Physician
Rome Memorial Hospital
Rome Memorial Hospital was paid $1.42M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoROME MEMORIAL HOSPITAL
ROME, NY 13440
ROME, NY 13440
33aNPI1700121894assigned 11/30/2012
33bProvider typeGeriatric Medicine (Internal Medicine) Physician
28Total paid$1.42M
24GClaims24,987
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Geriatric Medicine (Internal Medicine) Physician providers in New York
Rank by total paid#3 of 201
Median peer was paid$12K
This provider vs. median120×
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 | 1,376 | $79K | |
| 2019 | 631 | $47K | |
| 2020 | 671 | $44K | |
| 2021 | 879 | $64K | |
| 2022 | 2,351 | $163K | |
| 2023 | 9,522 | $495K | |
| 2024incomplete | 9,557 | $531K |
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 | 38% | 8,779 | 8,405 | $546K |
| 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 | 35% | 5,886 | 5,770 | $500K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 1,308 | 1,308 | $100K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.8% | 982 | 979 | $83K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 724 | 701 | $53K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 619 | 619 | $48K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 2,496 | 2,489 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 108 | 106 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 157 | 157 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 340 | 330 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,555 | 1,553 | $12K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 93 | 93 | $11K |
19 more codes
| 99406 | <1% | 300 | $3K | |
| 99442 | <1% | 43 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $2K |
| 90756 | <1% | 112 | $2K | |
| H0049 | Alcohol and/or drug screening | <1% | 385 | $2K |
| 99460 | <1% | 14 | $850.92 | |
| 99441 | <1% | 33 | $839.51 | |
| 96127 | <1% | 143 | $489.99 | |
| 90473 | <1% | 82 | $459.73 | |
| 90674 | <1% | 304 | $418.56 | |
| 90658 | <1% | 16 | $160.80 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 14 | $146.17 |
| 90656 | <1% | 165 | $0.01 | |
| 90671 | 0% | 98 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90697 | 0% | 82 | $0.00 | |
| 90680 | 0% | 55 | $0.00 | |
| 90651 | 0% | 37 | $0.00 | |
| 90677 | 0% | 17 | $0.00 |
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 officialCZYZ, ANN MARIE (PRESIDENT/CEO)
Parent organizationROME MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Rome Memorial Hospital, INC. | Rome, NY | $25.85M |
| Rome Memorial Hospital, INC | Boonville, NY | $557K |
| Rome Memorial Hospital, INC | Camden, NY | $169K |
| Rome Memorial Hospital, INC | Rome, NY | $102K |
| Rome Memorial Hospital, INC | Rome, NY | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.