Medicaid Provider Spending

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

ELDER ONE

NPI: 1275563066 · ROCHESTER, NY 14617 · Health Maintenance Organization · NPI assigned 07/04/2006

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

Authorized official TINCH, PAULA controls 20+ related entities in our dataset. Read more

$0.00
Total Medicaid Paid
860,851
Total Claims
280,813
Beneficiaries
95
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTINCH, PAULA (SVP-CFO)
NPI Enumeration Date07/04/2006

Related Entities

Other providers sharing the same authorized official: TINCH, PAULA

ProviderCityStateTotal Paid
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $226.97M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $25.15M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $21.62M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.54M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.22M
WESTERN NEW YORK MEDICAL PRACTICE P.C. ROCHESTER NY $13.41M
ROCHESTER GENERAL HOSPITAL SODUS NY $11.31M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $10.05M
BEHAVIORAL HEALTH NETWORK, INC. ROCHESTER NY $6.84M
WESTERN NEW YORK MEDICAL PRACTICE, P.C. GENEVA NY $6.32M
CLIFTON SPRINGS SANITARIUM CO CLIFTON SPRINGS NY $1.80M
NEWARK WAYNE COMMUNITY HOSPITAL-LAB NEWARK NY $1.61M
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC MECHANICSBURG PA $366K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $281K
NEWARK WAYNE COMMUNITY HOSPITAL NEWARK NY $176K
ROCHESTER GENERAL HOSPITAL WEBSTER NY $135K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC CAMP HILL PA $56K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $54K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC HARRISBURG PA $23K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 70,811 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97165 1,111 1,107 $0.00
H0033 Oral medication administration, direct observation 18,001 5,009 $0.00
98967 4,549 3,720 $0.00
94760 20,857 15,954 $0.00
82962 22,965 3,766 $0.00
99506 1,540 1,209 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,333 2,383 $0.00
97535 Self-care/home management training, each 15 minutes 5,854 3,099 $0.00
T1016 Case management, each 15 minutes 1,357 1,049 $0.00
97162 1,031 1,007 $0.00
S9124 Nursing care, in the home; by licensed practical nurse, per hour 14,469 2,299 $0.00
S9129 Occupational therapy, in the home, per diem 6,964 3,319 $0.00
S5125 Attendant care services; per 15 minutes 11,272 9,182 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 316 283 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,131 4,448 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 472 459 $0.00
T1031 Nursing care, in the home, by licensed practical nurse, per diem 30,439 2,938 $0.00
S5102 Day care services, adult; per diem 18,812 18,550 $0.00
99349 84 78 $0.00
93000 26 26 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,110 867 $0.00
97010 15,500 4,999 $0.00
S9131 Physical therapy; in the home, per diem 9,427 3,844 $0.00
97802 474 471 $0.00
90480 15 15 $0.00
36415 Collection of venous blood by venipuncture 1,893 1,659 $0.00
97166 243 242 $0.00
99509 Home visit for assistance with activities of daily living and personal care 3,224 606 $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) 451 373 $0.00
97018 913 248 $0.00
0134A 24 24 $0.00
S9451 Exercise classes, non-physician provider, per session 2,817 708 $0.00
97004 267 262 $0.00
99350 Prolong home eval add 15m 138 138 $0.00
G0008 Administration of influenza virus vaccine 849 843 $0.00
90834 Psychotherapy, 45 minutes with patient 82 54 $0.00
91301 87 87 $0.00
97002 275 272 $0.00
97124 17 13 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 13 13 $0.00
99441 60 47 $0.00
99507 83 42 $0.00
86580 37 29 $0.00
S9128 Speech therapy, in the home, per diem 25 14 $0.00
92526 15 12 $0.00
99310 Prolong nursin fac eval 15m 1,006 992 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,985 3,592 $0.00
92610 62 62 $0.00
97803 3,322 3,228 $0.00
11719 1,177 1,147 $0.00
97602 12,326 3,892 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 30,198 13,888 $0.00
97760 966 641 $0.00
97542 2,312 1,550 $0.00
S9127 Social work visit, in the home, per diem 9,482 7,797 $0.00
97164 1,197 1,184 $0.00
98960 24,723 14,201 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 36,813 10,593 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 8,977 3,892 $0.00
T1030 Nursing care, in the home, by registered nurse, per diem 100,523 29,437 $0.00
S9470 Nutritional counseling, dietitian visit 979 898 $0.00
97116 13,338 5,104 $0.00
T1001 Nursing assessment / evaluation 25,531 17,895 $0.00
99348 964 745 $0.00
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 8,837 8,823 $0.00
T2003 Non-emergency transportation; encounter/trip 30,020 29,864 $0.00
97799 2,080 1,591 $0.00
96116 2,475 2,443 $0.00
98966 2,478 1,989 $0.00
90832 Psychotherapy, 30 minutes with patient 2,185 1,391 $0.00
99503 1,204 310 $0.00
S5170 Home delivered meals, including preparation; per meal 2,383 2,237 $0.00
99215 Prolong outpt/office vis 454 454 $0.00
T1003 Lpn/lvn services, up to 15 minutes 313,259 9,828 $0.00
98968 1,670 1,442 $0.00
99347 515 365 $0.00
97161 857 845 $0.00
97168 1,479 1,462 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 79 76 $0.00
0124A 28 28 $0.00
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 288 185 $0.00
0054A 55 54 $0.00
69210 41 39 $0.00
90750 64 64 $0.00
90662 296 296 $0.00
91322 60 60 $0.00
90472 Immunization administration, each additional vaccine (list separately) 28 28 $0.00
97150 Therapeutic procedure(s), group (2 or more individuals) 88 52 $0.00
85610 27 16 $0.00
90846 Family psychotherapy without the patient present, 50 minutes 170 162 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 58 58 $0.00
91312 35 35 $0.00
90863 34 31 $0.00
97763 77 56 $0.00
97001 24 24 $0.00