Rochester General Hospital

Rochester General Hospital was paid $145K by Medicaid between Oct 2019 and Dec 2020, across 24 billing codes. Its largest line is 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 — 74% of everything it billed.

33Billing provider infoROCHESTER GENERAL HOSPITAL
ROCHESTER, NY 14621

33aNPI1518400688assigned 11/22/2016

33bProvider typeClinical Medical Laboratory

28Total paid$145K

24GClaims3,118

24DCodes billed24

24AFirst – last monthOct 2019 – Dec 2020

Compared with peers

Next to other Clinical Medical Laboratory providers in New York

Rank by total paid#80 of 116

Median peer was paid$618K

This provider vs. median0.2×

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
2019	344	$5K
2020	2,774	$139K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	74%	1,090	1,073	$108K
87631		6.5%	82	82	$9K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	4.0%	183	181	$6K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	3.9%	181	179	$6K
80061	Lipid panel	1.6%	189	188	$2K
87081		1.5%	354	351	$2K
80053	Comprehensive metabolic panel	<1%	154	151	$1K
87086	Culture, bacterial; quantitative colony count, urine	<1%	196	190	$1K
84443	Thyroid stimulating hormone (TSH)	<1%	92	92	$1K
80050	General health panel	<1%	44	44	$1K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	43	43	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	145	145	$996.28

12 more codes

87660		<1%	45	$810.95
87480		<1%	44	$793.31
87510		<1%	44	$793.31
83036	Hemoglobin; glycosylated (A1C)	<1%	48	$420.58
82728		<1%	27	$331.09
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	16	$205.24
83550		<1%	26	$204.77
85027		<1%	35	$197.30
83540		<1%	27	$157.71
83655		<1%	12	$130.72
87077		<1%	13	$104.66
81001		<1%	28	$76.65

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 officialCRILLY, THOMAS (CFO/EVP)

Parent organizationROCHESTER GENERAL HOSPITAL

Same official

Other billing entities under CRILLY, THOMAS

Full network →

Provider	Location	Paid
Newark Wayne Community Hospital	Newark, NY	$16.43M
Unity Linden Oaks Surgery Center, LLC	Rochester, NY	$390K
Newark-Wayne Community Hospital	Newark, NY	$13K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.