Medicaid Provider Spending

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

THE UNITY HOSPITAL OF ROCHESTER

NPI: 1689891178 · ROCHESTER, NY 14608 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 04/19/2007

$28.32M
Total Medicaid Paid
265,328
Total Claims
132,258
Beneficiaries
27
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEWART, DOUGLAS (PRESIDENT HEALTH CARE SERVICES)
Parent OrganizationTHE UNITY HOSPITAL OF ROCHESTER
NPI Enumeration Date04/19/2007

Related Entities

Other providers sharing the same authorized official: STEWART, DOUGLAS

ProviderCityStateTotal Paid
THE UNITY HOSPITAL OF ROCHESTER ROCHESTER NY $55.30M
THE UNITY HOSPITAL OF ROCHESTER ROCHESTER NY $36.77M
THE UNITY HOSPITAL OF ROCHESTER ROCHESTER NY $25.87M
THE UNITY HOSPITAL OF ROCHESTER ROCHESTER NY $34K
THE UNITY HOSPITAL OF ROCHESTER ROCHESTER NY $6K
ALEX CITY FOOT SPECIALTIES, LLC ALEXANDER CITY AL $740.95

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35 $3K
2019 24,120 $2.06M
2020 68,035 $7.02M
2021 59,624 $6.31M
2022 48,182 $5.09M
2023 40,460 $4.62M
2024 24,872 $3.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 68,206 36,163 $7.55M
H0005 Alcohol and/or drug services; group counseling by a clinician 86,358 19,462 $5.37M
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 34,619 19,967 $4.99M
H0001 Alcohol and/or drug assessment 20,218 15,991 $3.14M
J2315 Injection, naltrexone, depot form, 1 mg 2,169 2,071 $2.59M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,587 12,416 $2.13M
H0004 Behavioral health counseling and therapy, per 15 minutes 9,625 7,395 $549K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,960 3,414 $528K
90832 Psychotherapy, 30 minutes with patient 5,240 3,333 $445K
90834 Psychotherapy, 45 minutes with patient 2,876 1,953 $364K
H0038 Self-help/peer services, per 15 minutes 4,457 1,563 $169K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 657 638 $110K
H2011 Crisis intervention service, per 15 minutes 752 700 $108K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,275 4,073 $70K
99215 Prolong outpt/office vis 370 367 $45K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 563 545 $32K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,154 1,084 $24K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 600 316 $22K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,281 224 $18K
90853 Group psychotherapy (other than of a multiple-family group) 715 204 $15K
H0014 Alcohol and/or drug services; ambulatory detoxification 115 28 $14K
90847 Family psychotherapy with the patient present, 50 minutes 69 49 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 83 63 $11K
90849 129 57 $8K
90882 202 143 $3K
H2010 Comprehensive medication services, per 15 minutes 28 27 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 20 12 $768.41