Medicaid Provider Spending

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

ROCHESTER GENERAL HOSPITAL

NPI: 1356412712 · ROCHESTER, NY 14626 · Orthopaedic Surgery Physician · NPI assigned 11/10/2006

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

Authorized official TINCH, PAULA controls 20+ related entities in our dataset. Read more

$25.15M
Total Medicaid Paid
527,787
Total Claims
502,731
Beneficiaries
160
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTINCH, PAULA (SVP-FINANCE)
NPI Enumeration Date11/10/2006

Related Entities

Other providers sharing the same authorized official: TINCH, PAULA

ProviderCityStateTotal Paid
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $226.97M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $21.62M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.54M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.22M
WESTERN NEW YORK MEDICAL PRACTICE P.C. ROCHESTER NY $13.41M
ROCHESTER GENERAL HOSPITAL SODUS NY $11.31M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $10.05M
BEHAVIORAL HEALTH NETWORK, INC. ROCHESTER NY $6.84M
WESTERN NEW YORK MEDICAL PRACTICE, P.C. GENEVA NY $6.32M
CLIFTON SPRINGS SANITARIUM CO CLIFTON SPRINGS NY $1.80M
NEWARK WAYNE COMMUNITY HOSPITAL-LAB NEWARK NY $1.61M
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC MECHANICSBURG PA $366K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $281K
NEWARK WAYNE COMMUNITY HOSPITAL NEWARK NY $176K
ROCHESTER GENERAL HOSPITAL WEBSTER NY $135K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC CAMP HILL PA $56K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $54K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC HARRISBURG PA $23K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $9K
WESTERN NEW YORK MEDICAL PRACTICE PC ROCHESTER NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 59,552 $2.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 139,189 134,675 $8.32M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 95,474 91,536 $8.31M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,930 8,849 $612K
90460 Immunization administration through 18 years of age via any route, first or only component 14,437 14,071 $518K
99232 Subsequent hospital care, per day, moderate complexity 9,452 2,714 $514K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,176 5,171 $458K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,367 4,364 $425K
77067 Screening mammography, bilateral, including computer-aided detection 13,169 13,167 $415K
71046 Radiologic examination, chest; 2 views 46,832 46,537 $405K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,320 7,301 $395K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,102 4,098 $366K
70450 Computed tomography, head or brain; without contrast material 10,356 10,111 $309K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,341 2,338 $252K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,935 1,933 $233K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 33,429 31,610 $231K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,811 2,705 $230K
77063 Screening digital breast tomosynthesis, bilateral 9,581 9,580 $228K
71045 Radiologic examination, chest; single view 28,177 24,349 $192K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,894 1,889 $171K
99284 Emergency department visit for the evaluation and management, high severity 1,662 1,659 $153K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,787 5,660 $126K
99233 Prolong inpt eval add15 m 1,625 797 $114K
99223 Prolong inpt eval add15 m 794 789 $114K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,334 1,333 $107K
99460 1,552 1,551 $99K
99205 Prolong outpt/office vis 562 562 $91K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,879 4,834 $90K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,309 1,229 $79K
99238 Hospital discharge day management, 30 minutes or less 1,501 1,499 $78K
71275 Computed tomographic angiography, chest, with contrast material 1,144 1,142 $78K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,627 3,615 $73K
99215 Prolong outpt/office vis 556 537 $67K
90792 Psychiatric diagnostic evaluation with medical services 467 460 $63K
76642 2,187 2,182 $62K
74176 Computed tomography, abdomen and pelvis; without contrast material 909 908 $59K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 606 606 $59K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 343 135 $57K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,686 1,340 $53K
99283 Emergency department visit for the evaluation and management, moderate severity 1,050 1,047 $50K
99239 Hospital discharge day management, more than 30 minutes 527 523 $43K
92551 5,233 5,231 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,079 1,063 $37K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,252 1,252 $36K
67028 Intravitreal injection of a pharmacologic agent 215 212 $32K
95886 699 627 $30K
S0620 Routine ophthalmological examination including refraction; new patient 568 568 $29K
76830 Ultrasound, transvaginal 1,128 1,125 $29K
70551 Magnetic resonance imaging, brain; without contrast material 491 486 $25K
J1050 Injection, medroxyprogesterone acetate, 1 mg 317 317 $24K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,429 2,413 $23K
T1013 Sign language or oral interpretive services, per 15 minutes 1,421 1,332 $21K
99222 Initial hospital care, per day, moderate complexity 245 243 $21K
74018 2,944 2,764 $21K
73630 3,129 2,987 $20K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 216 214 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 382 377 $20K
77066 Tomosynthesis, mammo 455 453 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,406 1,403 $19K
71260 Computed tomography, thorax, diagnostic; with contrast material 384 381 $18K
93971 1,046 1,040 $18K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 648 641 $16K
96127 3,750 3,684 $16K
81025 2,651 2,628 $15K
92015 Determination of refractive state 1,221 1,216 $14K
76770 553 551 $14K
73564 1,448 1,344 $14K
73610 2,121 2,072 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 912 900 $13K
99152 1,226 1,220 $11K
99173 4,852 4,846 $11K
20611 152 148 $11K
90688 621 621 $11K
77065 Tomosynthesis, mammo 288 286 $10K
90686 452 452 $8K
73130 1,156 1,107 $8K
99417 Prolong home eval add 15m 192 183 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 137 136 $7K
72125 Computed tomography, cervical spine; without contrast material 189 187 $7K
92134 314 311 $7K
90677 24 24 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 59 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) 339 339 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 54 54 $6K
93970 243 239 $6K
99308 Subsequent nursing facility care, per day, straightforward 218 149 $6K
S0621 Routine ophthalmological examination including refraction; established patient 137 137 $5K
77062 144 144 $5K
99442 239 236 $5K
93458 26 26 $5K
90682 75 75 $4K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 14 13 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 70 70 $4K
73030 568 532 $4K
76536 187 187 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 244 243 $3K
95117 357 170 $3K
J3490 Unclassified drugs 51 51 $3K
71250 73 73 $3K
92133 167 167 $3K
95816 63 63 $2K
90935 Hemodialysis procedure with single evaluation by a physician 87 51 $2K
99406 175 166 $2K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 13 13 $2K
99307 67 53 $2K
72100 233 232 $2K
71271 28 28 $2K
99051 187 187 $2K
70498 25 25 $2K
93793 140 62 $2K
92250 87 85 $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 36 36 $1K
90472 Immunization administration, each additional vaccine (list separately) 95 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) 280 279 $1K
95885 64 55 $1K
92567 114 113 $1K
99441 88 87 $1K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 12 12 $1K
93298 53 53 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 25 24 $1K
99221 20 20 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 79 79 $937.81
99443 29 28 $933.45
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 27 26 $868.20
73110 123 119 $865.87
93295 35 31 $824.40
92002 13 13 $822.85
92083 39 39 $773.24
73502 89 89 $762.67
73562 80 76 $693.97
81002 334 334 $647.60
94010 25 25 $622.75
99462 17 13 $517.82
93016 30 30 $511.13
99407 26 26 $504.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 54 54 $460.30
73090 69 66 $431.86
93356 42 42 $397.89
80305 38 34 $396.27
99306 Prolong nursin fac eval 15m 12 12 $389.64
99310 Prolong nursin fac eval 15m 15 13 $382.95
92557 14 14 $381.08
77061 13 13 $377.06
92235 12 12 $368.03
70486 12 12 $350.78
99358 Prolong nursin fac eval 15m 16 16 $348.32
93018 30 30 $340.60
G0008 Administration of influenza virus vaccine 29 29 $338.14
93880 12 12 $337.36
94729 45 45 $307.47
94060 25 25 $268.15
99401 12 12 $266.28
73140 38 38 $209.35
93294 12 12 $183.79
93000 12 12 $147.48
94727 12 12 $113.52
73590 16 16 $105.50
J1885 Injection, ketorolac tromethamine, per 15 mg 65 64 $89.67
73080 12 12 $80.83
77080 13 13 $36.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg 29 29 $31.67