Medicaid Provider Spending

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

REGIONAL PROGRAM FOR PRENTATAL DETECTION

NPI: 1164451803 · ROCHESTER, NY 14642 · Pediatrics Physician · NPI assigned 07/03/2006

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

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

$66K
Total Medicaid Paid
454
Total Claims
454
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHETTERICH, JILL (SENIOR DIRECTOR OF FINANCE URMFG)
NPI Enumeration Date07/03/2006

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 92 $14K
2019 32 $5K
2020 53 $6K
2021 134 $22K
2022 39 $6K
2023 62 $8K
2024 42 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 224 224 $32K
99205 Prolong outpt/office vis 118 118 $21K
99215 Prolong outpt/office vis 52 52 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18 18 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $1K
99443 14 14 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $978.47