Physician
Rochester Brain & Spine Group PLLC
Rochester Brain & Spine Group PLLC was paid $157K by Medicaid between Jan 2018 and Jan 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoROCHESTER BRAIN & SPINE GROUP PLLC
ROCHESTER, NY 14623
ROCHESTER, NY 14623
33aNPI1689049181assigned 12/09/2015
33bProvider typeNeurological Surgery Physician
28Total paid$157K
24GClaims2,185
24DCodes billed4
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Neurological Surgery Physician providers in New York
Rank by total paid#9 of 80
Median peer was paid$3K
This provider vs. median49×
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
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 | |
|---|---|---|---|
| 2018 | 266 | $19K | |
| 2019 | 395 | $29K | |
| 2020 | 381 | $25K | |
| 2021 | 379 | $26K | |
| 2022 | 429 | $34K | |
| 2023 | 321 | $22K | |
| 2024incomplete | 14 | $957.21 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 77% | 1,830 | 1,775 | $120K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 191 | 186 | $18K |
| 95886 | 8.1% | 124 | 90 | $13K | |
| 95911 | 3.8% | 40 | 38 | $6K |
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 officialZEIDMAN, SETH (OWNER)