Diagnostic and Treatment Center D&TC (DSRIP) Analysis of Diagnostic and Treatment Center for Delivery System Reform Incentive Payment Plan 9/9/2014 Total 497 100.00% Qualified 254 51.11% Condition - Volume Volumes >= 35% D&TC OPCERT # 7003245R 7000245R 1401208R 1521200R 1624200R 1852200R 7002287R 5904200R 7001294R 7001290R 2201200R 2424200R 7002293R 5907206R 2951202R 7002185R 7002139R 7002141R 3429200R 3702201R 7002298R 5154204R 7001121R 5022200R 7002222R 1401226R 2701224R 7000240R 5823200R 5904201R 3953200R 7002190R 7002165R 2701215R 0824200R 7002157R 7002116R 7002163R 3402201R 1302201R 5155202R 5151201R 7000262R 7000226R 1/11 FACILITY NAME Allhealth D & T Center Centerlight Healthcare Diagnostic & Treatment Center Community Action Org of Erie County Essex County PHNS Franklin County Public Health Services Genesee County Health Department Greenwich House, Inc. Guidance Center, Inc. Heartshare Wellness Ltd Innwood Diagnostic And Treatment Center, Inc . Jefferson County PHS Lewis County Health Agency Lower Eastside Service Center Maitri Center Adult Day Healthcare Program Nassau County Department of Mental Health, CD, DDS New Alternatives For Children NY University Dental Clinic Odyssey House Of New York Ontario County Board Of Supervisors % County PHNS Oswego County DOH Phoenix House Foundation, Inc. Phoenix Houses Of Long Island (Apple) South Brooklyn Medical Administrative Services Steuben County Board Of Supervisors % County PHNS The Door - A Center Of Alternatives The State University At Buffalo School of Dental Medicine Threshold Center for Alternative Living Vocational Instruction Project Wayne County Public Health Nursing Service Westchester County Health Department St. Christopher's Inn Carnegie Hill Institute, Inc. Harlem East Life Plan Monroe County Health Department Clinic Chenango County Department of Public Health Columbia University Health Care Covenant House - Under 21 West Midtown Management Inc. Fingerlakes UCP, Inc. Dutchess County DOH Opti Healthcare dba Developmental Disabilities Institute, Inc. SUNY at Stony Brook Dental Clinic Concourse Medical Center, Inc. Promesa, Inc. Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Utilization Rate 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 99.98% 99.95% 99.87% 99.85% 99.64% 99.56% 99.30% 99.03% 98.93% 98.53% 98.34% 98.33% 97.98% 97.88% Result TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE Final Result TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition Diagnostic and Treatment Center Condition - Volume Volumes >= 35% D&TC OPCERT # 7002288R 7002112R 2825200R 3102206R 7002126R 7000279R 1257201R 7002121R 7002296R 7000217R 7003236R 2908201R 4353200R 7002273R 2987200R 7002153R 7002161R 3301203R 7003243R 7003246R 5726200R 7000265R 7001254R 7004210R 2522200R 7002154R 7000225R 7000277R 7002289R 7001132R 7002119R 7000227R 1401202R 7000236R 7002134R 5155200R 4601210R 2124200R 0221201R 0701200R 3301201R 7002217R 7001116R 7000221R 1401221R 0101205R 27012069R 7001243R 7000243R 2/11 FACILITY NAME Utilization Rate United Cerebral Palsy of NYC 97.82% NYC Health Department 97.79% Montgomery County Public Health Department 97.70% Northpointe Council, Inc. 97.65% United Cerebral Palsy Associations Of New York State, Inc. 97.45% Care For The Homeless 96.25% Delaware County Public Health Nursing Service 96.21% Daytop Village, Inc. 96.05% Mic (Maternity Infant Care FP Program) 95.53% Albert Einstein College of Medicine 95.50% Queens Village Committee for Mental Health for JCAP 95.23% Hempstead Community Health dba Nassau Health Care Corp. 95.19% Rockland County Health Department - Primary Care 95.11% Planned Parenthood of NYC, Inc. 95.06% Advantage Care Diagnostic And Treatment Center, Inc. 94.97% Upper Room AIDS Ministry dba Harlem United 94.80% Project Renewal, Inc. 94.47% Family Planning Service of Onondaga County Health Department 94.21% Quality Health Center 94.07% Damian Family Care Center 94.06% Washington County Board Of Supervisors % County PHNS 93.53% Bronx Addiction Services Integrated Concepts System dba BASICS, Inc.93.34% ODA Primary Health Care Center 92.42% Community Health Center of Richmond, Inc 92.23% Women's Health Center 92.03% Premiere Healthcare Diagnostic & Treatment Center 91.92% Urban Health Plan , Inc. 91.41% HELP / Project Samaritan Services Corp. 91.22% The Floating Hospital @ Auburn Family Assessment Center 91.01% Premium Health, Inc. 90.00% Community Health Care Network 89.99% Narco Freedom, Inc. 89.93% Erie County Health Department 89.82% Morris Heights Health Center 89.80% Center for Comprehensive Health Practice 89.11% Suffolk County Department of Health 88.74% Ridge Health Services, Inc. 88.62% Herkimer County Public Health 88.46% Allegany County Department of Health 88.33% Chemung County Health Department 86.92% UCP & Handicapped Childrens Association of Syracuse dba Enable 86.61% East Harlem Council for Human Services 86.54% Physicare Multi-Services, Ltd 86.43% Morrisania Neighborhood Family Care Center 86.38% Horizon Human Services 86.18% Whitney M. Young Jr. Health Center, Inc. 86.07% United Cerebral Palsy Association of The Rochester Area, Inc. 86.05% Bedford Stuyvesant Family Health Center 85.86% Segundo Ruiz Belvis NFCC 85.73% Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Result TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE Final Result TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition Diagnostic and Treatment Center Condition - Volume Volumes >= 35% D&TC OPCERT # 7001256R 2950200R 3526202R 7000223R 0622200R 7002182R 0501201R 5153207R 7002105R 7002107R 7001296R 5157203R 7000266R 7000250R 7001265R 4353202R 7003234R 7001120R 7001259R 7002160R 0602201R 0401200R 7002136R 5903200R 7003249R 1302207R 1401233R 1402201R 7001102R 5902208R 7002233R 5601201R 01010203R 2950205R 5901200R 2701231R 7000255R 4821200R 4353204R 7003247R 5905200R 1401230R 3501201R 5861200R 1952200R 3801200R 7002178R 3526201R 3227200R 3/11 FACILITY NAME Utilization Rate Brownsville Multi-Service Family Health 85.57% UCP Association of Nassau County 85.30% Best Healthcare, Inc. 84.81% Rose F. Kennedy & Baumritter Center 84.76% Chautauqua County Health Department 84.74% Phase: Piggy Back, Inc dba Barbee Family HC 84.68% Cayuga County DOH 84.38% Huntington Hospital Dolan Family Health Center 84.35% Settlement Health & Medical Service 84.05% Charles B. Wang Community Health Center 84.05% L'Refuah Rehabilitation and Medical Center 83.72% UCP of Greater Suffolk, Inc. 83.65% Montefiore North Ambulatory Care Center, Inc. 83.37% New York Renal Associates, Inc. 83.19% East New York D & T Center 83.07% Refuah Health Center 83.05% Joseph P. Addabbo Family Health Center 82.19% Mermaid Health Center 81.72% Cumberland NFCC 81.52% Michael Callen-Audre Lorde Community HC 81.52% NYS Association for Retarded Children of Chautauqua County (NYSARC) 81.27% Cattaragus County Department of Health 80.85% Renaissance Health Care Network 80.84% Mount Vernon Neighborhood Health Center 80.75% Medisys Family Care Center 80.73% Planned Parenthood Mid-Hudson Valley 80.57% Buffalo Women Services LLC 80.56% Baker Victory Health Care 80.55% New York Artificial Kidney 80.41% Planned Parenthood of Hudson Peconic 80.34% Childrens Aid Society-Lord Memorial 80.16% UCP of The Tri Counties, Inc. 79.96% Center For Disability Services, Inc. 79.94% Planned Parenthood of Nassau County 79.92% Hudson River Healthcare (Peekskill) 79.89% Eastman Dental Center 79.37% Union Community Health Center 79.31% Schuyler County Legislature % Schuyler County PHNS 79.20% Community Medical and Dental Care, Inc. 79.19% Newtown Dialysis Center, Inc. 79.17% Open Door Family Medical Center (Ossining) 78.82% Community Health Center of Buffalo 78.80% Middletown Community Health Center 78.68% Finger Lakes Migrant Health Care Project 78.56% Greene County Public Health Nursing Service 78.52% Otsego County Board of Representatives % Otsego County PHNS 78.50% Mount Sinai D&T Center 78.48% Ezras Choilim Health Center, Inc. 78.19% Sitrin Medical Rehab Center 78.07% Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Result TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE Final Result TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition Diagnostic and Treatment Center Condition - Volume Volumes >= 35% D&TC OPCERT # 7002173R 7002243R 0301201R 7003241R 3529200R 7000270R 0101204R 7000212R 4350200R 2701211R 7002103R 4601203R 7001274R 5324201R 7001275R 0601200R 7001257R 7003268R 7002111R 1101200R 2904200R 4350203R 3301207R 5902212R 7002113R 0501200R 3801202R 2950209R 1401235R 7002114R 5157205R 7001299R 1401219R 1653200R 0901200R 7001244R 3202207R 7001118R 7002158R 5401200R 2904201R 7002169R 7001250R 7003220R 5501200R 7001107R 1702200R 7001280R 3702200R 4/11 FACILITY NAME Apica's Primary Care Clinics William F. Ryan Community Health Center Broome County Health Department Ridgewood Dialysis Center, Inc. Greater Hudson Valley Family Health DOJ Dialysis Center Corp Upper Hudson Planned Parenthood, Inc. Dr. Martin Luther King Jr. Health Center Jowonio, Inc. Anthony L. Jordan Health Center Gouverneur D & T Center Hometown Health Centers Brookdale Family Care Center Tioga Opportunities Program, Inc. The Urban Strategies dba Brookdale Family Health The Chautauqua Center Bedford Medical Family Health Center Medcare, LLC Terence Cardinal Cooke Health Jacobus Center for Reproductive Health Catholic Charities of Rockville Center ARC Health Resources of Rockland Syracuse Community Health Center Childrens Rehabilitation Center, Inc. Heritage Health Care E. John Gavras Center dba UCP of Cayuga County Planned Parenthood of South Central New York Primary Health Care Plus, Inc. Planned Parenthood Of Western NY, Inc. University Optometric Center Family Residences & Essential Enterprises, Inc. ICL Healthcare Choices, Inc. Northwest Buffalo Community Health Center St. Regis Mohawk Health Services Clinton County Health Department Ambulatory Surgery Center of Brooklyn P.P. Mohawk Hudson Central Brooklyn Dialysis Center LLC Housing East Ninth Street ADHCP Franziska Racker Centers South Ocean Care Ryan/Chelsea -Clinton Community Health Center Brooklyn Plaza Medical Center Samaritan Village, Inc. UCP of Ulster County, Inc. Laprovidencia Family Health Center Fulton County PHNS First Medcare, Inc. Oswego County Opportunities Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Utilization Rate Result 76.58% 76.48% 76.36% 76.01% 75.77% 75.58% 75.15% 74.72% 74.70% 74.56% 74.49% 74.10% 73.92% 73.65% 73.38% 73.00% 72.50% 72.39% 72.15% 72.13% 71.94% 71.72% 71.40% 70.80% 70.74% 70.56% 70.40% 70.26% 69.86% 69.74% 69.51% 69.14% 69.08% 69.03% 69.01% 69.01% 68.76% 68.52% 68.44% 68.29% 68.14% 67.94% 67.79% 67.72% 67.53% 67.17% 67.16% 67.00% 66.71% TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE Final Result TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE By Definition By Definition By Definition By Appeal By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition Diagnostic and Treatment Center Condition - Volume Volumes >= 35% D&TC OPCERT # 7003223R 6121203R 7001111R 0501202R 7002148R 7001238R 4420200R 2701223R 2201201R 7000267R 7003248R 5401205R 2701221R 7002137R 1401201R 7004209R 6027200R 1401227R 7002208R 7000263R 1401228R 2201203R 2201202R 1101201R 7001298R 7000259R 7001103R 7000271R 9999903R 3301208R 4423200R 7003269R 7002172R 2701216R 3952200R 2801200R 7002181R 5263200R 7001123R 7001108R 7002253R 7002164R 3202200R 2601200R 3821202R 7002122R 7000269R 7003254R 1401204R 5/11 FACILITY NAME Choices Womens Medical Center, Inc. Rushville Health Center, Inc. Be Well Primary Health Care Center East Hill Family Medical, Inc. Housing Works Lower Manhattan ADHCP South Brooklyn Health Center, Inc. UCP of The North Country Rochester Rehabilitation Center, Inc. Planned Parenthood of Northern New York Medalliance Medical and Rehabilitation Services New York Medical and Diagnostic Center Planned Parenthood of The Southern Finger Lakes, Inc. Oak Orchard Community Health Center Institute for Urban Family Health Buffalo Hearing & Speech Center, Inc. Beacon Christian Community Health Center Wyoming County Health Department AIDS Community Services Of Western NY Betances Health Center Perry Avenue Family Medical, Inc. Elmwood Health Center Northern NY Cerebral Palsy Association North Country Childrens Clinic, Inc. Family Health Network of Central NY HASC Diagnostic & Treatment Center All-Med and Rehabilitation of NY City Wide Health Facility, Inc. La Casa De Salud, Inc. Cattaraugus Indian Reservation HC St. Camillus Diagnostic & Treatment Center St. Lawrence County Health Deparment Hillside Polymedic Diagnostic and Treatment Center Ralph Lauren Center for Cancer Care & Prevention Planned Parenthood of Rochester/Syracuse Hudson Valley Cerebral Palsy Association New Dimensions in Healthcare/Liberty Health Care Village Care Health Clinic SDTC-The Center For Discovery Ahava Medical and Rehabilitation Center LLC Century Medical & Dental Center, Inc. NY League for Hard of Hearing AHRC Health Care, Inc. UCP & Handicapped Persons Association of Utica Area, Inc. Madison County Public Health Community Health Center (Cherry Valley) The Rogosin Institute, Inc. East Coast Rehabilitation, Inc. Medex Diagnostic and Treatment Center Aspire of Western NY, Inc. Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Utilization Rate Result 64.77% 64.39% 63.94% 63.48% 62.96% 62.60% 62.32% 61.66% 61.59% 61.50% 61.09% 60.58% 60.56% 60.06% 57.59% 55.70% 55.58% 54.89% 54.61% 54.43% 54.22% 54.03% 53.95% 53.61% 52.52% 50.75% 50.55% 50.50% 50.15% 49.99% 49.57% 49.35% 49.33% 49.12% 48.75% 48.68% 48.49% 48.15% 47.84% 47.46% 47.00% 46.84% 46.67% 44.94% 44.64% 44.34% 43.78% 43.77% 43.59% TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE Final Result TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition Diagnostic and Treatment Center Condition - Volume Volumes >= 35% D&TC OPCERT # 3726201R 0401201R 7002131R 2701230R 1401203R 5660200R 4501200R 7001281R 2701218R 0701202R 0101203R 7000246R 7002170R 7001114R 5946201R 0101202R 7003267R 7001100R 7001269R 7003260R 7001289R 7001272R 7000273R 1754200R 7002191R 1302209R 7001279R 1401216R 7002299R 0656200R 0901203R 7001113R 3202206R 3552201R 1302208R 3502201R 3328200R 2950207R 5501209R 2701238R 3301215R 3564200R 7000211R 7002212R 5902206R 1302211R 5150200R 3301218R 2201204R 6/11 FACILITY NAME Northern Oswego County Health Service Southern Tier Community Health Center JGB Rehabilitation AIDS Community Health Center Hemophilia Center of Western NY Hudson Headwaters Health Network Saratoga County Board of Supervisors % County PHNS Housing Works East NY HIV/AIDS ADHCP Lifetime Health Medical Group UCP of Chemung County, Inc. Center for the Disabled Bronx Dialysis Center / Pelham Parkway Dialysis Center Health Unlimited Brooklyn Comprehensive Care Center, Inc. Ability Beyond Disability (Datahr) Albany County Health Department All County LLC AMUMC-American Medical Centers Beth Israel (Kings Highway) Boulevard Surgical Center Brooklyn Birthing Center Brooklyn Eye Surgery (Kochman) Castle Hill Medical Center of NY, Inc. Cataract Care Ambulatory Surgery Center Catholic Managed Long Term Care Central NY Eye Center CHAPS Community Health Center City of Buffalo Division of Substance Abuse Services Citycare, Inc. Clymer Health Center Comprehensive Dialysis Center of Western NY Comprehensive Health Care & Rehabilitation Services LLC Cooperative Magnetic Imaging Center Cornwall Radiation Oncology Services Dutchess Ambulatory Surgery Center Elant at Goshen, Inc. Endoscopy Center of Central New York Franklin Medical Rehab, Inc. Grand Street Gastroenterology, Inc. Greater Rochester Digestive & Liver Diseases Center Harrison Center Hudson Valley Imaging Hunts Point Multi-Service Center ICD / International Center for the Disabled Kaiser Foundation Health Plan Of New York Lexington Center For Recovery, Inc. Long Island Medical Associates Magnetic Diagnostic Resources of Central NY LLP Mercy Center for Health Services Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Utilization Rate Result 42.64% 41.69% 40.96% 40.55% 40.32% 40.13% 39.73% 39.46% 39.02% 38.23% 38.09% 36.90% 36.15% 35.71% TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE Final Result TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE TRUE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE By Definition By Definition By Definition By Definition By Definition By Appeal By Definition By Definition By Definition By Definition By Definition By Definition By Definition By Definition Diagnostic and Treatment Center Condition - Volume Volumes >= 35% D&TC OPCERT # 2950211R 7002144R 5902211R 3101200R 7002179R 7002184R 9999902R 3501200R 3620200R 7000256R 7001268R 7003253R 7001106R 3950200R 7002187R 7002283R 4102200R 4601209R 4724200R 4923200R 7002168R 7000254R 7000239R 5154200R 5220202R 3301219R 4402200R 7000258R 5324200R 5501201R 1401218R 5155203R 7002232R 7004212R 7002142R 5657200R 1474201R 2701220R 5957204R 2701234R 9999901R 3202204R 7002239R 7002209R 7002145R 2701206R 7001104R 7000241R 7001271R 7/11 FACILITY NAME Utilization Rate Mobile Healthcare LLC New York City Health and Hospital Corporation New York Endoscopy Niagara County DOH Speech & Hearing North General Hospital D&T Center NY Hotel Trades Council and Hotel Association of NYC Health / Midtown Clinic Oneida Nation Health Services Orange County Health Department Orleans County Health Department Pelham Physical Medicine, Inc. Phoenix Medical Center Physicians Choice Surgi-Center Prime Care on the Bay LLC Putnam County Department of Health Raymond Naftali Center For Rehabilitation Reality House, Inc. Rensselaer County Department of Health Schenectady County Free Health Clinic Schoharie County Health Department Seneca County Department of Health Senior Health Partners Signature Health Center LLC Soundview Health Center Suffolk Hearing & Speech Center Sullivan County Public Health Services Syracuse Endoscopy Associates The Massena Free Clinic for Adults, Inc. Third Avenue Open MRI, Inc. Tioga County Health Department Ulster County Health Department Union Occupational Health Center United Comprehensive Care, Ltd United Wire Metal and Machine Medical Center UPG Healthcare, Inc. VIP Medical Associates Warren County Health Services West NY Center for Ambulatory Surgery Westside Health Services, Inc. / Woodward Health Center Weschester Institute for Human Development 34.20% Easter Seals Comprehensive Primary Care D&T Center 33.40% Lionel R. John Health Center of The Seneca Nation 31.88% Oneida County Health Department 31.45% The Lighthouse, Inc. 31.17% Foot Clinics of New York 30.10% Lower Manhattan Dialysis Center-2 28.26% UCP Association of Rochester Area 27.92% Brooklyn Medcare 26.45% Ambulatory Surgery Center Of NY 26.22% Bayridge Sunset Park Dialysis Center 25.44% Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Result FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE Final Result FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE Diagnostic and Treatment Center Condition - Volume Volumes >= 35% D&TC OPCERT # 4601207R 5924200R 7004211R 2527200R 2950208R 7001115R 7001126R 3301209R 4620200R 7000275R 1566200R 7001292R 7002193R 7002150R 7002186R 0153203R 7001249R 7001288R 5154205R 7000253R 4520201R 5947200R 7002124R 1421201R 7001263R 7003242R 7003264R 0101210R 5151205R 7000274R 5904203R 1401234R 5903203R 7003257R 7000268R 5501211R 7003266R 3321200R 3501205R 1956200R 7002171R 0101221R 7002192R 1451202R 5151207R 7001287R 7001202R 7003226R 7002188R 8/11 FACILITY NAME Schenectady County PHNS Doctors United, Inc. Grand Concourse Dialysis Facility Tri County Family Medicine Adults & Children with Learning & Developmental Disabilities Brooklyn Endoscopy & Associates Neomy Dialysis Center Loretto Geriatric Center Family Medical Care dba Baptist Family Medical Care Advanced Endoscopy Center Smith House Health Care Center Midwood Chayim Aruchim Dialysis Association Midtown Surgery Center New York Neurological & Rehabilitation Center Retinal Ambulatory Surgery Center of NY New England Laser & Cosmetic Nephrology Foundation of Brooklyn Sheepshead Bay Surgery Center Long Island Ambulatory Surgery Center LLC Surgicare Ambulatory Surgery Center of NY Saratoga Care Family Health Centers Forme Rehabilitation, Inc. Lower Manhattan Dialysis Center, Inc. Eye Health Association of Western NY Brook Plaza Ambulatory Surgery Queens Surgical Center Kew Gardens Dialysis Center GHI Family Dental Practice Stonybrook Dialysis Clinic New York GI Center LLC Eye Surgery Center of Westchester Paul Bulger Vision Rehabilitation Clinic, Inc. Mount Vernon Dialysis Center The Mackool Eye Institute LLC Kings Harbor Dialysis Center Foxhall Ambulatory Surgery Center CRD Association LLC dba Cliffside Renal Dialysis Upstate Orthopedics Ambulatory Surgery Center Crystal Run Ambulatory Surgery Center of Middletown LLC Greenville Family Health Center Chinatown Dialysis Center St. Peters Surgery & Endoscopic Center East Side Endoscopy Millard Fillmore Surgery Center LLC Suffolk Surgery Center LLC Polo Tenenbaum Center for Renal Care (Premier) Industrial Home for the Blind Lexington Hearing & Speech Center Weill Cornell Imaging at New York Presbyterian Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Utilization Rate Result 25.09% 24.54% 24.14% 23.29% 22.50% 21.49% 21.47% 20.83% 20.63% 20.60% 20.42% 20.00% 19.22% 19.17% 19.09% 18.77% 18.49% 18.04% 17.85% 17.17% 16.94% 16.35% 15.90% 15.82% 14.68% 14.51% 13.71% 13.58% 13.29% 13.26% 13.23% 12.65% 12.54% 12.19% 11.86% 11.83% 11.80% 11.76% 11.70% 11.41% 11.34% 11.31% 11.26% 11.22% 11.14% 11.12% 11.10% 10.91% 10.91% FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE Final Result FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE Diagnostic and Treatment Center Condition - Volume Volumes >= 35% D&TC OPCERT # 2701202R 5151203R 7002176R 7003270R 7000280R 2701229R 7000249R 7004207R 7001276R 0752200R 7001117R 5957201R 1421200R 2701207R 5957203R 7000272R 7004204R 7003271R 5155204R 7002133R 3301213R 5501210R 2913201R 2201205R 7002167R 5254200R 3331213R 3502202R 1320200R 2912201R 3301217R 7001125R 3501204R 0101219R 0153204R 4350202R 7002183R 5908200R 0101220R 1451201R 7001122R 2950210R 1401232R 7000229R 7001284R 0364201R 5401201R 1455201R 2201206R 9/11 FACILITY NAME Mary M. Gooley Hemophilia Center Just Kids Diagnostic & Treatment Center Southern Manhattan Dialysis Center Flushing Manor Dialysis Center LLC Bronx Center for Renal Dialysis Lattimore Community Surgical Center Bronx River Nephro Care, Inc. Staten Island Dialysis Clinic, Inc. Utica Avenue Dialysis Center Guthrie Same Day Surgery** Gateway Dialysis Center DCI Westchester Community Link Hearing & Speech Center of Rochester Westchester Dialysis Clinic-DCI (Dialysis Clinic Inc.) Bronx Dialysis Center Island Rehabilitation Center Queens - Long Island Renal Institute, Inc. East End Dialysis Center Center for Specialty Care University Dialysis Center Kingston Ambulatory Surgical Center LLC Day Op of North Nassau, Inc. North Country Orthopaedic** Mid Manhattan Surgical Center Prasad Childrens Dental Health Program, Inc. Digestive Disease Center of Central NY LLC Liberty Hudson Valley Dialysis Hudson Valley Endoscopic** Ulitmate Health Outcomes, Inc. Central NY Dialysis Center Digestive Diseases DTC LLC Hudson Valley Ambulatory Surgery LLC Executive Woods Ambulatory Surgery Albany Regional Eye Surgery Center Renal Care of Rockland , Inc. Gramercy Surgery Center, Inc. The Rye Ambulatory Surgery Center LLC Capital Region Ambulatory Surgery Center Ambulatory Surgery Center of Western NY Endoscopic Diagnostic & Treatment Woodmere Dialysis LLC Cleve Hill Dialysis Center Mount St. Urusula Speech Center Brookdale Physicians Dialysis Association Vestal Health Care Tompkins County Health Deparment Buffalo Ambulatory Surgery Center Renal Care of Northern New York LLC Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Utilization Rate Result 10.76% 10.68% 10.59% 10.10% 10.10% 9.94% 9.86% 9.80% 8.70% 8.61% 8.39% 8.29% 8.19% 8.18% 8.11% 8.08% 7.87% 7.67% 7.20% 7.19% 7.19% 7.15% 6.70% 6.46% 6.37% 6.19% 6.19% 5.92% 5.84% 5.81% 5.76% 5.72% 5.52% 5.41% 5.18% 5.17% 5.04% 5.00% 4.89% 4.88% 4.87% 4.87% 4.77% 4.71% 4.62% 4.57% 4.52% 4.42% 4.40% FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE Final Result FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE Diagnostic and Treatment Center Condition - Volume Volumes >= 35% D&TC OPCERT # 0901202R 2951205R 3301221R 1435203R 5153202R 3301216R 1302212R 7001124R 7002180R 5401204R 2701227R 2905204R 7003259R 3301220R 5153209R 1401231R 7003265R 2908202R 2910200R 5154210R 5153211R 0701203R 3331212R 5154209R 5153210R 5902210R 1059202R 1001200R 2963201R 2912200R 2906205R 7002177R 7002189R 3102205R 7001105R 2701233R 4102201R 2914200R 1401229R 4550200R 5150202R 7002231R 3464201R 2701237R 2907200R 3552200R 1421202R 5157204R 5946202R 10/11 FACILITY NAME Cataract Center for the Adirondacks Island Eye Surgery Center St. Joseph's Dialysis Sterling Surgical Center Huntington Artificial Kidney Center Specialists One-Day Surgery** Hudson Valley Center at St. Francis Greater New York Endoscopy Surgical Center Upper East Side Dialysis Ithaca Dialysis Center Westfall Surgery Center (Roa Amb) Garden City SurgiCenter Main Street Radiology at Bayside LLC Endoscopic Procedure Center Melville Surgery Center Buffalo Surgery Center Privilege Care Diagnostic and Treatment Center Day-Op Center of Long Island West Nassau Dialysis Center South Shore Surgery Center Long Island Hand and Orthopedic Surgery Center LLC Elmira Cataract LLC Specialty Surgery Center Of Central NY Island Endoscopy Center LLC Carillon Dialysis LLC Westchester Ambulatory Surgery Center, Inc. Columbia -Green Dialysis Center Columbia County Health Department Prohealth Ambulatory Surgery Center, Inc. New Hyde Park Dialysis Center Nassau Dialysis LLC Kips Bay Endoscopy Center LLC Gramercy Park Digestive Disease Center Niagara Renal Center Endoscopic Ambulatory Specialty Center of Bay Ridge, Inc. The Pluta Family Cancer Center, Inc. Hortense & Louis Rubin Dialysis Center Meadowbrook Endoscopy Center Gates Circle Dialysis Center Saratoga-Schenectady Endoscopy Center Progressive Surgery Center LLC Union Sanatorium Association, Inc. Eastview Dialysis, Inc. Brighton Surgery Center LLC Southshore Ambulatory Surgery Center Eastern Orange Ambulatory Surgery Center LLC Endoscopy Center of Western New York North Shore Surgi-Center The Ambulatory Surgery Center of Western NY Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Utilization Rate Result 4.39% 4.22% 4.22% 4.14% 4.09% 3.95% 3.75% 3.67% 3.56% 3.31% 3.26% 3.22% 3.17% 3.13% 3.04% 3.02% 2.99% 2.90% 2.61% 2.59% 2.43% 2.27% 2.23% 2.20% 2.00% 1.91% 1.67% 1.56% 1.44% 1.35% 1.30% 1.23% 1.22% 1.21% 1.19% 1.18% 1.18% 1.07% 1.06% 1.00% 0.98% 0.87% 0.86% 0.82% 0.69% 0.50% 0.42% 0.39% 0.27% FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE Final Result FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE Diagnostic and Treatment Center Condition - Volume Volumes >= 35% D&TC OPCERT # 2701239R 2905203R 2701232R 2905202R 3301222R 4352202R 5153208R 2055200R 5120201R 7001295R 5154208R 6120200R 11/11 FACILITY NAME Lindsay House Surgery Center LLC Long Island Center for Digestive Health LLC Linden Oaks Surgery Center Endoscopy Center of Long Island LLC Liverpool Dialysis Center Advanced Surgery Center LLC Digestive Health Center of Huntington Hamilton County Board of Supervisors Long Island Renal Care Sl Quality Care Diagnostic and Treatment Center Suffolk Kidney Center Yates County PHNS Highlighted Facility Names Indicate Medicaid Utilization of 35% or greater Utilization Rate Result 0.09% 0.07% 0.07% 0.07% 0.01% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE Final Result FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE
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