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.

Canton-potsdam Hospital (NPI 1568548782)

Canton-potsdam Hospital is a general acute care hospital provider located in Potsdam, New York. This profile covers 0 Medicare and 417 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	Canton-potsdam Hospital
Address	50 Leroy Street
City	Potsdam
State	NY
ZIP	13676
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$61.4M
Medicare	$0

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

417 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…	113,160	$110	$12.1M
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,…	65,280	$120	$8M
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…	62,570	$110	$7.1M
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	$150	$2.5M
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.	16,090	$120	$1.9M
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.	12,150	$120	$1.5M
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.	5,250	$270	$1.4M
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…	16,200	$90	$1.4M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	38,340	$30	$1.3M
99391	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…	10,900	$100	$1.1M

Showing 1–10 of 417

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

Canton-potsdam Hospital — 8 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

417 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5161	Emergency response system; service fee, per month (excludes installation and testing)	23	50	1,750	$30	$3M
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…	77	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…	54	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	60	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.	75	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…	583	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	52	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…	405	2,200	1,010	$130	$892.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	179	230	3,600	$60	$805.5K
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	18	20	320	$1,170	$765.3K

Showing 1–10 of 417

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aqeel Khan	IL	Psychiatry Physician	$2.2M	$3.5M
Marlene Young	RI	Nurse Practitioner	$399.8K	$0
Deepak Reddy	MI	Emergency Medicine Physician	$75.8K	$169.6K
Jeremiah Depta	WI	Interventional Cardiology Physician	$116.9K	$0
Ricardo Benenstein	CT	Cardiovascular Disease Physician	$115.3K	$700
Nidal Makhoul	NY	Nuclear Cardiology Physician	$99.3K	$2.9K
Salil Sharma	NY	Diagnostic Radiology Physician	$92.3K	$2.2K
David Bass	NY	Cardiovascular Disease Physician	$84.6K	$4.2K
Deepjot Singh	WA	Medical Oncology Physician	$81.8K	$1.1K
Mark Hankins	VA	Family Nurse Practitioner	$73.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glauco Maresca	NY	Diagnostic Radiology Physician	$661K	$38.3K
Marie-paule Heylen	NY	Adult Health Nurse Practitioner	$348.2K	$0
Amit Shanker	NY	Clinical Cardiac Electrophysiology Physician	$54.5K	$150
Alison Grabowski	NY	Adult Health Nurse Practitioner	$12.9K	$0
Jon Suarez	NY	Audiologist	$5.3K	$810
Maytal Slattery	NY	Audiologist-Hearing Aid Fitter	$1.9K	$0

Canton-potsdam Hospital — Billing Profile & Reimbursement Data

Sign up for Canton-potsdam Hospital — Billing Profile & Reimbursement Data policy alerts

Canton-potsdam Hospital — Billing Profile & Reimbursement Data

Sign up for Canton-potsdam Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References