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.

Roswell Park Cancer Institute (NPI 1548315401)

Field	Value
Entity Type	Organization
Organization	Roswell Park Cancer Institute
Address	Elm And Carlton St
City	Buffalo
State	NY
ZIP	14263
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$36.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

242 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	750	$9,520	$7.1M
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…	18,480	$260	$4.8M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	16,200	$250	$4.1M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	10,350	$300	$3.1M
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	1,410	$1,060	$1.5M
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.	35,060	$40	$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…	4,580	$240	$1.1M
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	5,020	$140	$713.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	2,210	$310	$688.6K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	2,160	$310	$669.6K

Showing 1–10 of 242

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

Roswell Park Cancer Institute — 4 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

242 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	12	20	750	$8,890	$8.1M
J9306	Injection, pertuzumab, 1 mg	6	10	180	$4,520	$1.4M
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.	152	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	84	180	3,200	$90	$1M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	13	20	1,670	$230	$705.8K
77412	The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…	8	20	1,020	$310	$657.6K
Q5111	Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg	9	10	220	$1,710	$624.9K
J1950	Injection, leuprolide acetate (for depot suspension), per 3.75 mg	8	10	290	$1,570	$575K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	61	140	360	$130	$492.1K
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…	17	90	260	$360	$435.5K

Showing 1–10 of 242

Related Providers

Other providers that share a Tax Identification Number (TIN) with Roswell Park Cancer Institute, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Larry Wilf	FL	Nuclear Radiology Physician	$1.2M	$0
Niraj Shenoy	NY	Hematology & Oncology Physician	$891.9K	$2.7K
Laszlo Mechtler	NY	Neurology Physician	$186.7K	$278.9K
Garrett Dejesus	NY	Diagnostic Radiology Physician	$432.1K	$0
Nathalie Zeitouni	AZ	Dermatology Physician	$314K	$0
Dheerendra Prasad	NY	Radiation Oncology Physician	$219.9K	$0
Sonam Rosberger	NY	Diagnostic Radiology Physician	$128.2K	$3.8K
Ranjan Bhayana	NY	Cardiovascular Disease Physician	$110.4K	$14.6K
Nadia Malik	NY	Radiation Oncology Physician	$116.5K	$0
Cerrene Giordano	NY	Procedural Dermatology Physician	$106.9K	$0

Nearby Providers

Other providers in the same ZIP code as Roswell Park Cancer Institute, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Brady	NY	MOHS-Micrographic Surgery Physician	$82.9K	$0
Ronald Alberico	NY	Diagnostic Radiology Physician	$77K	$2.3K
Elena Ivan	NY	Anatomic Pathology & Clinical Pathology Physician	$79.3K	$0
Ahmed Belal	NY	Diagnostic Radiology Physician	$75.4K	$2.2K
Mohamed Khan	NY	Radiation Oncology Physician	$77.2K	$0
Claudiu Cotta	NY	Anatomic Pathology & Clinical Pathology Physician	$66K	$0
Anurag Singh	NY	Radiation Oncology Physician	$63.5K	$0
Paul Grant	NY	Nuclear Medicine Physician	$59.4K	$690
David Mattson	NY	Radiation Oncology Physician	$57.1K	$0
Sheila Tighe	NY	Nurse Practitioner	$48.1K	$0

Roswell Park Cancer Institute — Billing Profile & Reimbursement Data

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Roswell Park Cancer Institute — 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