Clinic
The Unity Hospital of Rochester
The Unity Hospital of Rochester was paid $28.32M by Medicaid between Dec 2018 and Dec 2024, across 27 billing codes. Its largest line is G0396, Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes — 27% of everything it billed.
33Billing provider infoTHE UNITY HOSPITAL OF ROCHESTER
ROCHESTER, NY 14608
ROCHESTER, NY 14608
33aNPI1689891178assigned 04/19/2007
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$28.32M
24GClaims265,328
24DCodes billed27
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in New York
Rank by total paid#2 of 64
Median peer was paid$2.18M
This provider vs. median13×
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 | 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 | |
| 2024incomplete | 24,872 | $3.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 27% | 68,206 | 36,163 | $7.55M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 19% | 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 | 18% | 34,619 | 19,967 | $4.99M |
| H0001 | Alcohol and/or drug assessment | 11% | 20,218 | 15,991 | $3.14M |
| J2315 | Injection, naltrexone, depot form, 1 mg | 9.2% | 2,169 | 2,071 | $2.59M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 16,587 | 12,416 | $2.13M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.9% | 9,625 | 7,395 | $549K |
| 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 | 1.9% | 3,960 | 3,414 | $528K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.6% | 5,240 | 3,333 | $445K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 2,876 | 1,953 | $364K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 4,457 | 1,563 | $169K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 657 | 638 | $110K |
15 more codes
| H2011 | Crisis intervention service, per 15 minutes | <1% | 752 | $108K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,275 | $70K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 370 | $45K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 563 | $32K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,154 | $24K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 600 | $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% | 1,281 | $18K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 715 | $15K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 115 | $14K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 69 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 83 | $11K |
| 90849 | <1% | 129 | $8K | |
| 90882 | <1% | 202 | $3K | |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 28 | $2K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 20 | $768.41 |
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 officialSTEWART, DOUGLAS (PRESIDENT HEALTH CARE SERVICES)
Parent organizationTHE UNITY HOSPITAL OF ROCHESTER
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.