Medicaid Provider Spending

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

MARY M. GOOLEY HEMOPHILIA CENTER INC

NPI: 1568428621 · ROCHESTER, NY 14621 · Clinic/Center · NPI assigned 04/25/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code J7170 with only 2 total codes billed. Highly concentrated billing profile.

$22.88M
Total Medicaid Paid
1,379
Total Claims
777
Beneficiaries
2
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILMARTH, TOM (PRESIDENT/CEO)
NPI Enumeration Date04/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 168 $361K
2021 464 $5.91M
2022 295 $7.26M
2023 302 $6.09M
2024 150 $3.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7170 Injection, emicizumab-kxwh, 0.5 mg 977 702 $22.88M
S9345 Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor viii); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 402 75 $5K