Medicaid Provider Spending

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

PEDIATRIC G I NUTRITION

NPI: 1710918305 · ROCHESTER, NY 14642 · Pediatric Gastroenterology Physician · NPI assigned 07/05/2006

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

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

$1.27M
Total Medicaid Paid
11,971
Total Claims
11,725
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHETTERICH, JILL (SENIOR DIRECTOR OF FINANCE URMFG)
NPI Enumeration Date07/05/2006

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
OB PERINATOLOGY GROUP UNIV OF ROCHESTER 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 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 1,335 $129K
2019 1,811 $184K
2020 1,972 $200K
2021 2,241 $234K
2022 1,809 $198K
2023 2,095 $235K
2024 708 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,828 7,711 $750K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,216 2,216 $314K
99215 Prolong outpt/office vis 717 706 $101K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 727 721 $52K
99205 Prolong outpt/office vis 129 129 $21K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 97 97 $12K
99233 Prolong inpt eval add15 m 85 27 $8K
99232 Subsequent hospital care, per day, moderate complexity 94 40 $6K
91200 58 58 $2K
99443 20 20 $1K