Pediatric Group Univ of Rochester
Pediatric Group Univ of Rochester was paid $59K by Medicaid between Nov 2019 and Sep 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 72% of everything it billed.
ROCHESTER, NY 14642
Next to other Pediatric Hematology & Oncology Physician 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 | 12 | $550.13 | |
| 2020 | 285 | $27K | |
| 2021 | 179 | $13K | |
| 2022 | 89 | $8K | |
| 2023 | 102 | $9K | |
| 2024incomplete | 30 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 72% | 431 | 115 | $42K |
| 99223 | Prolong inpt eval add15 m | 8.9% | 32 | 28 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 95 | 95 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 83 | 83 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 30 | 13 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 14 | 14 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 12 | 12 | $1K |
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.