Medicaid Provider Spending

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

GASTROINTESTINAL GROUP

NPI: 1114977048 · ROCHESTER, NY 14642 · Gastroenterology Physician · NPI assigned 05/11/2006

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

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

$99K
Total Medicaid Paid
1,987
Total Claims
1,966
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHETTERICH, JILL (SENIOR DIRECTOR OF FINANCE, URMFG)
NPI Enumeration Date05/11/2006

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
2018 282 $7K
2019 520 $18K
2020 376 $20K
2021 304 $16K
2022 200 $11K
2023 256 $23K
2024 49 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 292 288 $28K
99443 177 177 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 165 165 $11K
99152 602 599 $7K
91065 190 177 $7K
99222 Initial hospital care, per day, moderate complexity 66 65 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 50 50 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 60 60 $7K
99215 Prolong outpt/office vis 42 42 $6K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 266 266 $3K
99442 40 40 $2K
99221 25 25 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $1K