Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Plastic Surgery Group of Rochester LLC

Plastic Surgery Group of Rochester LLC was paid $276K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 76% of everything it billed.

33Billing provider infoPLASTIC SURGERY GROUP OF ROCHESTER LLC
ROCHESTER, NY 14625
33aNPI1053403717assigned 09/29/2006
28Total paid$276K
24GClaims2,481
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018334$41K
2019433$54K
2020477$53K
2021443$47K
2022346$32K
2023336$35K
2024incomplete112$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 76% 1,543 1,542 $209K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 370 369 $33K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.7% 422 407 $27K
76000 1.7% 119 115 $5K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 27 27 $3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialEDWARDS, GAIL (PRACTICE MANAGER)