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.

Cayuga Medical Center At Ithaca (NPI 1962422733)

Cayuga Medical Center At Ithaca is a general acute care hospital provider located in Ithaca, New York. This profile covers 0 Medicare and 347 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	Cayuga Medical Center At Ithaca
Address	101 Dates Dr
City	Ithaca
State	NY
ZIP	14850
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 21, 2006

Payer Source	Total Paid
Medicaid	$33.3M
Medicare	$0

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

347 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	51,380	$140	$7M
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…	60,580	$70	$4.1M
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.	12,040	$180	$2.1M
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…	14,560	$100	$1.4M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	31,090	$40	$1.3M
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.	7,630	$170	$1.3M
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.	4,690	$230	$1.1M
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.	7,410	$140	$1M
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.	42,060	$20	$715K
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.	850	$820	$697.8K

Showing 1–10 of 347

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

Cayuga Medical Center At Ithaca — 2 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

347 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	21	340	1,090	$70	$1.4M
G0378	Hospital observation service, per hour	67	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.	86	210	2,850	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8	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.	167	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.	68	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.	208	2,210	80	$130	$473K
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…	19	110	690	$50	$442K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	71	90	260	$360	$435.5K
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.	192	610	310	$380	$397.9K

Showing 1–10 of 347

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Schaeffer	FL	Diagnostic Neuroimaging (Radiology) Physician	$121.3K	$20
John Powell	NY	Radiation Oncology Physician	$91.6K	$0
Jason Cohen	MA	Urology Physician	$55.2K	$5.1K
Oussama Darwish	OH	Urology Physician	$39.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bangs Ambulance, Inc.	NY	Ambulance	$1M	$4.3M
Edward Franzoni	NY	Psychologist	$7.3K	$1.4M
Sanjeev Vohra	NY	Urology Physician	$344.5K	$130
Benjamin Mcclintic	NY	Cardiovascular Disease Physician	$150.5K	$1.1K
Jonathan Mauser	NY	Cardiovascular Disease Physician	$144.7K	$530
Kristen Canzler	NY	Nurse Practitioner	$132.4K	$2.3K
Lavanya Kodali	NY	Pulmonary Disease Physician	$124.8K	$8.6K
Thomas Brown	NY	Physician Assistant	$110.4K	$0
Elisabeth Cotton	NY	Internal Medicine Physician	$90.3K	$7.9K
Guillermo Ferrer	NY	Surgery Physician	$93.9K	$0

Cayuga Medical Center At Ithaca — Billing Profile & Reimbursement Data

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Cayuga Medical Center At Ithaca — 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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