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.

St. Mary's Healthcare (NPI 1811977796)

Field	Value
Entity Type	Organization
Organization	St. Mary's Healthcare
Address	427 Guy Park Ave
City	Amsterdam
State	NY
ZIP	12010
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicaid	$67.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

391 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	96,050	$90	$8.5M
G9005	Coordinated care fee, risk adjusted maintenance	15,020	$350	$5.3M
H0040	Assertive community treatment program, per diem	2,510	$1,790	$4.5M
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…	43,290	$90	$3.9M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	134,580	$30	$3.6M
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…	39,100	$80	$3.2M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	25,660	$100	$2.4M
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…	22,120	$110	$2.4M
T2022	Case management, per month	4,830	$390	$1.9M
H2016	Comprehensive community support services, per diem	2,720	$690	$1.9M

Showing 1–10 of 391

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

St. Mary's Healthcare — 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

391 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9005	Coordinated care fee, risk adjusted maintenance	34	40	105,510	$300	$55.6M
H2016	Comprehensive community support services, per diem	7	30	1,850	$300	$15.1M
T2022	Case management, per month	15	80	360	$550	$11.6M
H0040	Assertive community treatment program, per diem	35	90	1,990	$1,780	$5.3M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	40	90	5,000	$210	$4.5M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	35	120	61,480	$30	$4.4M
96150	N/A	10	20	220	$710	$3M
H2018	Psychosocial rehabilitation services, per diem	70	90	720	$1,900	$2.4M
S9083	Global fee urgent care centers	97	200	340	$120	$1.7M
H2019	Therapeutic behavioral services, per 15 minutes	65	170	1,390	$570	$1.6M

Showing 1–10 of 391

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Mary's Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Peter's Health Partners Medical Associates, P.C.	NY	Multi-Specialty Clinic/Center	$480	$6.6M
George Soryal	NY	Nephrology Physician	$238.3K	$0
David Barron	OH	Radiation Oncology Physician	$180.1K	$0
Aamer Mirza	NY	Gastroenterology Physician	$52K	$3.7K
Michael Dinkels	NY	Critical Care Medicine (Internal Medicine) Physician	$48.9K	$0
Jeffrey Wadler	NY	Physician Assistant	$39K	$0
Adnan Khan	NY	Anesthesiology Physician	$5.4K	$0

Nearby Providers

Other providers in the same ZIP code as St. Mary's Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Choices For Community Living Inc	NY	Intellectual & Developmental Disabilities Psychologist	$0	$20.7M
Priority Ambulance New York LLC	NY	Land Ambulance	$664.8K	$1.7M
Muhammad Tai	NY	Medical Oncology Physician	$667.9K	$6.5K
Inder Lal	NY	Hematology & Oncology Physician	$287.2K	$25.3K
Russell Cecil	NY	Orthopaedic Surgery Physician	$133.4K	$30.3K
Paul Salerno	NY	Physical Medicine & Rehabilitation Physician	$54.9K	$0

St. Mary's Healthcare — Billing Profile & Reimbursement Data

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St. Mary's Healthcare — 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