Physician
Rochester General Surgery PLC
Rochester General Surgery PLC was paid $273K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 39% of everything it billed.
33Billing provider infoROCHESTER GENERAL SURGERY PLC
ROCHESTER HILLS, MI 48307
ROCHESTER HILLS, MI 48307
33aNPI1437222965assigned 11/15/2006
33bProvider typeSurgery Physician
28Total paid$273K
24GClaims3,968
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in Michigan
Rank by total paid#23 of 111
Median peer was paid$17K
This provider vs. median16×
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 | 332 | $27K | |
| 2019 | 328 | $28K | |
| 2020 | 302 | $22K | |
| 2021 | 598 | $36K | |
| 2022 | 656 | $43K | |
| 2023 | 935 | $63K | |
| 2024incomplete | 817 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 39% | 1,043 | 1,009 | $107K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 27% | 1,835 | 672 | $74K |
| 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 | 27% | 794 | 793 | $73K |
| 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 | 4.0% | 178 | 156 | $11K |
| 99219 | 2.1% | 78 | 77 | $6K | |
| 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% | 40 | 40 | $3K |
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 officialSULLIVAN, DANIEL (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Maine Feldenkrais & Physical Therapy | Brunswick, ME | $3K |
| Warren Oral & Maxillofacial Surgery Associates, LLC | Warren, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.