Clinic
Trillium Health, INC
Trillium Health, INC was paid $10.65M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoTRILLIUM HEALTH, INC
ROCHESTER, NY 14607
ROCHESTER, NY 14607
33aNPI1861496358assigned 06/13/2005
33bProvider typeClinic/Center
28Total paid$10.65M
24GClaims132,174
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#34 of 235
Median peer was paid$630K
This provider vs. median17×
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
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 | 6,443 | $390K | |
| 2019 | 16,854 | $1.19M | |
| 2020 | 27,365 | $2.22M | |
| 2021 | 27,112 | $2.18M | |
| 2022 | 23,835 | $1.97M | |
| 2023 | 18,091 | $1.37M | |
| 2024incomplete | 12,474 | $1.34M |
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 | 42% | 46,213 | 29,640 | $4.46M |
| 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 | 39% | 36,982 | 25,076 | $4.11M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 6,370 | 5,301 | $242K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.8% | 1,629 | 703 | $191K |
| J0741 | Injection, cabotegravir and rilpivirine, 2mg/3mg | 1.7% | 37 | 36 | $184K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 2,054 | 1,075 | $174K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 1,503 | 960 | $159K |
| 80305 | 1.4% | 12,238 | 11,411 | $149K | |
| J0739 | Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) | 1.3% | 42 | 40 | $140K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 798 | 524 | $100K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,452 | 2,781 | $85K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,049 | 4,014 | $65K |
50 more codes
| S5102 | Adult day care, billed per day | <1% | 537 | $65K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 596 | $57K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 552 | $54K |
| 99441 | <1% | 696 | $50K | |
| 98968 | <1% | 516 | $42K | |
| 99406 | <1% | 2,822 | $34K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 326 | $30K |
| 90686 | <1% | 1,541 | $29K | |
| 97803 | <1% | 322 | $21K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,421 | $20K |
| 96127 | <1% | 3,565 | $20K | |
| 99442 | <1% | 281 | $19K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 150 | $19K |
| 90750 | <1% | 94 | $16K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 473 | $13K |
| 0031A | <1% | 290 | $11K | |
| 0012A | <1% | 290 | $9K | |
| S0612 | Annual gynecological examination, established patient | <1% | 69 | $8K |
| 0002A | <1% | 191 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 65 | $7K |
| 90677 | <1% | 25 | $7K | |
| 76830 | Ultrasound, transvaginal | <1% | 74 | $6K |
| 0001A | <1% | 169 | $6K | |
| 91322 | <1% | 39 | $5K | |
| 0011A | <1% | 358 | $5K | |
| G0467 | Community health center visit, returning patient | <1% | 42 | $5K |
| 91320 | <1% | 35 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 35 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 285 | $3K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 64 | $3K |
| 90480 | <1% | 73 | $3K | |
| 0004A | <1% | 70 | $3K | |
| 98967 | <1% | 31 | $2K | |
| 99051 | <1% | 255 | $2K | |
| 90732 | <1% | 12 | $1K | |
| 90715 | <1% | 27 | $1K | |
| 91301 | <1% | 41 | $696.91 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $687.57 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 24 | $611.65 |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 19 | $370.97 |
| 99401 | <1% | 14 | $354.67 | |
| 99408 | <1% | 12 | $251.65 | |
| 96160 | <1% | 70 | $203.73 | |
| 87210 | <1% | 28 | $129.40 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 12 | $7.27 |
| 94760 | <1% | 18 | $4.71 | |
| 91300 | <1% | 70 | $0.01 | |
| 99000 | 0% | 51 | $0.00 | |
| 91303 | 0% | 30 | $0.00 | |
| 91305 | 0% | 12 | $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 officialBARNECUT-KEARNS, JASON (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Trillium Health, INC. | Rochester, NY | $922K |
| Trillium Health, INC | Rochester, NY | $147K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.