Clinic
Trillium Health, INC.
Trillium Health, INC. was paid $922K by Medicaid between Jan 2020 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoTRILLIUM HEALTH, INC.
ROCHESTER, NY 14620
ROCHESTER, NY 14620
33aNPI1285290593assigned 05/13/2019
33bProvider typeClinic/Center
28Total paid$922K
24GClaims9,171
24DCodes billed22
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#104 of 235
Median peer was paid$630K
This provider vs. median1.5×
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.
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 | |
|---|---|---|---|
| 2020 | 441 | $49K | |
| 2021 | 1,214 | $134K | |
| 2022 | 2,143 | $190K | |
| 2023 | 2,273 | $209K | |
| 2024incomplete | 3,100 | $339K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 4,231 | 3,256 | $463K |
| 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 | 35% | 2,689 | 1,929 | $321K |
| S0612 | Annual gynecological examination, established patient | 3.1% | 260 | 260 | $29K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.5% | 218 | 192 | $23K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 564 | 555 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 109 | 73 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 80 | 73 | $9K |
| 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 | <1% | 64 | 47 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 61 | 44 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 59 | 38 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | 33 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 36 | 28 | $5K |
10 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 32 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 42 | $5K |
| 76830 | Ultrasound, transvaginal | <1% | 80 | $5K |
| 96127 | <1% | 430 | $3K | |
| 0072A | <1% | 15 | $600.00 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 14 | $493.94 |
| 0071A | <1% | 12 | $480.00 | |
| 80305 | <1% | 53 | $262.60 | |
| 81003 | <1% | 54 | $100.22 | |
| 90686 | <1% | 24 | $23.53 |
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 officialBARNECUT-KEARNS, JASON (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Trillium Health, INC | Rochester, NY | $10.65M |
| Trillium Health, INC | Rochester, NY | $147K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.