Rochester General Hospital
Rochester General Hospital was paid $21.62M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99285, emergency room visit (most serious) — 48% of everything it billed.
ROCHESTER, NY 14621
Next to other General Acute Care Hospital 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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 12,117 | $1.16M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 48% | 74,021 | 73,532 | $10.40M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 43% | 96,112 | 95,459 | $9.29M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.8% | 29,074 | 28,985 | $1.48M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.2% | 36,820 | 36,270 | $256K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 574 | 568 | $106K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,312 | 1,221 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 410 | 409 | $23K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 289 | 262 | $12K |
| 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% | 40 | 40 | $3K |
| 99292 | <1% | 12 | 12 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 26 | 26 | $781.60 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 53 | 53 | $550.57 |
3 more codes
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.