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.

Columbia Memorial Hospital (NPI 1528024718)

Columbia Memorial Hospital is a general acute care hospital provider located in Hudson, New York. This profile covers 0 Medicare and 311 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	Columbia Memorial Hospital
Address	71 Prospect Ave
City	Hudson
State	NY
ZIP	12534
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicaid	$25.7M
Medicare	$0

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

311 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…	36,350	$90	$3.4M
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…	26,850	$110	$3.1M
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.	13,580	$130	$1.7M
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.	7,670	$140	$1.1M
G0378	Hospital observation service, per hour	2,910	$350	$1M
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.	5,310	$190	$992.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	43,020	$20	$688.4K
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.	4,870	$140	$681.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	13,190	$50	$633.1K
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.	2,620	$240	$630.9K

Showing 1–10 of 311

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

Columbia Memorial Hospital — 2 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

311 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	161	340	1,090	$70	$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…	42	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	36	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.	74	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	31	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…	1,646	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.	209	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.	100	450	370	$170	$674.1K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	8	10	260	$1,320	$503.5K
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.	154	2,210	80	$130	$473K

Showing 1–10 of 311

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Umesh Patel	NY	Rheumatology Physician	$425K	$37.6K
Ping Lu	NY	Nuclear Medicine Physician	$404.1K	$0
Shirish Parikh	NY	Diagnostic Radiology Physician	$298.7K	$1.1K
Syed Hassan	NY	Family Medicine Physician	$273.6K	$3.1K
Sasi Cheruvu	NY	Diagnostic Radiology Physician	$241.7K	$590
Samit Shah	NY	Diagnostic Radiology Physician	$207.4K	$800
Robert Donnarumma	NY	Emergency Medicine Physician	$181K	$0
Benjamin Cooper	CO	Diagnostic Radiology Physician	$129.6K	$20.8K
Peter Kim	NY	Diagnostic Radiology Physician	$134.3K	$14.4K
Ananth Narayan	NY	Neuroradiology Physician	$117.7K	$10.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salim Contractor	NY	Medical Oncology Physician	$208.7K	$26.4K
H Louis Clinton	NY	Cardiovascular Disease Physician	$74.1K	$4.7K
Olivia Goffredo	NY	Physician Assistant	$75.2K	$0
Hiral Amin	NY	Cardiovascular Disease Physician	$61.5K	$10.2K
Tomasz Andrejuk	NY	Pain Medicine (Anesthesiology) Physician	$44.3K	$11.2K
Alejandro Dominguez	NY	Physician Assistant	$52.7K	$0

Columbia Memorial 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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