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 1760421713)

The Unity Hospital Of Rochester is a general acute care hospital provider located in Rochester, New York. This profile covers 0 Medicare and 290 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	The Unity Hospital Of Rochester
Address	1555 Long Pond Rd
City	Rochester
State	NY
ZIP	14626
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicaid	$55.3M
Medicare	$0

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

290 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.	43,890	$120	$5.3M
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.	26,500	$190	$5.1M
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…	33,560	$130	$4.3M
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.	25,670	$140	$3.6M
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.	16,170	$210	$3.4M
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…	32,160	$100	$3.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	17,140	$90	$1.5M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,770	$740	$1.3M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	7,930	$160	$1.3M
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.	3,840	$320	$1.2M

Showing 1–10 of 290

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 — 11 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

290 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	33	100	1,490	$70	$1.3M
G0378	Hospital observation service, per hour	64	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.	19	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	32	180	3,200	$90	$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.	56	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.	72	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.	90	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,…	121	300	1,710	$20	$458.6K
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…	88	110	690	$50	$442K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	24	30	110	$620	$410.7K

Showing 1–10 of 290

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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	Substance Use Disorder Rehabilitation Clinic/Center	$0	$28.3M
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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rochester General Hospital	NY	Family Medicine Physician	$0	$25.2M
Ginel Gordon	NY	Nurse Practitioner	$342.3K	$58.5K
Kristi Cowell-kusak	NY	Internal Medicine Physician	$111.1K	$0
Danielle Beatty	NY	Physical Therapist	$97.9K	$0
Keith Schroeder	NY	Diagnostic Radiology Physician	$83.7K	$0
Yu Zhao	NY	Internal Medicine Physician	$78.8K	$0
Daniel Grace	NY	Maternal & Fetal Medicine Physician	$3.7K	$65.4K
Ronald D Angelo	NY	Audiologist	$53.6K	$0
Amol Shrikhande	NY	Nephrology Physician	$37.4K	$610
Elizabeth Westen	NY	Maternal & Fetal Medicine Physician	$4.3K	$31.6K

The Unity Hospital Of Rochester — Billing Profile & Reimbursement Data

Sign up for The Unity Hospital Of Rochester — Billing Profile & Reimbursement Data policy alerts

The Unity Hospital Of Rochester — Billing Profile & Reimbursement Data

Sign up for The Unity Hospital Of Rochester — 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