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.

Ellis Hospital (NPI 1487644993)

Ellis Hospital is a general acute care hospital provider located in Schenectady, New York. This profile covers 0 Medicare and 464 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Ellis Hospital
Address	1101 Nott St
City	Schenectady
State	NY
ZIP	12308
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 26, 2005

Payer Source	Total Paid
Medicaid	$82.3M
Medicare	$0

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

464 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…	129,280	$80	$10.7M
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…	89,320	$100	$8.6M
H2019	Therapeutic behavioral services, per 15 minutes	5,780	$730	$4.2M
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.	31,780	$120	$3.7M
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.	28,720	$120	$3.4M
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.	28,220	$120	$3.3M
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.	16,770	$180	$3.1M
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…	22,370	$140	$3M
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.	12,420	$170	$2.1M
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.	11,570	$160	$1.9M

Showing 1–10 of 464

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

Ellis Hospital — 13 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

464 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2018	Psychosocial rehabilitation services, per diem	24	90	720	$1,900	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	24	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…	53	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	49	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.	18	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…	276	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	57	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…	150	2,200	1,010	$130	$892.2K
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	19	30	570	$900	$820.7K
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.	84	1,420	90	$130	$715.2K

Showing 1–10 of 464

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunil Abraham	NC	Rheumatology Physician	$1.1M	$0
Ping Lu	NY	Nuclear Medicine Physician	$404.1K	$0
Shirish Parikh	NY	Diagnostic Radiology Physician	$298.7K	$1.1K
Dena Miller	CT	Diagnostic Radiology Physician	$254.7K	$9.8K
Marcos Alvarez	CA	Diagnostic Radiology Physician	$251.5K	$0
Sasi Cheruvu	NY	Diagnostic Radiology Physician	$241.7K	$590
George Soryal	NY	Nephrology Physician	$238.3K	$0
Maykol Alarcon	NY	Family Nurse Practitioner	$196.6K	$28.6K
Michael Platzman	NY	Family Medicine Physician	$222.2K	$2.2K
Robert Rapoport	NY	Diagnostic Radiology Physician	$196.7K	$19.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alec Platt	NY	Pulmonary Disease Physician	$121.1K	$30
Christopher Dolinsky	NY	Radiation Oncology Physician	$102.2K	$0
Biao Lei	NY	Anesthesiology Physician	$87.8K	$0
Franklin Longo	NY	Ophthalmology Physician	$79.1K	$4.2K
Penny Knichel	NY	Family Nurse Practitioner	$64.6K	$0
John Dinius	NY	Anesthesiology Physician	$38.7K	$0
Sean Morris	NY	Family Nurse Practitioner	$22.8K	$0
Sue Ciarmiello	NY	Psychiatric/Mental Health Nurse Practitioner	$16.8K	$0
Xi Besha	NY	Clinical Neuropsychologist	$13.9K	$0
Hanna Leong	NY	Clinical Neuropsychologist	$13.5K	$0

Ellis Hospital — Billing Profile & Reimbursement Data

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Ellis 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

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