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.

The Unity Hospital Of Rochester (NPI 1689891178)

Field	Value
Entity Type	Organization
Organization	The Unity Hospital Of Rochester
Address	81 Lake Ave
City	Rochester
State	NY
ZIP	14608
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	April 19, 2007

Payer Source	Total Paid
Medicaid	$28.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	68,210	$110	$7.6M
H0005	Alcohol and/or drug services; group counseling by a clinician	86,360	$60	$5.4M
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	34,620	$140	$5M
H0001	Alcohol and/or drug assessment	20,220	$160	$3.1M
J2315	Injection, naltrexone, depot form, 1 mg	2,170	$1,200	$2.6M
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…	16,590	$130	$2.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	9,630	$60	$548.6K
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…	3,960	$130	$526.7K
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…	5,240	$90	$445.4K
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…	2,880	$130	$365.3K

Showing 1–10 of 27

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

The Unity Hospital Of Rochester — 6 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	379	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	168	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…	714	2,200	1,010	$130	$892.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	7	230	3,600	$60	$805.5K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	5	250	1,290	$110	$761.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	46	270	1,340	$110	$658.2K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	5	190	1,030	$140	$613.3K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	44	110	690	$50	$442K
H0014	Alcohol and/or drug services; ambulatory detoxification	25	40	430	$150	$440K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	268	350	350	$210	$393.4K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Unity Hospital Of Rochester, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Unity Hospital Of Rochester	NY	General Acute Care Hospital	$0	$55.3M
Acm Medical Laboratory Inc	NY	Clinical Medical Laboratory	$0	$40.9M
The Unity Hospital Of Rochester	NY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.8M
The Unity Hospital Of Rochester	NY	General Acute Care Hospital	$0	$25.9M
Fletcher Hospital Inc.	NC	Rural Acute Care Hospital	$0	$12M
B & R Dental, LLC	CT	General Practice Dentistry	$0	$2.8M
Michael Fazio	IL	Diagnostic Radiology Physician	$294.3K	$184.3K
Wesley Pruett	MN	Diagnostic Radiology Physician	$441.3K	$770
Ayhan Yoruk	CA	Clinical Cardiac Electrophysiology Physician	$338.3K	$0
Joshua Albrektson	MN	Diagnostic Radiology Physician	$264.9K	$2K

Nearby Providers

Other providers in the same ZIP code as The Unity Hospital Of Rochester, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Disability Rights, Inc	NY	Community/Behavioral Health Agency	$0	$156.5M
Zachary Williams	NY	Internal Medicine Physician	$202.5K	$390

The Unity Hospital Of Rochester — Billing Profile & Reimbursement Data

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The Unity Hospital Of Rochester — 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