Rochester General Hospital
Rochester General Hospital was paid $10.05M by Medicaid between Oct 2019 and Nov 2024, across 29 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 37% of everything it billed.
ROCHESTER, NY 14621
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in New York
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 11,160 | $735K | |
| 2020 | 47,960 | $2.58M | |
| 2021 | 51,206 | $1.81M | |
| 2022 | 34,142 | $2.14M | |
| 2023 | 21,528 | $1.59M | |
| 2024incomplete | 17,954 | $1.21M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 37% | 19,243 | 1,571 | $3.75M |
| S9335 | Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem | 32% | 18,887 | 1,734 | $3.20M |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 11% | 4,521 | 1,334 | $1.14M |
| A4657 | Syringe, with or without needle, each | 8.1% | 79,808 | 2,726 | $817K |
| Q5105 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units | 7.3% | 13,117 | 1,288 | $739K |
| J1756 | Injection, iron sucrose, 1 mg | 1.2% | 7,546 | 1,535 | $125K |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 18,505 | 1,449 | $84K |
| 80069 | <1% | 5,975 | 3,045 | $74K | |
| 83970 | <1% | 1,626 | 1,532 | $53K | |
| 87340 | <1% | 1,489 | 1,453 | $11K | |
| 80053 | Comprehensive metabolic panel | <1% | 893 | 328 | $10K |
| 85018 | <1% | 3,944 | 1,907 | $8K |
17 more codes
| 85027 | <1% | 1,695 | $8K | |
| 84520 | <1% | 2,528 | $6K | |
| 82728 | <1% | 603 | $6K | |
| 84460 | <1% | 1,450 | $6K | |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | <1% | 164 | $4K |
| 83550 | <1% | 603 | $4K | |
| 83540 | <1% | 604 | $3K | |
| 86803 | <1% | 214 | $2K | |
| G0008 | Administration of influenza virus vaccine | <1% | 67 | $2K |
| 86706 | <1% | 159 | $1K | |
| 90662 | <1% | 42 | $894.44 | |
| 86481 | <1% | 19 | $771.17 | |
| 90688 | <1% | 30 | $737.89 | |
| 84100 | <1% | 174 | $529.78 | |
| 90682 | <1% | 12 | $286.71 | |
| 82310 | <1% | 16 | $22.22 | |
| 82040 | <1% | 16 | $21.34 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.