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.

Rochester General Hospital (NPI 1255360517)

Field	Value
Entity Type	Organization
Organization	Rochester General Hospital
Address	1425 Portland Ave
City	Rochester
State	NY
ZIP	14621
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 30, 2006

Payer Source	Total Paid
Medicaid	$226.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

702 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	271,270	$80	$22.2M
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…	224,200	$90	$20M
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…	105,340	$150	$16.1M
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.	80,210	$150	$12.1M
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.	44,940	$230	$10.4M
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.	53,500	$140	$7.6M
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.	50,790	$140	$7.2M
H2019	Therapeutic behavioral services, per 15 minutes	9,470	$710	$6.8M
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…	56,670	$110	$6.2M
J9271	Injection, pembrolizumab, 1 mg	370	$11,180	$4.1M

Showing 1–10 of 702

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

Rochester General Hospital — 19 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

702 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	15	20	750	$8,890	$8.1M
H2018	Psychosocial rehabilitation services, per diem	17	90	720	$1,900	$2.4M
S9335	Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem	2	10	10,850	$170	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	8	170	1,390	$570	$1.6M
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…	151	340	1,090	$70	$1.4M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	9	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	28	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.	3	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…	39	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	12	180	3,200	$90	$1M

Showing 1–10 of 702

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rochester General Hospital-lab	NY	Clinical Medical Laboratory	$0	$33.4M
Rochester General Hospital	NY	Family Medicine Physician	$0	$25.2M
Rochester General Hospital	NY	General Acute Care Hospital	$0	$21.7M
Vijay Aluri	IA	Rheumatology Physician	$2M	$0
Anthony Andrews	PA	Ophthalmology Physician	$1.3M	$100
Matthew Witmer	NY	Retina Specialist (Ophthalmology) Physician	$889.6K	$46K
Edward Hall	NY	Retina Specialist (Ophthalmology) Physician	$736.3K	$8.8K
Brian Connolly	NY	Retina Specialist (Ophthalmology) Physician	$695.8K	$3.2K
Michael Fazio	IL	Diagnostic Radiology Physician	$294.3K	$184.3K
Wesley Pruett	MN	Diagnostic Radiology Physician	$441.3K	$770

Nearby Providers

Other providers in the same ZIP code as Rochester General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary M. Gooley Hemophilia Center Inc	NY	Clinic/Center	$0	$22.9M
Tahira Ahmed	NY	Diagnostic Radiology Physician	$708.7K	$0
Anees Ahmad	NY	Internal Medicine Physician	$231K	$45.3K
Kevin Geary	NY	Vascular Surgery Physician	$213K	$49.6K
Amanda Baldauf	NY	Medical Physician Assistant	$209.6K	$0
Angel Boev	NY	Neurological Surgery Physician	$70.2K	$4K
Daniel Demilio	NY	Physician Assistant	$52K	$0
Bipul Baibhav	NY	Cardiovascular Disease Physician	$33.5K	$2.7K
Vasyl Kasiyan	NY	Geriatric Medicine (Internal Medicine) Physician	$29.7K	$0
Ryan Lydon	NY	Vascular Surgery Physician	$28K	$0

Rochester General Hospital — Billing Profile & Reimbursement Data

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Rochester 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

Related Providers

Nearby Providers

Frequently Asked Questions

References