Medicaid Provider Spending

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

ROCHESTER GENERAL HOSPITAL

NPI: 1861568594 · ROCHESTER, NY 14621 · Clinical Psychologist · NPI assigned 11/27/2006

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

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

$14.22M
Total Medicaid Paid
268,239
Total Claims
258,583
Beneficiaries
74
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTINCH, PAULA (SVP-FINANCE)
NPI Enumeration Date11/27/2006

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
WESTERN NEW YORK MEDICAL PRACTICE P.C. ROCHESTER NY $13.41M
ROCHESTER GENERAL HOSPITAL SODUS NY $11.31M
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 35,576 $1.73M
2019 37,372 $1.89M
2020 37,260 $1.90M
2021 42,713 $2.35M
2022 42,462 $2.30M
2023 45,154 $2.54M
2024 27,702 $1.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 87,695 85,850 $5.21M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,083 33,455 $2.93M
90460 Immunization administration through 18 years of age via any route, first or only component 32,139 31,202 $1.14M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,466 8,462 $693K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,069 8,063 $665K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,176 8,045 $616K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13,568 11,851 $539K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,543 3,541 $314K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,494 3,493 $295K
76801 4,914 4,857 $214K
59025 Fetal non-stress test 6,425 3,963 $170K
76813 2,402 2,400 $127K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,486 1,486 $120K
76830 Ultrasound, transvaginal 4,509 4,500 $120K
90834 Psychotherapy, 45 minutes with patient 1,708 1,404 $116K
99215 Prolong outpt/office vis 744 679 $91K
T1013 Sign language or oral interpretive services, per 15 minutes 6,190 5,979 $90K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,196 4,189 $86K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,908 1,898 $81K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,528 2,508 $45K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,781 2,715 $44K
99080 860 859 $42K
90832 Psychotherapy, 30 minutes with patient 797 636 $40K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,186 3,180 $40K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,428 1,256 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,021 1,003 $35K
99051 4,180 4,151 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 369 368 $34K
76820 1,355 766 $30K
81025 3,979 3,936 $26K
90682 388 388 $24K
J3490 Unclassified drugs 357 357 $20K
90791 Psychiatric diagnostic evaluation 154 154 $17K
96127 3,122 3,105 $13K
97802 222 222 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 84 84 $11K
90688 664 661 $11K
99442 338 330 $8K
99173 3,605 3,604 $8K
99417 Prolong home eval add 15m 98 67 $6K
99188 351 350 $6K
99233 Prolong inpt eval add15 m 69 62 $6K
90837 Psychotherapy, 53 minutes with patient 50 39 $5K
76819 Fetal biophysical profile; without non-stress testing 141 117 $5K
99385 41 41 $4K
90677 16 16 $4K
90686 205 204 $4K
92551 551 550 $3K
98968 99 77 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 54 54 $3K
90472 Immunization administration, each additional vaccine (list separately) 189 189 $3K
99441 106 106 $3K
20610 54 54 $2K
90847 Family psychotherapy with the patient present, 50 minutes 28 28 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 120 120 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 18 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 203 203 $1K
83655 87 87 $1K
99284 Emergency department visit for the evaluation and management, high severity 14 14 $1K
99443 36 36 $1K
76821 22 16 $763.29
G0008 Administration of influenza virus vaccine 38 38 $704.47
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $643.20
98967 24 17 $497.76
99231 Subsequent hospital care, per day, straightforward or low complexity 19 12 $487.75
96160 187 185 $426.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 41 41 $389.20
85018 128 128 $305.31
0500F 15 15 $225.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 27 27 $189.12
98966 15 12 $164.40
99177 24 24 $80.88
87210 12 12 $58.20
96161 12 12 $35.43