Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ROCHESTER GENERAL HOSPITAL

NPI: 1063454619 · ROCHESTER, NY 14621 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 06/11/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TINCH, PAULA controls 20+ related entities in our dataset. Read more

$10.05M
Total Medicaid Paid
183,950
Total Claims
27,112
Beneficiaries
29
Codes Billed
2019-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTINCH, PAULA (SVP-FINANCIAL)
NPI Enumeration Date06/11/2006

Related Entities

Other providers sharing the same authorized official: TINCH, PAULA

ProviderCityStateTotal Paid
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $226.97M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $25.15M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $21.62M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.54M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.22M
WESTERN NEW YORK MEDICAL PRACTICE P.C. ROCHESTER NY $13.41M
ROCHESTER GENERAL HOSPITAL SODUS NY $11.31M
BEHAVIORAL HEALTH NETWORK, INC. ROCHESTER NY $6.84M
WESTERN NEW YORK MEDICAL PRACTICE, P.C. GENEVA NY $6.32M
CLIFTON SPRINGS SANITARIUM CO CLIFTON SPRINGS NY $1.80M
NEWARK WAYNE COMMUNITY HOSPITAL-LAB NEWARK NY $1.61M
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC MECHANICSBURG PA $366K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $281K
NEWARK WAYNE COMMUNITY HOSPITAL NEWARK NY $176K
ROCHESTER GENERAL HOSPITAL WEBSTER NY $135K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC CAMP HILL PA $56K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $54K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC HARRISBURG PA $23K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $9K
WESTERN NEW YORK MEDICAL PRACTICE PC ROCHESTER NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 17,954 $1.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 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 18,887 1,734 $3.20M
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 4,521 1,334 $1.14M
A4657 Syringe, with or without needle, each 79,808 2,726 $817K
Q5105 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units 13,117 1,288 $739K
J1756 Injection, iron sucrose, 1 mg 7,546 1,535 $125K
J1644 Injection, heparin sodium, per 1000 units 18,505 1,449 $84K
80069 5,975 3,045 $74K
83970 1,626 1,532 $53K
87340 1,489 1,453 $11K
80053 Comprehensive metabolic panel 893 328 $10K
85018 3,944 1,907 $8K
85027 1,695 1,650 $8K
84520 2,528 1,640 $6K
82728 603 584 $6K
84460 1,450 1,421 $6K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 164 31 $4K
83550 603 584 $4K
83540 604 585 $3K
86803 214 209 $2K
G0008 Administration of influenza virus vaccine 67 67 $2K
86706 159 154 $1K
90662 42 42 $894.44
86481 19 19 $771.17
90688 30 30 $737.89
84100 174 152 $529.78
90682 12 12 $286.71
82310 16 15 $22.22
82040 16 15 $21.34