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.

The Unity Hospital Of Rochester (NPI 1457395766)

Field	Value
Entity Type	Organization
Organization	The Unity Hospital Of Rochester
Address	100 Kings Hwy S
City	Rochester
State	NY
ZIP	14617
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicaid	$25.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

134 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	106,720	$80	$8.2M
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…	108,620	$50	$5.8M
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.	12,990	$130	$1.7M
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.	11,290	$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.	16,870	$50	$843.5K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	12,910	$60	$787.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	14,000	$50	$630.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	13,240	$40	$529.6K
D0120	Periodic oral evaluation - established patient	19,640	$20	$451.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,200	$70	$384.4K

Showing 1–10 of 134

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

The Unity Hospital Of Rochester — 9 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

134 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2,159	2,200	1,010	$130	$892.2K
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.	126	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.	256	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.	172	2,210	80	$130	$473K
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…	102	19,110	360	$70	$321K
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.	83	2,330	100	$140	$254.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	45	640	1,080	$60	$251.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	78	150	110	$520	$248.5K
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.	237	810	220	$150	$230.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	17	440	530	$80	$199.7K

Showing 1–10 of 134

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Unity Hospital Of Rochester	NY	General Acute Care Hospital	$0	$55.3M
Acm Medical Laboratory Inc	NY	Clinical Medical Laboratory	$0	$40.9M
The Unity Hospital Of Rochester	NY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.8M
The Unity Hospital Of Rochester	NY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$28.3M
Fletcher Hospital Inc.	NC	Rural Acute Care Hospital	$0	$12M
B & R Dental, LLC	CT	General Practice Dentistry	$0	$2.8M
Michael Fazio	IL	Diagnostic Radiology Physician	$294.3K	$184.3K
Wesley Pruett	MN	Diagnostic Radiology Physician	$441.3K	$770
Ayhan Yoruk	CA	Clinical Cardiac Electrophysiology Physician	$338.3K	$0
Joshua Albrektson	MN	Diagnostic Radiology Physician	$264.9K	$2K

The Unity Hospital Of Rochester — Billing Profile & Reimbursement Data

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The Unity Hospital Of Rochester — Billing Profile & Reimbursement Data

Sign up for The Unity Hospital Of Rochester — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References