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.

St. Peter's Hospital Of The City Of Albany (NPI 1497701106)

Field	Value
Entity Type	Organization
Organization	St. Peter's Hospital Of The City Of Albany
Address	315 S Manning Blvd
City	Albany
State	NY
ZIP	12208
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicaid	$35.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

420 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	37,050	$70	$2.6M
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.	14,710	$120	$1.8M
G0378	Hospital observation service, per hour	7,990	$210	$1.7M
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.	8,580	$190	$1.7M
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…	15,860	$100	$1.5M
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	12,890	$110	$1.4M
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.	9,550	$130	$1.3M
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…	12,540	$90	$1.1M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	12,800	$90	$1.1M
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.	10,260	$110	$1.1M

Showing 1–10 of 420

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

St. Peter's Hospital Of The City Of Albany — 5 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

420 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	87	100	10,060	$200	$4.9M
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…	135	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	6	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.	43	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	47	180	3,200	$90	$1M
H0005	Alcohol and/or drug services; group counseling by a clinician	23	230	3,600	$60	$805.5K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	34	250	1,290	$110	$761.7K
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.	194	1,420	90	$130	$715.2K
Q9991	Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg	6	10	200	$1,450	$685.7K
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.	125	450	370	$170	$674.1K

Showing 1–10 of 420

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Peter's Hospital Of The City Of Albany, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lance Sullenberger	NY	Cardiovascular Disease Physician	$1.6M	$13.3K
Stephen Wrzesinski	NY	Medical Oncology Physician	$1.2M	$0
Lulu Zhang	CA	Hematology & Oncology Physician	$1.2M	$0
Sos Nalghranyan	FL	Hematology & Oncology Physician	$1.1M	$0
Haroon Kamran	NY	Interventional Cardiology Physician	$908.4K	$35.6K
Jeffrey Uzzilia	NY	Cardiovascular Disease Physician	$711.2K	$18.2K
Ami Negandhi	NY	Hematology & Oncology Physician	$597.2K	$0
Sayed Tariq Rizvi	OH	Cardiovascular Disease Physician	$215.8K	$0
Padmapriya Menakuru	NY	Internal Medicine Physician	$158K	$1.6K
Darryl Lau	NY	Neurological Surgery Physician	$146.8K	$0

Nearby Providers

Other providers in the same ZIP code as St. Peter's Hospital Of The City Of Albany, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Albany Medical Center Hospital	NY	General Acute Care Hospital	$0	$79.8M
Parsons Child And Family Center	NY	Custodial Care Facility	$0	$65.7M
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
Muhammad Hussain	NY	Hematology & Oncology Physician	$1M	$0
Madhavi Latha Kambam	NY	Hematology & Oncology Physician	$682.5K	$700
Makenzi Evangelist	NY	Hematology & Oncology Physician	$479.7K	$1.5K
Ping Lu	NY	Nuclear Medicine Physician	$404.1K	$0
Mihir Raval	NY	Hematology & Oncology Physician	$377.9K	$0

St. Peter's Hospital Of The City Of Albany — Billing Profile & Reimbursement Data

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St. Peter's Hospital Of The City Of Albany — 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