Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

The Unity Hospital of Rochester

The Unity Hospital of Rochester was paid $55.30M by Medicaid between Jan 2018 and Dec 2024, across 290 billing codes. Its largest line is 99283, emergency room visit (moderate) — 9.5% of everything it billed.

33Billing provider infoTHE UNITY HOSPITAL OF ROCHESTER
ROCHESTER, NY 14626
33aNPI1760421713assigned 06/05/2006
28Total paid$55.30M
24GClaims689,216
24DCodes billed290
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Comprehensive Outpatient Rehabilitation Facility (CORF) providers in New York

Rank by total paid#1 of 6
Median peer was paid$1.33M
This provider vs. median42×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
20187,181$517K
201940,535$3.08M
2020110,059$8.37M
2021135,821$10.50M
2022143,890$11.41M
2023147,774$12.28M
2024incomplete103,956$9.14M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.5% 43,889 42,571 $5.26M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.3% 26,499 25,200 $5.12M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.7% 33,555 28,565 $4.28M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.6% 25,670 24,691 $3.64M
96361 Intravenous infusion, hydration; each additional hour 6.2% 16,166 14,203 $3.42M
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 5.9% 32,161 28,459 $3.28M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.7% 17,143 15,077 $1.47M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.4% 1,766 1,764 $1.31M
59025 Fetal non-stress test 2.3% 7,929 4,322 $1.27M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.2% 3,835 3,770 $1.22M
64483 2.1% 1,933 1,888 $1.18M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.9% 1,436 1,431 $1.03M
278 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.8% 7,088 $1.00M
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.7% 6,757 $955K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.7% 4,766 $949K
70450 Computed tomography, head or brain; without contrast material 1.7% 3,289 $940K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.7% 16,466 $938K
80053 Comprehensive metabolic panel 1.4% 32,727 $756K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.3% 4,063 $744K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 1,895 $600K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.1% 15,427 $588K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,918 $527K
99215 Doctor's office visit, returning patient (complex) <1% 4,262 $508K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,644 $501K
64615 <1% 1,335 $471K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,436 $443K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 9,823 $433K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 8,858 $422K
97597 <1% 1,213 $413K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,932 $397K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,105 $386K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 7,516 $385K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 5,074 $375K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 714 $366K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 12,919 $362K
87631 <1% 5,397 $337K
97113 <1% 4,255 $333K
97161 <1% 3,609 $327K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 15,471 $321K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,662 $321K
93975 <1% 1,026 $306K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,519 $299K
76801 <1% 5,022 $295K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 358 $254K
76770 <1% 546 $247K
97162 <1% 2,184 $240K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 3,068 $231K
76830 Ultrasound, transvaginal <1% 4,101 $210K
10060 <1% 653 $191K
12001 <1% 536 $182K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13,094 $176K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 6,462 $171K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,435 $165K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 254 $155K
G0378 Hospital observation service, per hour <1% 1,398 $148K
80048 Basic metabolic panel (calcium, ionized) <1% 6,303 $142K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 983 $140K
71046 Radiologic examination, chest; 2 views <1% 4,264 $119K
86850 <1% 3,800 $113K
97116 <1% 2,604 $107K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,522 $106K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 233 $105K
58340 <1% 301 $103K
96375 Therapeutic injection; each additional sequential IV push <1% 3,889 $95K
76813 <1% 2,530 $91K
J1756 Injection, iron sucrose, 1 mg <1% 1,806 $91K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 919 $89K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 122 $88K
93970 <1% 235 $86K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 3,399 $84K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 646 $78K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,594 $77K
93971 <1% 811 $77K
81025 <1% 19,861 $74K
86901 <1% 3,792 $72K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 115 $72K
94060 <1% 823 $68K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 220 $68K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,496 $67K
93798 <1% 2,212 $67K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 558 $67K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,617 $66K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 2,978 $64K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 544 $63K
90715 <1% 2,433 $62K
93017 <1% 503 $62K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 308 $61K
36415 Collection of venous blood by venipuncture <1% 11,281 $57K
95886 <1% 697 $57K
86900 <1% 3,829 $57K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,070 $51K
93458 <1% 36 $50K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 411 $48K
88342 <1% 871 $46K
99385 <1% 352 $44K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 481 $42K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,243 $42K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,015 $40K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 12,428 $39K
91320 <1% 312 $39K
93351 <1% 148 $38K
D0120 Dental checkup, returning patient <1% 796 $34K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,661 $33K
74740 <1% 209 $33K
88307 <1% 327 $32K
71045 Radiologic examination, chest; single view <1% 1,126 $31K
90686 <1% 1,541 $31K
88304 <1% 647 $30K
84484 <1% 6,049 $29K
83880 <1% 841 $27K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,260 $27K
20553 <1% 108 $23K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 76 $23K
0124A <1% 555 $22K
95811 <1% 24 $19K
94727 <1% 1,140 $18K
80061 Lipid panel <1% 1,140 $17K
90682 <1% 563 $17K
87480 <1% 5,542 $17K
87660 <1% 5,547 $16K
87510 <1% 5,526 $16K
94729 <1% 1,321 $16K
0054A <1% 390 $15K
90677 <1% 374 $15K
92551 <1% 222 $15K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision <1% 53 $15K
76819 Fetal biophysical profile; without non-stress testing <1% 419 $14K
0001A <1% 397 $14K
12011 <1% 42 $14K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,303 $14K
84702 <1% 2,536 $14K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 13 $13K
20610 <1% 47 $11K
83690 <1% 4,361 $11K
0071A <1% 264 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,131 $11K
90480 <1% 288 $10K
0004A <1% 244 $10K
0002A <1% 240 $10K
29125 <1% 58 $9K
73130 <1% 710 $9K
87634 <1% 342 $9K
85027 <1% 2,289 $9K
94010 <1% 306 $9K
73030 <1% 598 $8K
73630 <1% 527 $8K
0051A <1% 196 $8K
84443 Thyroid stimulating hormone (TSH) <1% 2,114 $8K
82803 <1% 246 $7K
87081 <1% 2,431 $7K
70496 <1% 25 $7K
0052A <1% 169 $7K
0072A <1% 160 $7K
76825 <1% 93 $7K
73564 <1% 180 $7K
76820 <1% 393 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 1,788 $7K
58300 <1% 37 $6K
80076 <1% 517 $6K
G0008 Administration of influenza virus vaccine <1% 534 $6K
93356 <1% 43 $6K
86780 <1% 2,067 $6K
99493 <1% 88 $6K
73562 <1% 552 $6K
62323 <1% 13 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,034 $6K
62321 <1% 12 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,066 $5K
85610 <1% 1,214 $5K
73610 <1% 486 $5K
82947 <1% 846 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,811 $4K
81001 <1% 3,596 $4K
87653 <1% 113 $4K
70491 <1% 12 $4K
72100 <1% 222 $3K
87040 <1% 737 $3K
83655 <1% 261 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 95 $3K
73140 <1% 119 $3K
99442 <1% 258 $3K
99173 <1% 578 $3K
81002 <1% 3,583 $3K
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% 118 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 76 $3K
83605 <1% 726 $3K
83735 <1% 837 $3K
87186 <1% 803 $2K
71271 <1% 52 $2K
87077 <1% 907 $2K
95885 <1% 25 $2K
76827 <1% 93 $2K
90656 <1% 113 $2K
90673 <1% 74 $2K
73502 <1% 155 $2K
81003 <1% 1,853 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 54 $2K
87070 <1% 1,113 $2K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 34 $2K
82040 <1% 421 $2K
36591 <1% 33 $2K
85379 <1% 449 $2K
85018 <1% 1,010 $2K
80306 <1% 311 $2K
90651 <1% 14 $2K
73110 <1% 87 $1K
99443 <1% 92 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 12 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,023 $1K
88341 <1% 26 $1K
88142 <1% 41 $1K
0081A <1% 30 $1K
95909 <1% 13 $1K
90670 <1% 190 $1K
97535 Self-care/home management training, each 15 minutes <1% 20 $1K
99441 <1% 81 $1K
82565 <1% 243 $1K
96376 <1% 824 $1K
93797 <1% 38 $959.63
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 20 $916.30
99406 <1% 28 $902.24
97165 <1% 15 $875.94
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 26 $848.53
90697 <1% 42 $796.96
87641 <1% 38 $787.34
80050 General health panel <1% 28 $722.96
G0009 Administration of pneumococcal vaccine <1% 70 $701.58
86703 <1% 44 $698.96
87252 <1% 17 $697.77
90619 <1% 24 $671.18
0011A <1% 50 $647.38
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 12 $592.50
0012A <1% 33 $563.92
87430 <1% 74 $502.86
86803 <1% 295 $489.19
J8540 Dexamethasone, oral, 0.25 mg <1% 176 $482.21
74018 <1% 26 $459.27
84132 <1% 106 $453.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 15 $429.80
90633 <1% 15 $376.50
A9576 Injection, gadoteridol, (prohance multipack), per ml <1% 14 $356.20
90710 <1% 13 $351.42
84439 <1% 122 $347.11
J1170 Injection, hydromorphone, up to 4 mg <1% 1,405 $315.74
87147 <1% 105 $292.72
82570 <1% 417 $287.49
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 77 $280.78
87088 <1% 112 $273.49
84703 <1% 85 $245.19
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,202 $241.68
87340 <1% 454 $188.71
86762 <1% 122 $179.28
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 320 $175.59
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,419 $168.46
90662 <1% 40 $134.89
J0690 Injection, cefazolin sodium, 500 mg <1% 581 $113.42
84156 <1% 182 $108.15
90472 Immunization administration, each additional vaccine (list separately) <1% 94 $97.88
86580 <1% 16 $91.89
82728 <1% 12 $71.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,986 $64.35
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,205 $62.58
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,662 $61.39
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 562 $40.58
83540 <1% 24 $40.33
84550 <1% 41 $35.20
J1644 Injection, heparin sodium, per 1000 units <1% 205 $34.40
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,331 $29.51
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 799 $24.30
J2550 Injection, promethazine hcl, up to 50 mg <1% 968 $13.58
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 36 $13.41
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 496 $13.06
82607 <1% 12 $7.88
83550 <1% 12 $5.38
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 125 $4.31
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 426 $2.39
J1650 Injection, enoxaparin sodium, 10 mg <1% 20 $2.10
J1030 Injection, methylprednisolone acetate, 40 mg <1% 13 $1.96
A4215 Needle, sterile, any size, each <1% 12 $1.68
J1630 Injection, haloperidol, up to 5 mg <1% 407 $0.63
J2060 Injection, lorazepam, 2 mg <1% 13 $0.17
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 60 $0.03
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 32 $0.01
86696 0% 13 $0.00
90734 0% 42 $0.00
C1729 Catheter, drainage 0% 14 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 13 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 15 $0.00
90698 0% 13 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 26 $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 officialSTEWART, DOUGLAS (PRESIDENT HEALTH CARE SERVICES)
Same official

Other billing entities under STEWART, DOUGLAS

Full network →
ProviderLocationPaid
The Unity Hospital of RochesterRochester, NY$36.77M
The Unity Hospital of RochesterRochester, NY$28.32M
The Unity Hospital of RochesterRochester, NY$25.87M
The Unity Hospital of RochesterRochester, NY$34K
The Unity Hospital of RochesterRochester, NY$6K
Alex City Foot Specialties, LLCAlexander City, AL$740.95

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.