute Care Hospital	$0	$30.9M
Kaleida Health	NY	General Acute Care Hospital	$0	$22M
Jonathan Breslau	MN	Diagnostic Radiology Physician	$1.3M	$0
Andrew Dunn	NY	Diagnostic Radiology Physician	$596.3K	$6.4K
David Cipolla	NY	Diagnostic Radiology Physician	$534.2K	$12.8K
Harry Brown	IL	Diagnostic Radiology Physician	$123.2K	$410.4K
Scott Peplinski	NY	Diagnostic Radiology Physician	$481.6K	$14.2K
Michael Fazio	IL	Diagnostic Radiology Physician	$294.3K	$184.3K
George Radich	IL	Diagnostic Radiology Physician	$106.8K	$359.6K

Nearby Providers

Other providers in the same ZIP code as Kaleida Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University At Buffalo Pediatric Associates Inc	NY	Pediatrics Physician	$0	$29.1M
Nagaraja Sridhar	NY	Nephrology Physician	$225K	$107.4K
Ashish Bhatia	NY	Clinical Cardiac Electrophysiology Physician	$290.5K	$690
Omniseq, Inc.	NY	Clinical Medical Laboratory	$212K	$0
Romesh Kohli	NY	Nephrology Physician	$127.9K	$4.2K
Avinash Reddy	NY	Urology Physician	$78.8K	$11.7K
Mohammad Ashraf	NY	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$74.2K	$0
Jason Davies	NY	Neurological Surgery Physician	$68.1K	$4K
Azher Iqbal	NY	Vascular & Interventional Radiology Physician	$71.8K	$0
Ping Li	NY	Epilepsy Physician	$46.8K	$18.5K

Kaleida Health — Billing Profile & Reimbursement Data

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Kaleida Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References