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.

Aurelia Osborn Fox Memorial Hospital Society (NPI 1578529954)

Aurelia Osborn Fox Memorial Hospital Society is a general acute care hospital provider located in Oneonta, New York. This profile covers 0 Medicare and 294 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	Aurelia Osborn Fox Memorial Hospital Society
Address	1 Norton Ave
City	Oneonta
State	NY
ZIP	13820
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicaid	$21.8M
Medicare	$0

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

294 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	18,980	$190	$3.7M
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…	19,190	$140	$2.6M
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…	13,300	$130	$1.7M
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.	8,660	$180	$1.5M
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.	6,760	$180	$1.2M
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.	4,160	$200	$820.1K
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.	2,720	$220	$589.8K
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.	2,500	$230	$579.1K
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.	16,320	$30	$473.3K
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…	7,890	$60	$434.1K

Showing 1–10 of 294

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

Aurelia Osborn Fox Memorial Hospital Society — 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

294 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…	127	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	120	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.	110	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	95	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…	729	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.	118	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.	110	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.	197	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,…	187	300	1,710	$20	$458.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	176	290	1,900	$30	$390.6K

Showing 1–10 of 294

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Surinder Pal	NY	Internal Medicine Physician	$737.2K	$259.6K
Ping Lu	NY	Nuclear Medicine Physician	$404.1K	$0
Shirish Parikh	NY	Diagnostic Radiology Physician	$298.7K	$1.1K
Peipei Zhou	NY	Cardiovascular Disease Physician	$279.3K	$7K
Michael Schuster	NY	Diagnostic Radiology Physician	$111.6K	$6.3K
Gary Siskin	NY	Vascular & Interventional Radiology Physician	$101.3K	$430
Munib Aftab	WV	Rheumatology Physician	$51K	$0
Maciej Nowakowski	NY	Sleep Medicine (Internal Medicine) Physician	$45.6K	$1.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lauren Guse	NY	Family Nurse Practitioner	$330.5K	$570
Tally Lassiter	NY	Sports Medicine (Orthopaedic Surgery) Physician	$175.7K	$0
Mohamed Egal	NY	Geriatric Medicine (Internal Medicine) Physician	$32.3K	$1.3K
Eugene Pellerin	NY	Emergency Medicine Physician	$9.1K	$0

Aurelia Osborn Fox Memorial Hospital Society — Billing Profile & Reimbursement Data

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Aurelia Osborn Fox Memorial Hospital Society — 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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