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.

Albany Medical Center Hospital (NPI 1376577247)

Field	Value
Entity Type	Organization
Organization	Albany Medical Center Hospital
Address	43 New Scotland Ave
City	Albany
State	NY
ZIP	12208
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$79.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

500 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.	41,130	$170	$7.2M
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.	38,020	$180	$6.7M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1,340	$3,130	$4.2M
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.	23,680	$160	$3.9M
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.	3,700	$740	$2.7M
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.	7,870	$330	$2.6M
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…	19,210	$130	$2.5M
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…	3,180	$730	$2.3M
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	4,000	$550	$2.2M
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	3,860	$540	$2.1M

Showing 1–10 of 500

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

Albany Medical Center Hospital — 3 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

500 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1745	Injection, infliximab, excludes biosimilar, 10 mg	7	20	730	$2,870	$3.5M
J3380	Injection, vedolizumab, intravenous, 1 mg	17	20	120	$5,050	$1.9M
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	13	20	140	$2,120	$1.4M
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	7	10	120	$2,560	$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…	21	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	10	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.	160	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…	598	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	74	180	3,200	$90	$1M
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…	177	2,200	1,010	$130	$892.2K

Showing 1–10 of 500

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chad Bouchard	NY	Retina Specialist (Ophthalmology) Physician	$3.1M	$0
Jonathan Huz	NY	Retina Specialist (Ophthalmology) Physician	$1.9M	$40.1K
George Lin	PA	Anatomic Pathology & Clinical Pathology Physician	$1.2M	$0
Ping Lu	NY	Nuclear Medicine Physician	$404.1K	$0
David Steckman	NY	Clinical Cardiac Electrophysiology Physician	$350K	$0
Shirish Parikh	NY	Diagnostic Radiology Physician	$298.7K	$1.1K
Sasi Cheruvu	NY	Diagnostic Radiology Physician	$241.7K	$590
Matthew Habib	NY	Retina Specialist (Ophthalmology) Physician	$233.3K	$160
Robert Eden	NY	Specialist	$221.6K	$0
Nicole Siparsky	IL	Surgical Critical Care Physician	$89K	$129.8K

Nearby Providers

Other providers in the same ZIP code as Albany Medical Center Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parsons Child And Family Center	NY	Custodial Care Facility	$0	$65.7M
St. Peter's Hospital Of The City Of Albany	NY	General Acute Care Hospital	$0	$35.4M
St. Peter's Health Partners Medical Associates, P.C.	NY	Multi-Specialty Clinic/Center	$480	$6.6M
David Perlmutter	NY	Ophthalmology Physician	$2.9M	$126.4K
Rahul Ravilla	NY	Hematology & Oncology Physician	$1.8M	$320
Stephen Wrzesinski	NY	Medical Oncology Physician	$1.2M	$0
Muhammad Hussain	NY	Hematology & Oncology Physician	$1M	$0
Madhavi Latha Kambam	NY	Hematology & Oncology Physician	$682.5K	$700
Ami Negandhi	NY	Hematology & Oncology Physician	$597.2K	$0
Makenzi Evangelist	NY	Hematology & Oncology Physician	$479.7K	$1.5K

Albany Medical Center Hospital — Billing Profile & Reimbursement Data

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Albany Medical Center 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