Hospital
The Unity Hospital of Rochester
The Unity Hospital of Rochester was paid $25.87M by Medicaid between Jan 2018 and Dec 2024, across 134 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoTHE UNITY HOSPITAL OF ROCHESTER
ROCHESTER, NY 14617
ROCHESTER, NY 14617
33aNPI1457395766assigned 06/16/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$25.87M
24GClaims462,227
24DCodes billed134
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in New York
Rank by total paid#52 of 231
Median peer was paid$561K
This provider vs. median46×
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 | 58,688 | $2.62M | |
| 2019 | 63,852 | $3.21M | |
| 2020 | 59,999 | $3.18M | |
| 2021 | 76,788 | $4.44M | |
| 2022 | 80,449 | $4.90M | |
| 2023 | 80,416 | $5.04M | |
| 2024incomplete | 42,035 | $2.47M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 106,722 | 89,117 | $8.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 108,617 | 94,011 | $5.73M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.7% | 12,985 | 12,910 | $1.74M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.9% | 11,286 | 11,228 | $1.02M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.3% | 16,869 | 16,754 | $851K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.1% | 12,909 | 11,547 | $791K |
| D1110 | Prophylaxis - adult | 2.4% | 14,004 | 10,273 | $630K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.0% | 13,241 | 11,745 | $525K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.8% | 19,638 | 11,586 | $459K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 5,195 | 4,664 | $386K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 11,615 | 10,274 | $379K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 4,830 | 4,355 | $356K |
122 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 4,690 | $338K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 3,778 | $322K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 2,324 | $294K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.1% | 3,394 | $284K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,012 | $248K |
| 76801 | <1% | 4,860 | $210K | |
| 76830 | Ultrasound, transvaginal | <1% | 4,839 | $178K |
| D0274 | Bitewings - four radiographic images | <1% | 6,782 | $172K |
| 64483 | <1% | 1,361 | $158K | |
| 99460 | <1% | 2,059 | $157K | |
| 59025 | Fetal non-stress test | <1% | 5,618 | $150K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,312 | $145K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,003 | $144K |
| 76813 | <1% | 2,687 | $142K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,923 | $140K |
| 99205 | Prolong outpt/office vis | <1% | 553 | $90K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,492 | $90K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,109 | $82K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,746 | $81K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,842 | $79K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 8,431 | $73K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 1,078 | $71K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 3,550 | $66K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 899 | $62K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,688 | $53K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,891 | $49K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 497 | $46K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 497 | $46K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,456 | $44K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,289 | $42K |
| D0330 | Panoramic radiographic image | <1% | 1,026 | $35K |
| 71045 | Radiologic examination, chest; single view | <1% | 4,868 | $35K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,340 | $33K |
| 81025 | <1% | 4,932 | $31K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,050 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 514 | $30K |
| 90686 | <1% | 1,384 | $21K | |
| 99223 | Prolong inpt eval add15 m | <1% | 158 | $21K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 425 | $21K |
| J3490 | Unclassified drugs | <1% | 310 | $21K |
| 96127 | <1% | 4,716 | $20K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 324 | $20K |
| 99442 | <1% | 721 | $20K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 774 | $20K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 617 | $19K |
| 90682 | <1% | 326 | $18K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,332 | $18K |
| D1206 | Topical application of fluoride varnish | <1% | 595 | $17K |
| D1120 | Dental cleaning, child | <1% | 342 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,127 | $16K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 260 | $16K |
| 64615 | <1% | 188 | $16K | |
| 88304 | <1% | 825 | $14K | |
| 98960 | <1% | 145 | $14K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 192 | $13K |
| 92551 | <1% | 1,856 | $12K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 96 | $11K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 242 | $10K |
| 95886 | <1% | 170 | $9K | |
| 88342 | <1% | 308 | $8K | |
| 83655 | <1% | 603 | $8K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 188 | $8K |
| 99188 | <1% | 535 | $7K | |
| 99462 | <1% | 249 | $7K | |
| 95816 | <1% | 171 | $7K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 136 | $7K |
| 90677 | <1% | 26 | $7K | |
| 99443 | <1% | 160 | $7K | |
| 76820 | <1% | 328 | $7K | |
| 88141 | <1% | 299 | $7K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 174 | $6K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 255 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 385 | $5K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 356 | $5K |
| G0008 | Administration of influenza virus vaccine | <1% | 363 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 25 | $3K |
| 99173 | <1% | 1,912 | $3K | |
| 99404 | <1% | 43 | $3K | |
| 99080 | <1% | 59 | $3K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 27 | $3K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 40 | $3K |
| 58340 | <1% | 63 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 50 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 231 | $2K |
| 90673 | <1% | 31 | $2K | |
| 87210 | <1% | 436 | $2K | |
| 95910 | <1% | 13 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 181 | $2K |
| 99441 | <1% | 98 | $1K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 12 | $1K |
| 88307 | <1% | 26 | $1K | |
| 95909 | <1% | 13 | $1K | |
| 85018 | <1% | 618 | $1K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 17 | $1K |
| 99381 | <1% | 24 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 118 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 17 | $995.81 |
| 99406 | <1% | 78 | $914.64 | |
| 76825 | <1% | 13 | $826.72 | |
| 83986 | <1% | 289 | $759.51 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 26 | $721.91 |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 13 | $683.48 |
| D0270 | <1% | 44 | $678.36 | |
| 95885 | <1% | 12 | $678.16 | |
| 90715 | <1% | 14 | $677.30 | |
| 94729 | <1% | 102 | $652.81 | |
| 81002 | <1% | 245 | $630.99 | |
| 73630 | <1% | 74 | $488.57 | |
| 94727 | <1% | 41 | $378.80 | |
| 73130 | <1% | 55 | $370.82 | |
| 90656 | <1% | 31 | $318.95 | |
| 76827 | <1% | 13 | $285.69 | |
| 94060 | <1% | 24 | $227.85 | |
| 73610 | <1% | 29 | $204.77 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 14 | $201.60 |
| 90688 | <1% | 12 | $199.99 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 16 | $186.56 |
| 74740 | <1% | 13 | $134.91 | |
| 88302 | <1% | 12 | $121.91 | |
| 73030 | <1% | 13 | $100.20 | |
| 82947 | <1% | 14 | $63.18 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $31.05 |
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 HEALTH CARE SERVICES)
Parent organizationTHE UNITY HOSPITAL OF ROCHESTER
| Provider | Location | Paid |
|---|---|---|
| The Unity Hospital of Rochester | Rochester, NY | $55.30M |
| The Unity Hospital of Rochester | Rochester, NY | $36.77M |
| The Unity Hospital of Rochester | Rochester, NY | $28.32M |
| The Unity Hospital of Rochester | Rochester, NY | $34K |
| The Unity Hospital of Rochester | Rochester, NY | $6K |
| Alex City Foot Specialties, LLC | Alexander City, AL | $740.95 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.