Medicaid Provider Spending

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

NPI: 1063531929 · ROCHESTER, NY 14621 · General Acute Care Hospital · NPI assigned 03/29/2007

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

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

$21.62M
Total Medicaid Paid
238,783
Total Claims
236,877
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTINCH, PAULA (SVP-FINANCIAL)
NPI Enumeration Date03/29/2007

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 $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
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $10.05M
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
2018 38,420 $3.33M
2019 42,961 $3.79M
2020 35,418 $3.22M
2021 40,987 $3.67M
2022 40,368 $3.61M
2023 28,512 $2.83M
2024 12,117 $1.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 74,021 73,532 $10.40M
99284 Emergency department visit for the evaluation and management, high severity 96,112 95,459 $9.29M
99283 Emergency department visit for the evaluation and management, moderate severity 29,074 28,985 $1.48M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 36,820 36,270 $256K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 574 568 $106K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,312 1,221 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 410 409 $23K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 289 262 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40 40 $3K
99292 12 12 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 26 26 $781.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 53 53 $550.57
88141 13 13 $230.75
36415 Collection of venous blood by venipuncture 13 13 $33.15
J1885 Injection, ketorolac tromethamine, per 15 mg 14 14 $17.02