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.

Emergency Associates - University Of Rochester (NPI 1346281268)

Field	Value
Entity Type	Organization
Organization	Emergency Associates - University Of Rochester
Address	601 Elmwood Ave
City	Rochester
State	NY
ZIP	14642
Taxonomy	Emergency Care Clinic/Center
NPI Enumerated	June 10, 2006

Payer Source	Total Paid
Medicaid	$26.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	129,580	$100	$13.2M
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.	68,780	$150	$10M
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.	33,170	$50	$1.8M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	4,460	$180	$806.5K
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.	2,150	$40	$75.3K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	1,310	$40	$56.3K
99281	The provider sees a patient for the lowest level emergency department visit.	2,730	$20	$49.1K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	870	$50	$44.2K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	1,570	$30	$44K
12002	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.6 to 7.5 cm in…	560	$50	$30.4K

Showing 1–10 of 19

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

Emergency Associates - University Of Rochester — 4 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	72	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.	158	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.	7	2,210	80	$130	$473K
99281	The provider sees a patient for the lowest level emergency department visit.	32	220	350	$170	$321.3K
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.	9	2,330	100	$140	$254.7K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	21	80	210	$320	$162.5K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	29	50	190	$160	$160.2K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	16	140	210	$290	$144.7K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	293	380	350	$80	$122.4K
12002	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.6 to 7.5 cm in…	11	70	80	$310	$83.4K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Associates - University Of Rochester, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Muhammad Khalid	TX	Clinical Cardiac Electrophysiology Physician	$254.1K	$0
Janice Huang	NY	Cardiovascular Disease Physician	$122.1K	$0
Bryan Henry	NY	Cardiovascular Disease Physician	$107.2K	$9.3K
Albert Tricomi	NY	Cardiovascular Disease Physician	$92.3K	$10.9K
Robert Rosenblatt	NY	Cardiovascular Disease Physician	$84.5K	$11.8K
James Eichelberger	NY	Cardiovascular Disease Physician	$54K	$38.3K
Angelo Pedulla	NY	Cardiovascular Disease Physician	$58.7K	$20K
Aishwarya Bhardwaj	NY	Cardiovascular Disease Physician	$64.6K	$2.5K
Jason Garringer	NY	Interventional Cardiology Physician	$60K	$1.3K
David Pelkowski	NY	Cardiovascular Disease Physician	$54.7K	$5.8K

Nearby Providers

Other providers in the same ZIP code as Emergency Associates - University Of Rochester, 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
U Of R Neurology Department	NY	Neurology Physician	$0	$61.8M
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

Emergency Associates - University Of Rochester — Billing Profile & Reimbursement Data

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Emergency Associates - University Of Rochester — 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