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.

Hillside Childrens Center (NPI 1639267933)

Field	Value
Entity Type	Organization
Organization	Hillside Childrens Center
Address	1183 Monroe Avenue
City	Rochester
State	NY
ZIP	14620
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicaid	$45M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5145	Foster care, therapeutic, child; per diem	144,790	$100	$14.5M
H2012	Behavioral health day treatment, per hour	134,150	$100	$13.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	37,140	$120	$4.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	50,630	$90	$4.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	42,830	$70	$2.9M
H2014	Skills training and development, per 15 minutes	8,030	$140	$1.1M
H0038	Self‑help/peer services, per 15 minutes	16,470	$60	$938.8K
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…	2,430	$260	$622.6K
H2015	Comprehensive community support services, per 15 minutes	2,790	$180	$513K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,680	$180	$488.5K

Showing 1–10 of 21

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

Hillside Childrens Center — 5 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	25	50	2,140	$500	$16.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	27	60	2,490	$110	$15.4M
H0040	Assertive community treatment program, per diem	84	90	1,990	$1,780	$5.3M
H2014	Skills training and development, per 15 minutes	57	160	3,210	$200	$4.5M
S5145	Foster care, therapeutic, child; per diem	1	70	6,510	$180	$3.9M
H2012	Behavioral health day treatment, per hour	3	40	14,460	$100	$3.4M
H0041	Foster care, child, non-therapeutic, per diem	25	50	13,270	$50	$2.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	5	100	5,790	$110	$1.3M
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…	2,007	2,200	1,010	$130	$892.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	5	120	2,410	$90	$872.1K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Hillside Childrens Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glidedowan LLC	NY	Home Health Agency	$0	$44.5M
University Of Rochester	NY	General Practice Dentistry	$0	$38.1M
Highland Hospital Of Rochester	NY	General Acute Care Hospital	$0	$30.8M
Matthew Witmer	NY	Retina Specialist (Ophthalmology) Physician	$889.6K	$46K
Edward Hall	NY	Retina Specialist (Ophthalmology) Physician	$736.3K	$8.8K
Brian Connolly	NY	Retina Specialist (Ophthalmology) Physician	$695.8K	$3.2K
Maria Dizhgalvis	NY	Acute Care Nurse Practitioner	$372.2K	$3.8K
Sarah Vanderlinde	NY	Diagnostic Radiology Physician	$236.8K	$90
Jinnah Phillips	NY	Diagnostic Radiology Physician	$134.4K	$0
Farooq Khokhar	NY	Diagnostic Radiology Physician	$96.7K	$4.5K

Hillside Childrens Center — Billing Profile & Reimbursement Data

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Hillside Childrens 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

Nearby Providers

Frequently Asked Questions

References