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.

Alice Hyde Medical Center (NPI 1568735660)

Alice Hyde Medical Center is a general practice physician provider located in Malone, New York. This profile covers 0 Medicare and 264 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	Alice Hyde Medical Center
Address	133 Park St
City	Malone
State	NY
ZIP	12953
Taxonomy	General Practice Physician
NPI Enumerated	February 21, 2012

Payer Source	Total Paid
Medicaid	$22.4M
Medicare	$0

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

264 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…	48,590	$110	$5.4M
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…	18,930	$120	$2.2M
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.	8,290	$140	$1.2M
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…	12,880	$70	$927.6K
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.	6,220	$130	$777.3K
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.	24,950	$30	$648.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	6,220	$100	$634.1K
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…	5,210	$110	$557.4K
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.	2,410	$210	$498K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20,530	$20	$472.2K

Showing 1–10 of 264

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

Alice Hyde Medical Center — 3 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

264 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…	65	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…	66	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	93	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.	116	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	121	180	3,200	$90	$1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	649	750	1,800	$80	$785.8K
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.	203	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.	155	450	370	$170	$674.1K
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.	219	2,210	80	$130	$473K
U0005	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, cdc or non-cdc,…	76	300	1,710	$20	$458.6K

Showing 1–10 of 264

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthony Vaccaro	NY	Radiation Oncology Physician	$268.9K	$0
Nataniel Lester-coll	VT	Radiation Oncology Physician	$152.8K	$0
Harold Wallace	VT	Radiation Oncology Physician	$135.5K	$0
Nicolas Karam	NY	Clinical Cardiac Electrophysiology Physician	$129K	$1.2K
Seema Lodha	NY	Cardiovascular Disease Physician	$119.1K	$7.9K
Russell Meyer	VT	Diagnostic Radiology Physician	$126.6K	$0
Joel Wolkowicz	NY	Cardiovascular Disease Physician	$116.1K	$10.2K
Hanna Slim	NY	Cardiovascular Disease Physician	$112.6K	$12.8K
Christopher Palma	NY	Cardiovascular Disease Physician	$112.2K	$9.4K
David Nelson	VT	Pediatric Emergency Medicine (Emergency Medicine) Physician	$0	$119.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Citizen Advocates, Inc	NY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$65.9M
Brenda Cook	NY	Audiologist-Hearing Aid Fitter	$4.7K	$0
Jason Fontenot	NY	Anesthesiology Physician	$4.5K	$0

Alice Hyde Medical Center — 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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