Greater Rochester Health Home Network, LLC

Greater Rochester Health Home Network, LLC was paid $80.98M by Medicaid between Jul 2018 and Dec 2024, across 5 billing codes. Its largest line is G9005, Coordinated care fee, risk adjusted maintenance — 68% of everything it billed.

33Billing provider infoGREATER ROCHESTER HEALTH HOME NETWORK, LLC
ROCHESTER, NY 14614

33aNPI1740554229assigned 03/01/2012

33bProvider typeCase Management Agency

28Total paid$80.98M

24GClaims258,913

24DCodes billed5

24AFirst – last monthJul 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#16 of 180

Median peer was paid$1.76M

This provider vs. median46×

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	499	$106K
2019	14,500	$4.27M
2020	51,862	$15.94M
2021	50,578	$15.93M
2022	52,063	$16.54M
2023	49,002	$15.71M
2024incomplete	40,409	$12.48M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9005	Coordinated care fee, risk adjusted maintenance	68%	165,307	165,254	$55.18M
T1016	Case management, each 15 minutes	29%	86,166	86,145	$23.67M
T2022	Case management, per month	2.4%	5,099	5,099	$1.97M
G9001	Coordinated care fee, initial rate	<1%	2,226	2,226	$140K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	115	115	$21K

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 officialTEGAS, CAROL (CEO)