Physician
Pediatric Group Univ of Rochester
Pediatric Group Univ of Rochester was paid $8.09M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoPEDIATRIC GROUP UNIV OF ROCHESTER
ROCHESTER, NY 14642
ROCHESTER, NY 14642
33aNPI1821029463assigned 07/05/2006
33bProvider typePediatrics Physician
28Total paid$8.09M
24GClaims137,557
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#30 of 1,983
Median peer was paid$17K
This provider vs. median477×
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.
Entity ProliferationAuthorized official HETTERICH, JILL controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 13,252 | $886K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 41,691 | 41,237 | $2.78M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 37,290 | 37,255 | $1.42M |
| 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 | 13% | 10,939 | 10,797 | $1.04M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 9,472 | 9,466 | $838K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 6,763 | 6,761 | $596K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 7,247 | 7,197 | $594K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 2,548 | 2,548 | $248K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 2,755 | 1,414 | $166K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.2% | 1,058 | 509 | $94K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 659 | 650 | $77K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,121 | 1,114 | $68K |
| 96127 | <1% | 8,384 | 8,283 | $46K |
30 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 177 | $26K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,501 | $23K |
| 98960 | <1% | 173 | $18K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 166 | $14K |
| 99188 | <1% | 934 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 100 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 240 | $7K |
| G0008 | Administration of influenza virus vaccine | <1% | 318 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,490 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 306 | $2K |
| 90686 | <1% | 1,449 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 100 | $2K |
| 99441 | <1% | 13 | $650.00 | |
| 96160 | <1% | 107 | $285.11 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $173.60 |
| 90661 | <1% | 30 | $104.99 | |
| 99050 | <1% | 15 | $104.80 | |
| 90648 | 0% | 136 | $0.00 | |
| 90670 | 0% | 14 | $0.00 | |
| 90633 | 0% | 48 | $0.00 | |
| 90671 | 0% | 51 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 91321 | 0% | 15 | $0.00 | |
| 90700 | 0% | 17 | $0.00 | |
| 90723 | 0% | 59 | $0.00 | |
| 90651 | 0% | 25 | $0.00 | |
| 90677 | 0% | 42 | $0.00 | |
| 90619 | 0% | 21 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90680 | 0% | 41 | $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 officialHETTERICH, JILL (SENIOR DIRECTOR OF FINANCE, URMFG)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.