Medicaid Provider Spending

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

ROCHESTER GENERAL HOSPITAL

NPI: 1730402520 · ROCHESTER, NY 14621 · Critical Care Medicine (Anesthesiology) Physician · NPI assigned 03/08/2010

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

Authorized official TINCH, PAULA controls 20+ related entities in our dataset. Read more

$281K
Total Medicaid Paid
2,617
Total Claims
2,111
Beneficiaries
12
Codes Billed
2018-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTINCH, PAULA (SVP-FINANCE)
NPI Enumeration Date03/08/2010

Related Entities

Other providers sharing the same authorized official: TINCH, PAULA

ProviderCityStateTotal Paid
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $226.97M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $25.15M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $21.62M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.54M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.22M
WESTERN NEW YORK MEDICAL PRACTICE P.C. ROCHESTER NY $13.41M
ROCHESTER GENERAL HOSPITAL SODUS NY $11.31M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $10.05M
BEHAVIORAL HEALTH NETWORK, INC. ROCHESTER NY $6.84M
WESTERN NEW YORK MEDICAL PRACTICE, P.C. GENEVA NY $6.32M
CLIFTON SPRINGS SANITARIUM CO CLIFTON SPRINGS NY $1.80M
NEWARK WAYNE COMMUNITY HOSPITAL-LAB NEWARK NY $1.61M
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC MECHANICSBURG PA $366K
NEWARK WAYNE COMMUNITY HOSPITAL NEWARK NY $176K
ROCHESTER GENERAL HOSPITAL WEBSTER NY $135K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC CAMP HILL PA $56K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $54K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC HARRISBURG PA $23K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $9K
WESTERN NEW YORK MEDICAL PRACTICE PC ROCHESTER NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 127 $5K
2019 205 $19K
2020 265 $27K
2021 564 $82K
2022 366 $41K
2023 897 $90K
2024 193 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 653 181 $106K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 451 451 $55K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 310 310 $39K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 295 295 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 411 389 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 221 218 $13K
47562 27 27 $13K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 122 122 $11K
99284 Emergency department visit for the evaluation and management, high severity 41 41 $4K
99283 Emergency department visit for the evaluation and management, moderate severity 17 17 $773.16
96127 14 12 $63.56
99024 55 48 $0.00