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.

Kids Oneida, Inc. (NPI 1770787079)

Field	Value
Entity Type	Organization
Organization	Kids Oneida, Inc.
Address	310 Main Street
City	Utica
State	NY
ZIP	13501
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 12, 2007

Payer Source	Total Paid
Medicaid	$25.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	133,230	$80	$10.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	63,480	$110	$7.2M
H0040	Assertive community treatment program, per diem	2,580	$1,850	$4.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	19,060	$90	$1.7M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,360	$350	$820K
A0160	Non-emergency transportation: per mile - case worker or social worker	17,020	$10	$187.2K
H0038	Self‑help/peer services, per 15 minutes	3,070	$30	$104.4K

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

Kids Oneida, Inc. — 3 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	33	90	1,990	$1,780	$5.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	22	100	5,790	$110	$1.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	1	120	2,410	$90	$872.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	3	270	1,340	$110	$658.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	158	1,320	140	$260	$334K
H0038	Self‑help/peer services, per 15 minutes	66	240	950	$70	$205.4K
A0160	Non-emergency transportation: per mile - case worker or social worker	1	40	460	$10	$21.8K

Nearby Providers

Other providers in the same ZIP code as Kids Oneida, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Resource Center For Independent Living	NY	Home Health Agency	$0	$163M
Cnyhhn Inc	NY	Case Management Agency	$0	$76M
St Elizabeth Medical Center	NY	General Acute Care Hospital	$0	$27.6M
Utica Ambulance Service, Inc.	NY	Land Ambulance	$1M	$5.6M
Syed Zaman	NY	Anatomic Pathology & Clinical Pathology Physician	$1.5M	$180
Daniel Berg	NY	Cardiovascular Disease Physician	$472.1K	$23.3K
Michael Sassower	NY	Interventional Cardiology Physician	$408.1K	$40.8K
Prabhat Varma	NY	Interventional Cardiology Physician	$369.1K	$37.7K
Ashok Patel	NY	Interventional Cardiology Physician	$354.2K	$42.6K
Thor Markwood	NY	Clinical Cardiac Electrophysiology Physician	$304.1K	$22.4K

Kids Oneida, Inc. — Billing Profile & Reimbursement Data

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Kids Oneida, Inc. — 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