Physician
Rome Medical Group, P.C.
Rome Medical Group, P.C. was paid $3.29M by Medicaid between Jan 2018 and Apr 2023, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoROME MEDICAL GROUP, P.C.
ROME, NY 13440
ROME, NY 13440
33aNPI1407892342assigned 06/21/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.29M
24GClaims62,708
24DCodes billed48
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#49 of 2,605
Median peer was paid$10K
This provider vs. median326×
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 | 13,973 | $749K | |
| 2019 | 14,374 | $720K | |
| 2020 | 13,280 | $596K | |
| 2021 | 9,663 | $512K | |
| 2022 | 11,095 | $694K | |
| 2023 | 323 | $20K |
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 | 40% | 18,599 | 17,703 | $1.33M |
| 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 | 13% | 3,958 | 3,912 | $421K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 3,412 | 3,409 | $333K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 2,852 | 2,848 | $282K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 2,569 | 2,442 | $236K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 1,712 | 1,712 | $185K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.1% | 910 | 910 | $101K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.0% | 572 | 572 | $67K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 8,418 | 8,374 | $60K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,439 | 1,416 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 549 | 549 | $52K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 4,747 | 4,734 | $49K |
36 more codes
| 99460 | <1% | 208 | $19K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 257 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 191 | $13K |
| 90686 | <1% | 2,226 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 585 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,587 | $9K |
| 99442 | <1% | 116 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 140 | $5K |
| 90473 | <1% | 777 | $5K | |
| 99385 | <1% | 39 | $5K | |
| 99441 | <1% | 182 | $4K | |
| H0049 | Alcohol and/or drug screening | <1% | 174 | $4K |
| 99443 | <1% | 44 | $3K | |
| 90715 | <1% | 292 | $2K | |
| 92551 | <1% | 243 | $1K | |
| 99406 | <1% | 52 | $549.82 | |
| 90651 | <1% | 367 | $381.92 | |
| 90670 | <1% | 1,259 | $344.00 | |
| 99173 | <1% | 622 | $272.37 | |
| 90710 | <1% | 270 | $184.77 | |
| 96127 | <1% | 29 | $124.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $111.34 |
| 90734 | <1% | 513 | $101.89 | |
| 99051 | <1% | 79 | $100.00 | |
| 90633 | <1% | 614 | $71.16 | |
| 81003 | <1% | 30 | $58.86 | |
| 90698 | <1% | 670 | $0.20 | |
| 90680 | <1% | 539 | $0.15 | |
| 90696 | <1% | 83 | $0.13 | |
| 90744 | <1% | 310 | $0.03 | |
| 90716 | 0% | 12 | $0.00 | |
| 90648 | 0% | 25 | $0.00 | |
| 90685 | 0% | 261 | $0.00 | |
| 90700 | 0% | 28 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 105 | $0.00 |
| 90621 | 0% | 29 | $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 officialVACCARO, LYNN (INFORMATION SPECIALIST)