Rochester General Hospital
Rochester General Hospital was paid $14.54M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
ROCHESTER, NY 14607
Next to other Nutrition Education Nutritionist providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 31,440 | $1.65M | |
| 2019 | 40,703 | $2.18M | |
| 2020 | 40,337 | $2.21M | |
| 2021 | 48,020 | $2.66M | |
| 2022 | 39,627 | $2.21M | |
| 2023 | 40,406 | $2.39M | |
| 2024incomplete | 22,521 | $1.23M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 71,332 | 68,507 | $6.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 59,451 | 57,225 | $3.41M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 22,130 | 20,493 | $744K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 6,474 | 6,472 | $547K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 5,855 | 5,852 | $500K |
| 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 | 2.9% | 3,344 | 3,340 | $426K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 4,236 | 4,235 | $393K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 2.4% | 17,918 | 16,701 | $351K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.1% | 3,351 | 3,338 | $304K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 2,174 | 2,091 | $263K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 3,203 | 3,115 | $258K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.1% | 2,070 | 2,022 | $160K |
57 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,553 | $124K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,521 | $118K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,283 | $106K |
| 95117 | <1% | 11,768 | $104K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,861 | $56K |
| 92551 | <1% | 6,662 | $46K | |
| 95115 | <1% | 5,703 | $43K | |
| 99443 | <1% | 441 | $35K | |
| 99051 | <1% | 3,867 | $34K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 90 | $31K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,939 | $26K |
| 90686 | <1% | 1,402 | $25K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 291 | $24K |
| 99385 | <1% | 215 | $23K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 412 | $21K |
| 94010 | <1% | 655 | $18K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,539 | $16K |
| 90688 | <1% | 922 | $15K | |
| 96127 | <1% | 3,427 | $15K | |
| 99406 | <1% | 946 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 910 | $10K |
| 99407 | <1% | 409 | $10K | |
| 99188 | <1% | 715 | $9K | |
| 20610 | <1% | 160 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 101 | $9K |
| 99173 | <1% | 3,002 | $6K | |
| 81025 | <1% | 813 | $5K | |
| 90673 | <1% | 68 | $5K | |
| 90677 | <1% | 19 | $5K | |
| 99386 | <1% | 41 | $5K | |
| 99442 | <1% | 176 | $4K | |
| 99402 | <1% | 90 | $4K | |
| 99177 | <1% | 882 | $3K | |
| G0008 | Administration of influenza virus vaccine | <1% | 164 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 278 | $3K |
| 87210 | <1% | 560 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 17 | $2K |
| 95012 | <1% | 120 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 134 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 69210 | <1% | 49 | $2K | |
| 82947 | <1% | 310 | $1K | |
| 99404 | <1% | 14 | $1K | |
| 99080 | <1% | 27 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 177 | $1K |
| 85018 | <1% | 403 | $894.69 | |
| 83655 | <1% | 61 | $757.52 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $632.35 |
| 93000 | <1% | 40 | $556.42 | |
| 96160 | <1% | 162 | $549.57 | |
| 90715 | <1% | 12 | $484.96 | |
| 94060 | <1% | 12 | $448.52 | |
| 99401 | <1% | 12 | $381.36 | |
| 59025 | Fetal non-stress test | <1% | 15 | $328.08 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $110.04 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12 | $81.33 |
| 96161 | <1% | 17 | $60.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.