Medicaid Provider Spending

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

PEDIATRIC GROUP UNIV OF ROCHESTER

NPI: 1821029463 · ROCHESTER, NY 14642 · Pediatrics 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

$8.09M
Total Medicaid Paid
137,557
Total Claims
134,823
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
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
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 G I NUTRITION ROCHESTER NY $1.27M
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 17,497 $957K
2019 20,019 $1.09M
2020 20,649 $1.13M
2021 23,284 $1.35M
2022 22,842 $1.39M
2023 20,014 $1.27M
2024 13,252 $886K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,691 41,237 $2.78M
90460 Immunization administration through 18 years of age via any route, first or only component 37,290 37,255 $1.42M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,939 10,797 $1.04M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,472 9,466 $838K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,763 6,761 $596K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,247 7,197 $594K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,548 2,548 $248K
99232 Subsequent hospital care, per day, moderate complexity 2,755 1,414 $166K
99233 Prolong inpt eval add15 m 1,058 509 $94K
99222 Initial hospital care, per day, moderate complexity 659 650 $77K
99238 Hospital discharge day management, 30 minutes or less 1,121 1,114 $68K
96127 8,384 8,283 $46K
99223 Prolong inpt eval add15 m 177 176 $26K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,501 1,489 $23K
98960 173 170 $18K
99239 Hospital discharge day management, more than 30 minutes 166 163 $14K
99188 934 933 $13K
99215 Prolong outpt/office vis 100 95 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 240 238 $7K
G0008 Administration of influenza virus vaccine 318 318 $5K
36415 Collection of venous blood by venipuncture 1,490 1,489 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 306 301 $2K
90686 1,449 1,445 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 100 100 $2K
99441 13 13 $650.00
96160 107 106 $285.11
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $173.60
90661 30 30 $104.99
99050 15 15 $104.80
90648 136 136 $0.00
90670 14 14 $0.00
90633 48 48 $0.00
90671 51 51 $0.00
90710 16 16 $0.00
91321 15 15 $0.00
90700 17 17 $0.00
90723 59 59 $0.00
90651 25 25 $0.00
90677 42 42 $0.00
90619 21 21 $0.00
90696 12 12 $0.00
90680 41 41 $0.00