Medicaid Provider Spending

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

PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY

NPI: 1205940152 · ROCHESTER, NY 14642 · Pediatric Allergy/Immunology Physician · NPI assigned 08/18/2006

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

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

$619K
Total Medicaid Paid
10,290
Total Claims
9,582
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHETTERICH, JILL (AUTHORIZED OFFICIAL)
NPI Enumeration Date08/18/2006

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 702 $40K
2019 1,293 $65K
2020 1,330 $72K
2021 1,958 $110K
2022 1,682 $88K
2023 2,200 $160K
2024 1,125 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,536 2,498 $256K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,907 1,904 $150K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 737 737 $105K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 687 683 $45K
99215 Prolong outpt/office vis 176 174 $26K
95117 2,340 1,721 $20K
93784 225 225 $10K
81000 1,551 1,520 $6K
81099 33 32 $120.00
95115 15 12 $116.69
81005 38 36 $74.72
81002 45 40 $57.66