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.

Glens Falls Hospital Inc (NPI 1871606764)

Glens Falls Hospital Inc is a general acute care hospital provider located in Glens Falls, New York. This profile covers 0 Medicare and 485 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	Glens Falls Hospital Inc
Address	100 Park St
City	Glens Falls
State	NY
ZIP	12801
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicaid	$48.9M
Medicare	$0

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

485 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	38,690	$110	$4.1M
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…	40,980	$100	$4M
U0003	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, making use of high…	41,800	$80	$3.5M
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.	19,960	$130	$2.6M
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.	17,520	$120	$2.1M
J9271	Injection, pembrolizumab, 1 mg	120	$13,050	$1.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	18,650	$80	$1.5M
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.	6,340	$230	$1.4M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	5,040	$260	$1.3M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	66,430	$20	$1.1M

Showing 1–10 of 485

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

Glens Falls Hospital Inc — 5 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

485 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	17	20	750	$8,890	$8.1M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	33	50	1,750	$30	$3M
U0003	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, making use of high…	27	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	61	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.	60	210	2,850	$180	$1.1M
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…	601	1,510	1,010	$110	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	101	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…	409	2,200	1,010	$130	$892.2K
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	23	30	570	$900	$820.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	535	750	1,800	$80	$785.8K

Showing 1–10 of 485

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Todd Jorgensen	NY	Physical Medicine & Rehabilitation Physician	$161.9K	$8K
Shawn Jorgensen	NY	Physical Medicine & Rehabilitation Physician	$122.4K	$2.1K
John Layden	FL	Cardiovascular Disease Physician	$112.2K	$4.3K
Benjamin Parkhurst	VT	Hospitalist Physician	$81.2K	$0
Anthony Donaldson	VT	Urology Physician	$64.4K	$0
Nagendra Madisi	NJ	Critical Care Medicine (Internal Medicine) Physician	$56.8K	$0
Michael Dinkels	NY	Critical Care Medicine (Internal Medicine) Physician	$48.9K	$0
Richard Jackson	NY	Neurology Physician	$44.6K	$0
Gillian Wolff	NY	Urology Physician	$32.9K	$270
Matthew Dickson	NY	Otolaryngology/Facial Plastic Surgery Physician	$31.8K	$490

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dentistry	NY	Pediatric Dentistry	$0	$19M
Northern Ec LLC	NY	Ambulatory Surgical Clinic/Center	$326.3K	$1.1M
Alex Frank	NY	Radiation Oncology Physician	$181.5K	$0
Ben Taylor	NY	Radiation Oncology Physician	$169.3K	$0
Geoffrey Hill	NY	Vascular & Interventional Radiology Physician	$120.2K	$130
Elissa Waskiewicz	NY	Family Nurse Practitioner	$103K	$950
Eric Gold	NY	Physician Assistant	$98.8K	$0
Tamekea Bevas	NY	Clinical Social Worker	$94.5K	$0
Juan Garcia	NY	Plastic and Reconstructive Surgery Physician	$78.5K	$0
William Bauer	NY	Gastroenterology Physician	$69.1K	$0

Glens Falls Hospital Inc — Billing Profile & Reimbursement Data

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Glens Falls Hospital 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

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