Medicaid Provider Spending

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

ROCHESTER GENERAL HOSPITAL

NPI: 1821163718 · SODUS, NY 14551 · Gastroenterology Physician · NPI assigned 11/24/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TINCH, PAULA controls 20+ related entities in our dataset. Read more

$11.31M
Total Medicaid Paid
195,895
Total Claims
188,310
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTINCH, PAULA (SVP-FINANCE)
NPI Enumeration Date11/24/2006

Related Entities

Other providers sharing the same authorized official: TINCH, PAULA

ProviderCityStateTotal Paid
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $226.97M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $25.15M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $21.62M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.54M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $14.22M
WESTERN NEW YORK MEDICAL PRACTICE P.C. ROCHESTER NY $13.41M
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $10.05M
BEHAVIORAL HEALTH NETWORK, INC. ROCHESTER NY $6.84M
WESTERN NEW YORK MEDICAL PRACTICE, P.C. GENEVA NY $6.32M
CLIFTON SPRINGS SANITARIUM CO CLIFTON SPRINGS NY $1.80M
NEWARK WAYNE COMMUNITY HOSPITAL-LAB NEWARK NY $1.61M
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC MECHANICSBURG PA $366K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $281K
NEWARK WAYNE COMMUNITY HOSPITAL NEWARK NY $176K
ROCHESTER GENERAL HOSPITAL WEBSTER NY $135K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC CAMP HILL PA $56K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $54K
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC HARRISBURG PA $23K
ROCHESTER GENERAL HOSPITAL ROCHESTER NY $9K
WESTERN NEW YORK MEDICAL PRACTICE PC ROCHESTER NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,753 $1.11M
2019 22,461 $1.32M
2020 27,416 $1.57M
2021 33,984 $1.89M
2022 36,734 $2.05M
2023 35,784 $2.16M
2024 19,763 $1.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73,975 69,440 $4.58M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33,690 32,407 $3.03M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,843 7,839 $687K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,519 7,517 $665K
90460 Immunization administration through 18 years of age via any route, first or only component 16,963 16,429 $645K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,921 5,544 $478K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,212 4,210 $404K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,749 2,453 $106K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,563 5,551 $102K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,689 6,676 $77K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,557 6,443 $63K
J1050 Injection, medroxyprogesterone acetate, 1 mg 772 772 $59K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 573 573 $51K
99215 Prolong outpt/office vis 395 373 $51K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 788 778 $28K
96127 4,832 4,737 $25K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 348 348 $24K
76801 534 525 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,423 1,310 $20K
99051 2,153 2,140 $20K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 219 219 $18K
59025 Fetal non-stress test 665 556 $17K
99080 355 355 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 302 295 $15K
99173 5,958 5,955 $14K
J3490 Unclassified drugs 243 243 $13K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 103 103 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 53 53 $10K
92551 1,169 1,168 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 161 160 $7K
90682 89 89 $5K
99152 477 474 $5K
99188 320 320 $5K
81025 721 715 $4K
99442 97 94 $4K
76813 75 75 $4K
90686 166 166 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 62 62 $3K
69210 62 61 $2K
90688 135 135 $2K
90472 Immunization administration, each additional vaccine (list separately) 202 202 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 15 15 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
83655 111 111 $1K
99417 Prolong home eval add 15m 31 28 $1K
43249 12 12 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 147 137 $1K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 109 109 $609.71
90715 12 12 $473.16
85018 144 144 $325.08
99441 26 25 $320.95
96160 57 57 $151.82
96161 57 54 $142.52
99177 28 28 $101.36