Medicaid Provider Spending

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

ROCHESTER GENERAL HOSPITAL-LAB

NPI: 1477746063 · ROCHESTER, NY 14621 · Clinical Medical Laboratory · NPI assigned 08/27/2007

$33.28M
Total Medicaid Paid
1,653,587
Total Claims
1,595,190
Beneficiaries
268
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMIDOLO, JOHN (VP FINANCE)
Parent OrganizationROCHESTER GENERAL HOSPITAL
NPI Enumeration Date08/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89 $22K
2019 3,410 $134K
2020 13,067 $535K
2021 432,110 $9.46M
2022 434,528 $9.40M
2023 416,607 $7.63M
2024 353,776 $6.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 66,405 64,270 $4.94M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 48,291 34,757 $2.36M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 62,455 60,210 $1.97M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 62,434 60,208 $1.96M
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 62,709 60,793 $1.55M
88305 Level IV - Surgical pathology, gross and microscopic examination 11,171 10,092 $1.53M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 17,651 17,500 $1.32M
84443 Thyroid stimulating hormone (TSH) 72,067 71,360 $1.05M
80053 Comprehensive metabolic panel 88,467 86,095 $814K
87480 45,386 43,875 $798K
87510 44,607 43,140 $784K
87660 44,560 43,094 $783K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 30,586 30,541 $773K
88142 28,796 28,775 $772K
87631 6,925 6,868 $763K
80061 Lipid panel 64,999 64,734 $757K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 29,173 29,007 $546K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 17,743 17,738 $529K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 68,465 65,752 $461K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 9,390 9,295 $394K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 12,410 12,255 $371K
86780 28,222 27,676 $332K
87086 Culture, bacterial; quantitative colony count, urine 40,597 38,487 $287K
83036 Hemoglobin; glycosylated (A1C) 32,651 32,535 $273K
82607 21,161 21,055 $270K
86481 4,202 4,180 $226K
85027 39,340 38,549 $222K
86803 15,956 15,889 $199K
86480 3,244 3,231 $173K
84439 21,863 21,586 $172K
80048 Basic metabolic panel (calcium, ionized) 24,569 23,635 $171K
87634 3,123 3,104 $169K
82728 13,237 13,083 $157K
87081 26,400 26,049 $154K
83970 4,223 4,179 $151K
88342 1,321 1,266 $145K
87506 739 736 $134K
84702 9,944 7,550 $132K
88304 1,727 1,652 $115K
84403 4,825 4,760 $109K
87340 11,518 11,455 $104K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,140 1,135 $97K
82746 8,164 8,124 $96K
83550 11,899 11,753 $90K
88112 876 872 $84K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 5,281 5,271 $84K
87186 10,694 10,174 $82K
87505 749 743 $81K
83655 7,423 7,342 $79K
87070 9,727 9,489 $74K
83540 12,852 12,693 $72K
83013 1,175 1,173 $69K
84402 3,119 3,102 $69K
86706 7,047 7,024 $66K
82670 2,660 2,578 $65K
86003 1,776 1,373 $64K
86038 6,052 6,032 $64K
83001 3,901 3,859 $64K
86762 7,369 7,339 $61K
83880 2,193 2,115 $60K
86235 2,491 1,797 $60K
82570 15,651 15,254 $60K
87077 7,537 6,905 $59K
80076 8,391 8,092 $59K
84146 3,407 3,383 $58K
82043 11,545 11,503 $57K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2,082 1,783 $56K
83735 9,155 8,665 $53K
86696 3,100 3,091 $52K
84207 2,101 2,092 $51K
87088 6,959 6,697 $51K
81001 17,844 17,288 $49K
84425 2,626 2,613 $48K
84480 3,873 3,838 $48K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,215 823 $48K
86140 12,955 12,475 $43K
86704 3,949 3,932 $42K
87536 557 552 $41K
87147 8,767 8,644 $40K
83520 3,406 3,346 $40K
82784 3,406 3,017 $38K
86850 5,923 5,879 $38K
86160 2,451 1,794 $38K
85652 15,894 15,383 $37K
83002 2,287 2,240 $37K
87522 Neg quan hep c or qual rna 977 963 $36K
88312 250 233 $36K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 69 69 $35K
81508 997 989 $34K
87150 1,040 1,033 $32K
85610 8,836 6,746 $30K
87529 946 468 $30K
82533 1,883 1,633 $28K
86376 2,214 2,203 $28K
82105 1,941 1,928 $28K
86141 2,418 2,401 $27K
86787 3,255 3,238 $27K
84153 1,656 1,640 $26K
86225 2,143 2,107 $26K
84144 1,414 1,262 $26K
86200 2,261 2,252 $26K
81511 264 264 $25K
84255 1,096 1,094 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 484 478 $24K
82525 2,221 2,198 $24K
83690 4,203 4,131 $24K
86765 2,826 2,812 $23K
82627 1,119 1,114 $22K
88341 120 103 $21K
86735 2,545 2,528 $21K
86431 4,182 4,168 $21K
80069 2,775 2,497 $21K
86708 1,874 1,866 $20K
84446 1,631 1,624 $20K
86618 2,333 2,318 $20K
83516 1,586 1,533 $20K
84681 1,082 1,080 $20K
87338 1,553 1,551 $20K
84630 2,259 2,251 $19K
83993 1,160 1,149 $19K
87252 846 841 $19K
84590 1,872 1,860 $19K
84597 1,576 1,568 $19K
83020 1,657 1,654 $19K
86364 2,546 2,539 $18K
82950 4,515 4,499 $17K
86695 2,125 2,118 $17K
86665 1,362 946 $16K
86800 1,485 1,478 $16K
86901 6,097 6,051 $16K
86900 6,066 6,019 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 497 492 $15K
83921 1,067 1,064 $15K
82785 1,046 1,043 $15K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 1,384 1,383 $15K
84481 1,008 1,006 $15K
84550 3,804 3,739 $15K
84156 4,584 4,251 $15K
84703 2,159 2,125 $14K
83525 1,403 1,385 $14K
82150 2,471 2,440 $14K
82550 2,385 2,294 $14K
83721 1,632 1,623 $13K
87272 1,278 1,246 $13K
85730 2,390 2,356 $13K
84460 2,715 2,674 $12K
86039 1,219 1,212 $12K
80074 290 290 $12K
83615 2,075 1,875 $11K
88184 150 150 $11K
84450 2,352 2,314 $11K
84165 1,135 1,112 $11K
81003 5,303 5,269 $10K
86360 254 252 $10K
82248 2,331 2,202 $10K
87102 1,280 1,214 $10K
83090 670 670 $10K
87255 330 326 $10K
86147 560 373 $10K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 96 96 $10K
87449 867 860 $9K
82565 1,898 1,880 $8K
87253 546 546 $8K
83014 1,190 1,186 $8K
84100 1,911 1,766 $8K
82951 775 772 $8K
82977 1,252 1,178 $8K
80050 General health panel 268 263 $7K
82465 1,828 1,798 $7K
82947 2,020 2,010 $7K
85014 3,330 3,310 $7K
83498 287 286 $7K
87269 666 653 $7K
86146 388 252 $7K
84163 500 497 $7K
87209 374 215 $6K
83021 394 393 $6K
84478 1,209 1,062 $6K
82247 1,313 977 $6K
85018 2,672 2,614 $6K
86359 167 165 $5K
99001 752 749 $5K
80164 440 427 $5K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 69 60 $5K
80178 851 799 $5K
81025 797 779 $4K
87493 142 141 $4K
84152 273 273 $4K
85045 1,136 1,095 $4K
85379 443 434 $4K
84445 148 148 $4K
86308 800 796 $4K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 355 207 $3K
82330 285 278 $3K
87101 489 483 $3K
87324 332 330 $3K
85613 385 383 $3K
82310 717 685 $3K
82088 88 86 $3K
82103 267 264 $3K
82390 358 356 $3K
84466 262 262 $3K
82952 777 766 $3K
86015 377 376 $3K
85240 163 162 $3K
85246 118 117 $2K
85245 118 117 $2K
86317 26 13 $2K
84155 686 682 $2K
82677 112 112 $2K
87106 336 320 $2K
87177 234 224 $2K
87641 60 60 $2K
84436 301 299 $2K
85049 459 459 $2K
86336 125 125 $2K
86334 87 87 $2K
86705 163 163 $2K
83630 97 97 $2K
84132 394 389 $2K
86036 190 188 $1K
82166 56 56 $1K
84520 383 381 $1K
84075 281 275 $1K
82040 283 280 $1K
84244 62 61 $1K
86617 78 35 $1K
82653 65 65 $935.35
86255 84 84 $913.32
87075 115 111 $861.47
83695 76 76 $855.75
86709 87 86 $841.20
86304 44 40 $806.96
87205 240 230 $656.90
87206 126 108 $652.74
82378 42 41 $640.18
81050 242 240 $632.80
84295 142 140 $593.60
83835 38 36 $582.27
86694 68 68 $565.76
83521 52 24 $562.64
84305 31 31 $499.10
87517 13 12 $490.75
82374 106 105 $448.24
84432 63 62 $440.28
82435 107 106 $425.25
84134 27 25 $334.10
0077U 12 12 $326.40
86060 53 53 $321.18
82272 109 108 $312.83
86305 16 13 $293.44
80051 50 50 $281.50
87140 50 50 $255.32
87040 27 25 $254.80
84270 13 12 $248.95
86592 92 89 $233.68
86645 27 26 $232.47
83789 12 12 $190.92
84166 14 12 $179.34
87107 27 27 $173.44
80306 12 12 $153.72
82610 13 12 $130.13
86644 12 12 $99.84
85384 12 12 $89.76
80047 12 12 $77.66
82340 12 12 $63.84
85660 12 12 $58.32
36415 Collection of venous blood by venipuncture 1,173 1,099 $0.00