Medicaid Provider Spending

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

UNIVERSITY OF ROCHESTER PEDIATRIC OTOLARYNGOLOGY ASSOCIATES

NPI: 1295984532 · ROCHESTER, NY 14642 · Pediatric Otolaryngology Physician · NPI assigned 09/11/2008

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

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

$1.86M
Total Medicaid Paid
19,444
Total Claims
19,281
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHETTERICH, JILL (SENIOR DIRECTOR, FINANCE URMFG)
NPI Enumeration Date09/11/2008

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 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
PEDIATRIC METABOLISM ENDERCRENOLOGY ROCHESTER NY $1.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,550 $133K
2019 2,752 $231K
2020 2,847 $222K
2021 3,144 $294K
2022 3,303 $321K
2023 3,698 $418K
2024 2,150 $238K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,782 8,651 $587K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,860 3,859 $346K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,454 2,453 $338K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,974 1,953 $208K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,065 1,065 $194K
42820 Tonsillectomy and adenoidectomy; younger than age 12 640 640 $159K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 657 648 $24K
31575 12 12 $1K