Medicaid Provider Spending

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

PEDIATRIC GROUP UNIV OF ROCHESTER

NPI: 1083271787 · ROCHESTER, NY 14642 · Pediatric Hematology & Oncology Physician · NPI assigned 05/29/2019

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

Authorized official HETTERICH, JILL controls 20+ related entities in our dataset. Read more

$59K
Total Medicaid Paid
697
Total Claims
360
Beneficiaries
7
Codes Billed
2019-11
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHETTERICH, JILL (SENIOR DIRECTOR URMFG)
NPI Enumeration Date05/29/2019

Related Entities

Other providers sharing the same authorized official: HETTERICH, JILL

ProviderCityStateTotal Paid
U OF R NEUROLOGY DEPARTMENT ROCHESTER NY $61.71M
EMERGENCY ASSOCIATES - UNIVERSITY OF ROCHESTER ROCHESTER NY $26.12M
PEDIATRIC GROUP UNIV OF ROCHESTER ROCHESTER NY $8.09M
RADIOLOGISTS OF UNIV OF ROCHESTER ROCHESTER NY $6.43M
STRONG OBSTETRICS-GYNECOLOGY GROUP ROCHESTER NY $4.08M
UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER ROCHESTER NY $3.85M
UNIVERSITY OF ROCHESTER PEDIATRIC OPHTHALMOLOGY SERVICES ROCHESTER NY $3.55M
STRONG MEDICAL GROUP ROCHESTER NY $3.33M
PEDIATRIC DEVELOPMENT CLINIC ROCHESTER NY $2.26M
OB PERINATOLOGY GROUP UNIV OF ROCHESTER ROCHESTER NY $2.26M
CARDIOLOGY CLINICAL GROUP ROCHESTER NY $2.01M
PEDIATRIC CARDIOLOGY ROCHESTER NY $2.01M
UNIVERSITY OF ROCHESTER PEDIATRIC OTOLARYNGOLOGY ASSOCIATES ROCHESTER NY $1.86M
UNIVERSITY OF ROCHESTER URGENT CARE ROCHESTER NY $1.76M
UNIVERSITY OF ROCHESTER DEPARTMENT OF PSYCHIATRY CLINICAL GROUP ROCHESTER NY $1.68M
UNIVERSITY DERMATOLOGY ASSOCIATES ROCHESTER NY $1.32M
PEDIATRIC G I NUTRITION ROCHESTER NY $1.27M
PEDIATRIC RADIOLOGY OF THE UNIVERSITY OF ROCHESTER ROCHESTER NY $1.17M
MAMMOGRAPHY OF THE UNIVERSITY OF ROCHESTER ROCHESTER NY $1.15M
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES ROCHESTER NY $1.12M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $550.13
2020 285 $27K
2021 179 $13K
2022 89 $8K
2023 102 $9K
2024 30 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 431 115 $42K
99223 Prolong inpt eval add15 m 32 28 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 95 95 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 83 83 $4K
99232 Subsequent hospital care, per day, moderate complexity 30 13 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 14 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $1K