Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Rochester › NPI 1609314343
Supplier

University of Rochester

University of Rochester was paid $2.39M by Medicaid between Mar 2019 and Dec 2024, across 30 billing codes. Its largest line is 90378, — 40% of everything it billed.

33Billing provider infoUNIVERSITY OF ROCHESTER
ROCHESTER, NY 14606
33aNPI1609314343assigned 02/02/2017
28Total paid$2.39M
24GClaims15,635
24DCodes billed30
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in New York

Rank by total paid#75 of 479
Median peer was paid$138K
This provider vs. median17×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201944$344.00
20201,077$443K
20214,101$645K
20223,983$572K
20233,588$460K
2024incomplete2,842$270K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90378 40% 242 231 $946K
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 28% 1,456 1,249 $666K
E0601 Continuous positive airway pressure (cpap) device 8.4% 3,592 3,579 $200K
E0603 Breast pump, electric (ac and/or dc), any type 5.3% 725 725 $128K
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3.6% 148 106 $86K
E0143 Walker, folding, wheeled, adjustable or fixed height 3.5% 1,157 1,157 $83K
E0562 Humidifier, heated, used with positive airway pressure device 2.4% 3,487 3,483 $58K
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 1.4% 145 139 $34K
K0001 Standard wheelchair 1.4% 1,201 1,200 $32K
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 1.3% 155 153 $30K
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 1.0% 67 27 $25K
99601 <1% 211 133 $19K
18 more codes
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 221 $14K
A7035 Headgear used with positive airway pressure device <1% 676 $14K
S9338 Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 161 $11K
E0990 Wheelchair accessory, elevating leg rest, complete assembly, each <1% 580 $10K
S5502 Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use) <1% 82 $8K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 104 $5K
99602 Nursing care in home rn <1% 53 $4K
E0163 Commode chair, mobile or stationary, with fixed arms <1% 51 $4K
A7038 Filter, disposable, used with positive airway pressure device <1% 666 $3K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 17 $3K
S9562 Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 288 $2K
A7032 Cushion for use on nasal mask interface, replacement only, each <1% 38 $2K
E0247 Transfer bench for tub or toilet with or without commode opening <1% 14 $1K
A7031 Face mask interface, replacement for full face mask, each <1% 24 $1K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 13 $437.06
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 13 $436.96
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 29 $235.10
S9542 Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 19 $184.00

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 officialWARNER, TIMOTHY (DIRECTOR)