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
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 334 | $41K | |
| 2019 | 433 | $54K | |
| 2020 | 477 | $53K | |
| 2021 | 443 | $47K | |
| 2022 | 346 | $32K | |
| 2023 | 336 | $35K | |
| 2024incomplete | 112 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)