Clinic
Rome Memorial Hospital, INC
Rome Memorial Hospital, INC was paid $557K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoROME MEMORIAL HOSPITAL, INC
BOONVILLE, NY 13309
BOONVILLE, NY 13309
33aNPI1336100767assigned 03/28/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$557K
24GClaims9,312
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#64 of 242
Median peer was paid$172K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2018 | 252 | $13K | |
| 2019 | 799 | $50K | |
| 2020 | 1,129 | $55K | |
| 2021 | 2,074 | $140K | |
| 2022 | 1,238 | $86K | |
| 2023 | 2,088 | $114K | |
| 2024incomplete | 1,732 | $101K |
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 | 49% | 4,413 | 4,213 | $276K |
| 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 | 40% | 2,570 | 2,493 | $226K |
| 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 | 2.2% | 95 | 95 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 134 | 134 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 87 | 87 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 879 | 877 | $5K |
| 90756 | <1% | 167 | 167 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 47 | 47 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 87 | 75 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 55 | 55 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 170 | 169 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 102 | 99 | $1K |
15 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $876.96 |
| 90674 | <1% | 48 | $863.29 | |
| 99460 | <1% | 12 | $852.72 | |
| 99441 | <1% | 29 | $523.26 | |
| 96127 | <1% | 91 | $318.13 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 26 | $261.43 |
| 99406 | <1% | 26 | $231.83 | |
| 90670 | <1% | 16 | $176.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $142.02 |
| 90658 | <1% | 22 | $104.45 | |
| H0049 | Alcohol and/or drug screening | <1% | 97 | $96.00 |
| 99000 | 0% | 64 | $0.00 | |
| 90656 | 0% | 12 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 12 | $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 officialCZYZ, ANN MARIE (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Rome Memorial Hospital, INC. | Rome, NY | $25.85M |
| Rome Memorial Hospital | Rome, NY | $1.42M |
| Rome Memorial Hospital, INC | Camden, NY | $169K |
| Rome Memorial Hospital, INC | Rome, NY | $102K |
| Rome Memorial Hospital, INC | Rome, NY | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.