Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatric Immun-Nephr-Rheumology

Pediatric Immun-Nephr-Rheumology was paid $619K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoPEDIATRIC IMMUN-NEPHR-RHEUMOLOGY
ROCHESTER, NY 14642
33aNPI1205940152assigned 08/18/2006
28Total paid$619K
24GClaims10,290
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HETTERICH, JILL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018702$40K
20191,293$65K
20201,330$72K
20211,958$110K
20221,682$88K
20232,200$160K
2024incomplete1,125$83K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 41% 2,536 2,498 $256K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 24% 1,907 1,904 $150K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17% 737 737 $105K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.3% 687 683 $45K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.2% 176 174 $26K
95117 3.3% 2,340 1,721 $20K
93784 1.6% 225 225 $10K
81000 <1% 1,551 1,520 $6K
81099 <1% 33 32 $120.00
95115 <1% 15 12 $116.69
81005 <1% 38 36 $74.72
81002 <1% 45 40 $57.66

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.

From NPPES

Who's on the registration

Authorized officialHETTERICH, JILL (AUTHORIZED OFFICIAL)
Same official

Other billing entities under HETTERICH, JILL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.