Clinic
Mary M. Gooley Hemophilia Center INC
Mary M. Gooley Hemophilia Center INC was paid $22.88M by Medicaid between Jun 2020 and Nov 2024, across 2 billing codes. Its largest line is J7170, Injection, emicizumab-kxwh, 0.5 mg — 100% of everything it billed.
33Billing provider infoMARY M. GOOLEY HEMOPHILIA CENTER INC
ROCHESTER, NY 14621
ROCHESTER, NY 14621
33aNPI1568428621assigned 04/25/2006
33bProvider typeClinic/Center
28Total paid$22.88M
24GClaims1,379
24DCodes billed2
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#13 of 235
Median peer was paid$630K
This provider vs. median36×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code J7170 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2020 | 168 | $361K | |
| 2021 | 464 | $5.91M | |
| 2022 | 295 | $7.26M | |
| 2023 | 302 | $6.09M | |
| 2024incomplete | 150 | $3.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J7170 | Injection, emicizumab-kxwh, 0.5 mg | 100% | 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 | <1% | 402 | 75 | $5K |
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 officialWILMARTH, TOM (PRESIDENT/CEO)