Physician
Rochester General Hospital
Rochester General Hospital was paid $25.15M by Medicaid between Jan 2018 and Dec 2024, across 160 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoROCHESTER GENERAL HOSPITAL
ROCHESTER, NY 14626
ROCHESTER, NY 14626
33aNPI1356412712assigned 11/10/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$25.15M
24GClaims527,787
24DCodes billed160
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in New York
Rank by total paid#4 of 429
Median peer was paid$4K
This provider vs. median6,545×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TINCH, PAULA controls 20+ related entities in our dataset. Read more
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 | 46,518 | $2.05M | |
| 2019 | 62,767 | $2.91M | |
| 2020 | 70,696 | $3.38M | |
| 2021 | 90,442 | $4.49M | |
| 2022 | 99,159 | $4.85M | |
| 2023 | 98,653 | $4.87M | |
| 2024incomplete | 59,552 | $2.60M |
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 | 33% | 139,189 | 134,675 | $8.32M |
| 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 | 33% | 95,474 | 91,536 | $8.31M |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.4% | 8,930 | 8,849 | $612K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 14,437 | 14,071 | $518K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 9,452 | 2,714 | $514K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 5,176 | 5,171 | $458K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 4,367 | 4,364 | $425K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.6% | 13,169 | 13,167 | $415K |
| 71046 | Radiologic examination, chest; 2 views | 1.6% | 46,832 | 46,537 | $405K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 7,320 | 7,301 | $395K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 4,102 | 4,098 | $366K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.2% | 10,356 | 10,111 | $309K |
148 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.0% | 2,341 | $252K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,935 | $233K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 33,429 | $231K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,811 | $230K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 9,581 | $228K |
| 71045 | Radiologic examination, chest; single view | <1% | 28,177 | $192K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,894 | $171K |
| 99284 | Emergency room visit (serious) | <1% | 1,662 | $153K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 5,787 | $126K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,625 | $114K |
| 99223 | Prolong inpt eval add15 m | <1% | 794 | $114K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,334 | $107K |
| 99460 | <1% | 1,552 | $99K | |
| 99205 | Prolong outpt/office vis | <1% | 562 | $91K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,879 | $90K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,309 | $79K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,501 | $78K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 1,144 | $78K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 3,627 | $73K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 556 | $67K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 467 | $63K |
| 76642 | <1% | 2,187 | $62K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 909 | $59K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 606 | $59K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 343 | $57K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,686 | $53K |
| 99283 | Emergency room visit (moderate) | <1% | 1,050 | $50K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 527 | $43K |
| 92551 | <1% | 5,233 | $42K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,079 | $37K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 1,252 | $36K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 215 | $32K |
| 95886 | <1% | 699 | $30K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 568 | $29K |
| 76830 | Ultrasound, transvaginal | <1% | 1,128 | $29K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 491 | $25K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 317 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,429 | $23K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 1,421 | $21K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 245 | $21K |
| 74018 | <1% | 2,944 | $21K | |
| 73630 | <1% | 3,129 | $20K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 216 | $20K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 382 | $20K |
| 77066 | Tomosynthesis, mammo | <1% | 455 | $19K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,406 | $19K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 384 | $18K |
| 93971 | <1% | 1,046 | $18K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 648 | $16K |
| 96127 | <1% | 3,750 | $16K | |
| 81025 | <1% | 2,651 | $15K | |
| 92015 | Determination of refractive state | <1% | 1,221 | $14K |
| 76770 | <1% | 553 | $14K | |
| 73564 | <1% | 1,448 | $14K | |
| 73610 | <1% | 2,121 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 912 | $13K |
| 99152 | <1% | 1,226 | $11K | |
| 99173 | <1% | 4,852 | $11K | |
| 20611 | <1% | 152 | $11K | |
| 90688 | <1% | 621 | $11K | |
| 77065 | Tomosynthesis, mammo | <1% | 288 | $10K |
| 90686 | <1% | 452 | $8K | |
| 73130 | <1% | 1,156 | $8K | |
| 99417 | Prolong home eval add 15m | <1% | 192 | $8K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 137 | $7K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 189 | $7K |
| 92134 | <1% | 314 | $7K | |
| 90677 | <1% | 24 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 59 | $6K |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 339 | $6K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 54 | $6K |
| 93970 | <1% | 243 | $6K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 218 | $6K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 137 | $5K |
| 77062 | <1% | 144 | $5K | |
| 99442 | <1% | 239 | $5K | |
| 93458 | <1% | 26 | $5K | |
| 90682 | <1% | 75 | $4K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 14 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 70 | $4K |
| 73030 | <1% | 568 | $4K | |
| 76536 | <1% | 187 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 244 | $3K |
| 95117 | <1% | 357 | $3K | |
| J3490 | Unclassified drugs | <1% | 51 | $3K |
| 71250 | <1% | 73 | $3K | |
| 92133 | <1% | 167 | $3K | |
| 95816 | <1% | 63 | $2K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 87 | $2K |
| 99406 | <1% | 175 | $2K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 13 | $2K |
| 99307 | <1% | 67 | $2K | |
| 72100 | <1% | 233 | $2K | |
| 71271 | <1% | 28 | $2K | |
| 99051 | <1% | 187 | $2K | |
| 70498 | <1% | 25 | $2K | |
| 93793 | <1% | 140 | $2K | |
| 92250 | <1% | 87 | $1K | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 36 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 95 | $1K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 280 | $1K |
| 95885 | <1% | 64 | $1K | |
| 92567 | <1% | 114 | $1K | |
| 99441 | <1% | 88 | $1K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 12 | $1K |
| 93298 | <1% | 53 | $1K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 25 | $1K |
| 99221 | <1% | 20 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 79 | $937.81 |
| 99443 | <1% | 29 | $933.45 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 27 | $868.20 |
| 73110 | <1% | 123 | $865.87 | |
| 93295 | <1% | 35 | $824.40 | |
| 92002 | <1% | 13 | $822.85 | |
| 92083 | <1% | 39 | $773.24 | |
| 73502 | <1% | 89 | $762.67 | |
| 73562 | <1% | 80 | $693.97 | |
| 81002 | <1% | 334 | $647.60 | |
| 94010 | <1% | 25 | $622.75 | |
| 99462 | <1% | 17 | $517.82 | |
| 93016 | <1% | 30 | $511.13 | |
| 99407 | <1% | 26 | $504.40 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 54 | $460.30 |
| 73090 | <1% | 69 | $431.86 | |
| 93356 | <1% | 42 | $397.89 | |
| 80305 | <1% | 38 | $396.27 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 12 | $389.64 |
| 99310 | Prolong nursin fac eval 15m | <1% | 15 | $382.95 |
| 92557 | <1% | 14 | $381.08 | |
| 77061 | <1% | 13 | $377.06 | |
| 92235 | <1% | 12 | $368.03 | |
| 70486 | <1% | 12 | $350.78 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 16 | $348.32 |
| 93018 | <1% | 30 | $340.60 | |
| G0008 | Administration of influenza virus vaccine | <1% | 29 | $338.14 |
| 93880 | <1% | 12 | $337.36 | |
| 94729 | <1% | 45 | $307.47 | |
| 94060 | <1% | 25 | $268.15 | |
| 99401 | <1% | 12 | $266.28 | |
| 73140 | <1% | 38 | $209.35 | |
| 93294 | <1% | 12 | $183.79 | |
| 93000 | <1% | 12 | $147.48 | |
| 94727 | <1% | 12 | $113.52 | |
| 73590 | <1% | 16 | $105.50 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 65 | $89.67 |
| 73080 | <1% | 12 | $80.83 | |
| 77080 | <1% | 13 | $36.08 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 29 | $31.67 |
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 officialTINCH, PAULA (SVP-FINANCE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.