Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

The Unity Hospital of Rochester

The Unity Hospital of Rochester was paid $36.77M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 23% of everything it billed.

33Billing provider infoTHE UNITY HOSPITAL OF ROCHESTER
ROCHESTER, NY 14608
33aNPI1336366822assigned 04/19/2007
28Total paid$36.77M
24GClaims192,883
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New York

Rank by total paid#4 of 112
Median peer was paid$1.84M
This provider vs. median20×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
20181,243$672K
201917,034$2.48M
202042,902$6.54M
202140,336$6.95M
202236,479$9.05M
202339,543$6.94M
2024incomplete15,346$4.14M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 23% 63,790 43,435 $8.59M
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 18% 9,459 9,448 $6.75M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 14% 49,223 37,668 $5.03M
H0040 Assertive community treatment program, per diem 10% 2,211 2,210 $3.75M
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 6.6% 1,053 990 $2.44M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 6.5% 13,600 10,947 $2.37M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 4.5% 5,777 5,771 $1.64M
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 3.9% 11,657 11,254 $1.45M
H2011 Crisis intervention service, per 15 minutes 3.4% 7,667 7,045 $1.24M
H2018 Psychosocial rehabilitation services, per diem 2.5% 1,977 1,976 $914K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.2% 7,641 7,422 $820K
90853 Group psychotherapy (other than of a multiple-family group) 1.7% 8,548 3,662 $625K
15 more codes
J0401 Injection, aripiprazole (abilify maintena), 1 mg <1% 159 $344K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,391 $324K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,562 $127K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,431 $103K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 467 $76K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 936 $57K
H2025 Ongoing support to maintain employment, per 15 minutes <1% 114 $40K
99051 <1% 870 $36K
99215 Doctor's office visit, returning patient (complex) <1% 99 $12K
90847 Family psychotherapy with the patient present, 50 minutes <1% 59 $11K
H0001 Alcohol and/or drug assessment <1% 29 $4K
90882 <1% 71 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 47 $2K
99232 Hospital visit by a doctor, follow-up day <1% 30 $2K
99406 <1% 15 $486.32

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 officialSTEWART, DOUGLAS (PRESIDENT HEATLH CARE SERVICES)
Parent organizationTHE UNITY HOSPITAL OF ROCHESTER
Same official

Other billing entities under STEWART, DOUGLAS

Full network →
ProviderLocationPaid
The Unity Hospital of RochesterRochester, NY$55.30M
The Unity Hospital of RochesterRochester, NY$28.32M
The Unity Hospital of RochesterRochester, NY$25.87M
The Unity Hospital of RochesterRochester, NY$34K
The Unity Hospital of RochesterRochester, NY$6K
Alex City Foot Specialties, LLCAlexander City, AL$740.95

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.