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ROCHESTER GENERAL HOSPITAL

Family Medicine·ROCHESTER, NY·NPI: 1356412712Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.2M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.2M

$25,153,067

Total Claims

528K

Beneficiaries

503K

1.0 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+42%
2019
$2.9M
+16%
2020
$3.4M
+33%
2021
$4.5M
+8%
2022
$4.9M
+0%
2023
$4.9M
-47%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 33% of total spending.

99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$8.3M

139K claims · 33.1%

Your Cost: $59.76/claim|Median: $37.81
1.6× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$8.3M

95K claims · 33.0%

Your Cost: $87.02/claim|Median: $53.41
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$612K

8,930 claims · 2.4%

Your Cost: $68.57/claim|Median: $65.76
1.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$518K

14K claims · 2.1%

Your Cost: $35.89/claim|Median: $17.85
2.0× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$514K

9,452 claims · 2.0%

Your Cost: $54.41/claim|Median: $23.99
2.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$458K

5,176 claims · 1.8%

Your Cost: $88.44/claim|Median: $74.82
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$425K

4,367 claims · 1.7%

Your Cost: $97.26/claim|Median: $80.15
1.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$415K

13K claims · 1.6%

Your Cost: $31.49/claim|Median: $39.33
0.8× median
71046Normal range

Chest X-ray, 2 views

$405K

47K claims · 1.6%

Your Cost: $8.64/claim|Median: $8.92
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$395K

7,320 claims · 1.6%

Your Cost: $53.93/claim|Median: $54.68
1.0× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$366K

4,102 claims · 1.5%

Your Cost: $89.18/claim|Median: $75.18
1.2× median
70450Normal range

CT head/brain without contrast

$309K

10K claims · 1.2%

Your Cost: $29.83/claim|Median: $45.53
0.7× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$252K

2,341 claims · 1.0%

Your Cost: $107.53/claim|Median: $59.72
1.8× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$233K

1,935 claims · 0.9%

Your Cost: $120.48/claim|Median: $84.03
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$231K

33K claims · 0.9%

Your Cost: $6.91/claim|Median: $5.60
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$230K

2,811 claims · 0.9%

Your Cost: $81.69/claim|Median: $69.35
1.2× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$228K

9,581 claims · 0.9%

Your Cost: $23.75/claim|Median: $21.41
1.1× median
71045Normal range

Chest X-ray, single view

$192K

28K claims · 0.8%

Your Cost: $6.81/claim|Median: $4.93
1.4× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$171K

1,894 claims · 0.7%

Your Cost: $90.11/claim|Median: $47.08
1.9× median
99284Normal range

Emergency dept visit, high complexity

$153K

1,662 claims · 0.6%

Your Cost: $91.92/claim|Median: $69.51
1.3× median
76705Normal range

Ultrasound, abdominal, limited

$126K

5,787 claims · 0.5%

Your Cost: $21.82/claim|Median: $23.81
0.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$114K

1,625 claims · 0.5%

Your Cost: $69.99/claim|Median: $35.30
2.0× median
99223Top 10%

Initial hospital care, per day, high complexity

$114K

794 claims · 0.5%

Your Cost: $143.10/claim|Median: $67.32
2.1× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$107K

1,334 claims · 0.4%

Your Cost: $80.35/claim|Median: $57.85
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$99K

1,552 claims · 0.4%

Your Cost: $63.58/claim|Median: $62.48
1.0× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$91K

562 claims · 0.4%

Your Cost: $161.75/claim|Median: $111.09
1.5× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$90K

4,879 claims · 0.4%

Your Cost: $18.48/claim|Median: $9.80
1.9× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$79K

1,309 claims · 0.3%

Your Cost: $60.25/claim|Median: $38.23
1.6× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$78K

1,501 claims · 0.3%

Your Cost: $51.98/claim|Median: $37.22
1.4× median
71275Normal range

CT angiography, chest, with contrast

$78K

1,144 claims · 0.3%

Your Cost: $67.97/claim|Median: $92.96
0.7× median
76856Normal range

Ultrasound, pelvic, complete

$73K

3,627 claims · 0.3%

Your Cost: $20.10/claim|Median: $47.58
0.4× median
99215Top 25%

Office/outpatient visit, high complexity

$67K

556 claims · 0.3%

Your Cost: $119.86/claim|Median: $74.09
1.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$63K

467 claims · 0.3%

Your Cost: $135.72/claim|Median: $108.91
1.2× median
76642Normal range

$62K

2,187 claims · 0.2%

Your Cost: $28.33/claim|Median: $32.06
0.9× median
74176Normal range

CT abdomen and pelvis without contrast

$59K

909 claims · 0.2%

Your Cost: $65.11/claim|Median: $60.19
1.1× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$59K

606 claims · 0.2%

Your Cost: $97.17/claim|Median: $72.71
1.3× median
99291Top 25%

Critical care, first 30-74 minutes

$57K

343 claims · 0.2%

Your Cost: $166.55/claim|Median: $101.24
1.6× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$53K

1,686 claims · 0.2%

Your Cost: $31.35/claim|Median: $14.00
2.2× median
99283Normal range

Emergency dept visit, moderate complexity

$50K

1,050 claims · 0.2%

Your Cost: $47.27/claim|Median: $42.48
1.1× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$43K

527 claims · 0.2%

Your Cost: $82.20/claim|Median: $43.85
1.9× median
92551Normal range

Screening audiometry, pure tone, air only

$42K

5,233 claims · 0.2%

Your Cost: $7.97/claim|Median: $6.61
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$37K

1,079 claims · 0.1%

Your Cost: $34.48/claim|Median: $25.06
1.4× median
76700Normal range

Ultrasound, abdominal, complete

$36K

1,252 claims · 0.1%

Your Cost: $29.10/claim|Median: $50.69
0.6× median
67028Top 25%

Intravitreal injection of a pharmacologic agent

$32K

215 claims · 0.1%

Your Cost: $149.14/claim|Median: $58.82
2.5× median
95886Normal range

$30K

699 claims · 0.1%

Your Cost: $42.73/claim|Median: $67.70
0.6× median
S0620Normal range

$29K

568 claims · 0.1%

Your Cost: $50.97/claim|Median: $43.56
1.2× median
76830Normal range

Ultrasound, transvaginal

$29K

1,128 claims · 0.1%

Your Cost: $25.56/claim|Median: $57.47
0.4× median
70551Normal range

MRI brain without contrast

$25K

491 claims · 0.1%

Your Cost: $51.01/claim|Median: $85.39
0.6× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$24K

317 claims · 0.1%

Your Cost: $76.82/claim|Median: $41.92
1.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$23K

2,429 claims · 0.1%

Your Cost: $9.63/claim|Median: $11.48
0.8× median

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