Medicaid Provider Spending

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

OB PERINATOLOGY GROUP UNIV OF ROCHESTER

NPI: 1659315869 · ROCHESTER, NY 14642 · Maternal & Fetal Medicine Physician · NPI assigned 06/16/2006

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

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

$2.26M
Total Medicaid Paid
53,450
Total Claims
49,973
Beneficiaries
23
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialHETTERICH, JILL (SENIOR DIRECTOR OF FINANCE URMFG)
NPI Enumeration Date06/16/2006

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
UNIVERSITY OF ROCHESTER PEDIATRIC OPHTHALMOLOGY SERVICES ROCHESTER NY $3.55M
STRONG MEDICAL GROUP ROCHESTER NY $3.33M
PEDIATRIC DEVELOPMENT CLINIC 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 11,569 $441K
2019 13,637 $590K
2020 14,149 $619K
2021 14,095 $608K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14,695 14,063 $631K
76801 6,774 6,673 $332K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 6,031 6,002 $313K
59025 Fetal non-stress test 10,598 8,497 $271K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,909 2,901 $243K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,859 3,717 $136K
76830 Ultrasound, transvaginal 3,052 3,044 $100K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,055 3,042 $93K
76813 751 750 $40K
99233 Prolong inpt eval add15 m 330 162 $31K
76819 Fetal biophysical profile; without non-stress testing 565 494 $20K
99232 Subsequent hospital care, per day, moderate complexity 294 161 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 67 66 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73 62 $4K
76821 111 86 $4K
99222 Initial hospital care, per day, moderate complexity 25 24 $3K
99283 Emergency department visit for the evaluation and management, moderate severity 40 40 $2K
99223 Prolong inpt eval add15 m 12 12 $2K
76820 96 75 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 25 25 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 33 25 $1K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 28 26 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 27 26 $792.04