Managed care
Elder One
Elder One was paid $0.00 by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is 97165, — 0% of everything it billed.
33Billing provider infoELDER ONE
ROCHESTER, NY 14617
ROCHESTER, NY 14617
33aNPI1275563066assigned 07/04/2006
33bProvider typeHealth Maintenance Organization
28Total paid$0.00
24GClaims860,851
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in New York
Rank by total paid#27 of 28
Median peer was paid$159K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TINCH, PAULA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 32,262 | $0.00 | |
| 2019 | 84,395 | $0.00 | |
| 2020 | 131,037 | $0.00 | |
| 2021 | 173,257 | $0.00 | |
| 2022 | 193,810 | $0.00 | |
| 2023 | 175,279 | $0.00 | |
| 2024incomplete | 70,811 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97165 | 0% | 1,111 | 1,107 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 18,001 | 5,009 | $0.00 |
| 98967 | 0% | 4,549 | 3,720 | $0.00 | |
| 94760 | 0% | 20,857 | 15,954 | $0.00 | |
| 82962 | 0% | 22,965 | 3,766 | $0.00 | |
| 99506 | 0% | 1,540 | 1,209 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 5,333 | 2,383 | $0.00 |
| 97535 | Self-care/home management training, each 15 minutes | 0% | 5,854 | 3,099 | $0.00 |
| T1016 | Case management, each 15 minutes | 0% | 1,357 | 1,049 | $0.00 |
| 97162 | 0% | 1,031 | 1,007 | $0.00 | |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 0% | 14,469 | 2,299 | $0.00 |
| S9129 | Occupational therapy, in the home, per diem | 0% | 6,964 | 3,319 | $0.00 |
83 more codes
| S5125 | Attendant care at home, billed per 15 minutes | 0% | 11,272 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 316 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 6,131 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 472 | $0.00 |
| T1031 | Nursing care, in the home, by licensed practical nurse, per diem | 0% | 30,439 | $0.00 |
| S5102 | Adult day care, billed per day | 0% | 18,812 | $0.00 |
| 99349 | 0% | 84 | $0.00 | |
| 93000 | 0% | 26 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 2,110 | $0.00 |
| 97010 | 0% | 15,500 | $0.00 | |
| S9131 | Physical therapy; in the home, per diem | 0% | 9,427 | $0.00 |
| 97802 | 0% | 474 | $0.00 | |
| 90480 | 0% | 15 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,893 | $0.00 |
| 97166 | 0% | 243 | $0.00 | |
| 99509 | Home visit for assistance with activities of daily living and personal care | 0% | 3,224 | $0.00 |
| G0238 | Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) | 0% | 451 | $0.00 |
| 97018 | 0% | 913 | $0.00 | |
| 0134A | 0% | 24 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 2,817 | $0.00 |
| 97004 | 0% | 267 | $0.00 | |
| 99350 | Prolong home eval add 15m | 0% | 138 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 849 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 82 | $0.00 |
| 91301 | 0% | 87 | $0.00 | |
| 97002 | 0% | 275 | $0.00 | |
| 97124 | 0% | 17 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 13 | $0.00 |
| 99441 | 0% | 60 | $0.00 | |
| 99507 | 0% | 83 | $0.00 | |
| 86580 | 0% | 37 | $0.00 | |
| S9128 | Speech therapy, in the home, per diem | 0% | 25 | $0.00 |
| 92526 | 0% | 15 | $0.00 | |
| 99310 | Prolong nursin fac eval 15m | 0% | 1,006 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 4,985 | $0.00 |
| 92610 | 0% | 62 | $0.00 | |
| 97803 | 0% | 3,322 | $0.00 | |
| 11719 | 0% | 1,177 | $0.00 | |
| 97602 | 0% | 12,326 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 30,198 | $0.00 |
| 97760 | 0% | 966 | $0.00 | |
| 97542 | 0% | 2,312 | $0.00 | |
| S9127 | Social work visit, in the home, per diem | 0% | 9,482 | $0.00 |
| 97164 | 0% | 1,197 | $0.00 | |
| 98960 | 0% | 24,723 | $0.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 36,813 | $0.00 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 8,977 | $0.00 |
| T1030 | Nursing care, in the home, by registered nurse, per diem | 0% | 100,523 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 979 | $0.00 |
| 97116 | 0% | 13,338 | $0.00 | |
| T1001 | Nursing assessment / evaluation | 0% | 25,531 | $0.00 |
| 99348 | 0% | 964 | $0.00 | |
| S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | 0% | 8,837 | $0.00 |
| T2003 | Non-emergency transportation, per trip | 0% | 30,020 | $0.00 |
| 97799 | 0% | 2,080 | $0.00 | |
| 96116 | 0% | 2,475 | $0.00 | |
| 98966 | 0% | 2,478 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 2,185 | $0.00 |
| 99503 | 0% | 1,204 | $0.00 | |
| S5170 | Home delivered meals, including preparation; per meal | 0% | 2,383 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 454 | $0.00 |
| T1003 | Lpn/lvn services, up to 15 minutes | 0% | 313,259 | $0.00 |
| 98968 | 0% | 1,670 | $0.00 | |
| 99347 | 0% | 515 | $0.00 | |
| 97161 | 0% | 857 | $0.00 | |
| 97168 | 0% | 1,479 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 79 | $0.00 |
| 0124A | 0% | 28 | $0.00 | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 0% | 288 | $0.00 |
| 0054A | 0% | 55 | $0.00 | |
| 69210 | 0% | 41 | $0.00 | |
| 90750 | 0% | 64 | $0.00 | |
| 90662 | 0% | 296 | $0.00 | |
| 91322 | 0% | 60 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 28 | $0.00 |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 0% | 88 | $0.00 |
| 85610 | 0% | 27 | $0.00 | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 170 | $0.00 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 58 | $0.00 |
| 91312 | 0% | 35 | $0.00 | |
| 90863 | 0% | 34 | $0.00 | |
| 97763 | 0% | 77 | $0.00 | |
| 97001 | 0% | 24 | $0.00 |
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 officialTINCH, PAULA (SVP-CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.