Behavioral
Rochester General Hospital
Rochester General Hospital was paid $14.22M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoROCHESTER GENERAL HOSPITAL
ROCHESTER, NY 14621
ROCHESTER, NY 14621
33aNPI1861568594assigned 11/27/2006
33bProvider typeClinical Psychologist
28Total paid$14.22M
24GClaims268,239
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Psychologist providers in New York
Rank by total paid#2 of 397
Median peer was paid$26K
This provider vs. median549×
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 TINCH, PAULA 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 | 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 | |
| 2024incomplete | 27,702 | $1.50M |
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 | 37% | 87,695 | 85,850 | $5.21M |
| 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 | 21% | 34,083 | 33,455 | $2.93M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 32,139 | 31,202 | $1.14M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 8,466 | 8,462 | $693K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 8,069 | 8,063 | $665K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 8,176 | 8,045 | $616K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.8% | 13,568 | 11,851 | $539K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 3,543 | 3,541 | $314K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.1% | 3,494 | 3,493 | $295K |
| 76801 | 1.5% | 4,914 | 4,857 | $214K | |
| 59025 | Fetal non-stress test | 1.2% | 6,425 | 3,963 | $170K |
| 76813 | <1% | 2,402 | 2,400 | $127K |
62 more codes
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,486 | $120K |
| 76830 | Ultrasound, transvaginal | <1% | 4,509 | $120K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,708 | $116K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 744 | $91K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 6,190 | $90K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 4,196 | $86K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,908 | $81K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,528 | $45K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,781 | $44K |
| 99080 | <1% | 860 | $42K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 797 | $40K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,186 | $40K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,428 | $38K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,021 | $35K |
| 99051 | <1% | 4,180 | $35K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 369 | $34K |
| 76820 | <1% | 1,355 | $30K | |
| 81025 | <1% | 3,979 | $26K | |
| 90682 | <1% | 388 | $24K | |
| J3490 | Unclassified drugs | <1% | 357 | $20K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 154 | $17K |
| 96127 | <1% | 3,122 | $13K | |
| 97802 | <1% | 222 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 84 | $11K |
| 90688 | <1% | 664 | $11K | |
| 99442 | <1% | 338 | $8K | |
| 99173 | <1% | 3,605 | $8K | |
| 99417 | Prolong home eval add 15m | <1% | 98 | $6K |
| 99188 | <1% | 351 | $6K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 69 | $6K |
| 90837 | Psychotherapy session, about an hour | <1% | 50 | $5K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 141 | $5K |
| 99385 | <1% | 41 | $4K | |
| 90677 | <1% | 16 | $4K | |
| 90686 | <1% | 205 | $4K | |
| 92551 | <1% | 551 | $3K | |
| 98968 | <1% | 99 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 54 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 189 | $3K |
| 99441 | <1% | 106 | $3K | |
| 20610 | <1% | 54 | $2K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 28 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 120 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 203 | $1K |
| 83655 | <1% | 87 | $1K | |
| 99284 | Emergency room visit (serious) | <1% | 14 | $1K |
| 99443 | <1% | 36 | $1K | |
| 76821 | <1% | 22 | $763.29 | |
| G0008 | Administration of influenza virus vaccine | <1% | 38 | $704.47 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $643.20 |
| 98967 | <1% | 24 | $497.76 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 19 | $487.75 |
| 96160 | <1% | 187 | $426.46 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 41 | $389.20 |
| 85018 | <1% | 128 | $305.31 | |
| 0500F | <1% | 15 | $225.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 27 | $189.12 |
| 98966 | <1% | 15 | $164.40 | |
| 99177 | <1% | 24 | $80.88 | |
| 87210 | <1% | 12 | $58.20 | |
| 96161 | <1% | 12 | $35.43 |
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 officialTINCH, PAULA (SVP-FINANCE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.