Medicaid Provider Spending

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

UNIVERSITY OF ROCHESTER PEDIATRIC OPHTHALMOLOGY SERVICES

NPI: 1649428400 · ROCHESTER, NY 14642 · Ophthalmology Physician · NPI assigned 09/05/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HETTERICH, JILL controls 20+ related entities in our dataset. Read more

$3.55M
Total Medicaid Paid
46,365
Total Claims
45,758
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHETTERICH, JILL (SENIOR DIRECTOR, FINANCE, URMGG)
NPI Enumeration Date09/05/2008

Related Entities

Other providers sharing the same authorized official: HETTERICH, JILL

ProviderCityStateTotal Paid
U OF R NEUROLOGY DEPARTMENT ROCHESTER NY $61.71M
EMERGENCY ASSOCIATES - UNIVERSITY OF ROCHESTER ROCHESTER NY $26.12M
PEDIATRIC GROUP UNIV OF ROCHESTER ROCHESTER NY $8.09M
RADIOLOGISTS OF UNIV OF ROCHESTER ROCHESTER NY $6.43M
STRONG OBSTETRICS-GYNECOLOGY GROUP ROCHESTER NY $4.08M
UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER ROCHESTER NY $3.85M
STRONG MEDICAL GROUP ROCHESTER NY $3.33M
PEDIATRIC DEVELOPMENT CLINIC ROCHESTER NY $2.26M
OB PERINATOLOGY GROUP UNIV OF ROCHESTER ROCHESTER NY $2.26M
CARDIOLOGY CLINICAL GROUP ROCHESTER NY $2.01M
PEDIATRIC CARDIOLOGY ROCHESTER NY $2.01M
UNIVERSITY OF ROCHESTER PEDIATRIC OTOLARYNGOLOGY ASSOCIATES ROCHESTER NY $1.86M
UNIVERSITY OF ROCHESTER URGENT CARE ROCHESTER NY $1.76M
UNIVERSITY OF ROCHESTER DEPARTMENT OF PSYCHIATRY CLINICAL GROUP ROCHESTER NY $1.68M
UNIVERSITY DERMATOLOGY ASSOCIATES ROCHESTER NY $1.32M
PEDIATRIC G I NUTRITION ROCHESTER NY $1.27M
PEDIATRIC RADIOLOGY OF THE UNIVERSITY OF ROCHESTER ROCHESTER NY $1.17M
MAMMOGRAPHY OF THE UNIVERSITY OF ROCHESTER ROCHESTER NY $1.15M
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES ROCHESTER NY $1.12M
PEDIATRIC METABOLISM ENDERCRENOLOGY ROCHESTER NY $1.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,793 $363K
2019 6,050 $411K
2020 5,412 $422K
2021 6,047 $481K
2022 7,436 $587K
2023 8,890 $689K
2024 7,737 $599K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6,619 6,592 $723K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,312 6,203 $659K
92060 8,639 8,631 $478K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,217 3,216 $470K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,907 4,836 $369K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3,141 3,100 $240K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,299 2,298 $222K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,728 1,727 $221K
92015 Determination of refractive state 8,158 8,152 $86K
99215 Prolong outpt/office vis 214 201 $31K
99232 Subsequent hospital care, per day, moderate complexity 303 168 $18K
99222 Initial hospital care, per day, moderate complexity 105 90 $11K
99231 Subsequent hospital care, per day, straightforward or low complexity 323 187 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 199 198 $9K
99205 Prolong outpt/office vis 15 15 $2K
92201 109 69 $2K
92133 40 38 $829.09
92025 25 25 $399.30
92250 12 12 $223.59