Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1003824608 · BRONX, NY 10452 · Institutional Pharmacy · NPI assigned 08/03/2006

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

Authorized official KARLIN, MARJI controls 19+ related entities in our dataset. Read more

$34.62M
Total Medicaid Paid
949,429
Total Claims
773,084
Beneficiaries
286
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARLIN, MARJI (ASSISTANT VICE PRESIDENT)
NPI Enumeration Date08/03/2006

Related Entities

Other providers sharing the same authorized official: KARLIN, MARJI

ProviderCityStateTotal Paid
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $217.68M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $178.84M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $176.33M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $160.32M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION ELMHURST NY $146.57M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION JAMAICA NY $125.54M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $119.27M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $108.18M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $107.34M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $100.78M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $57.46M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $48.88M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $30.93M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $19.59M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $16.91M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $5.55M
NEW YORK CITY HEALTH & HOSPITALS CORPORATION BROOKLYN NY $896K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $335K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $410.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,627 $860K
2019 71,837 $2.44M
2020 161,862 $6.39M
2021 254,949 $9.03M
2022 165,353 $6.15M
2023 133,400 $4.95M
2024 131,401 $4.80M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80,687 63,583 $6.45M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 33,717 26,079 $2.31M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29,357 24,830 $1.94M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,546 15,538 $1.83M
90832 Psychotherapy, 30 minutes with patient 15,958 11,418 $1.57M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11,124 9,572 $983K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,092 8,153 $849K
90834 Psychotherapy, 45 minutes with patient 6,487 4,809 $836K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,816 7,202 $823K
99442 7,971 7,733 $625K
90460 Immunization administration through 18 years of age via any route, first or only component 16,930 15,024 $548K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 16,984 12,146 $528K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27,987 27,334 $512K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,659 4,849 $484K
86480 7,952 7,819 $472K
D9999 Unspecified adjunctive procedure, by report 2,702 2,498 $391K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,921 6,689 $385K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,357 3,327 $382K
D0999 Unspecified diagnostic procedure, by report 2,366 2,310 $378K
80061 Lipid panel 30,109 23,144 $365K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,276 2,263 $362K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 10,907 10,644 $330K
99441 5,256 5,145 $320K
36415 Collection of venous blood by venipuncture 21,715 3,354 $308K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16,821 15,098 $308K
85027 40,354 36,415 $305K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,496 2,485 $300K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 12,176 11,080 $299K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,243 2,542 $294K
77067 Screening mammography, bilateral, including computer-aided detection 2,644 2,611 $287K
80053 Comprehensive metabolic panel 24,180 11,354 $285K
90461 5,387 5,373 $261K
80048 Basic metabolic panel (calcium, ionized) 29,133 11,852 $245K
86769 7,911 5,600 $226K
90651 3,263 3,251 $222K
83655 12,479 7,583 $213K
81001 27,075 7,850 $209K
86703 14,588 13,435 $205K
99215 Prolong outpt/office vis 1,386 1,335 $202K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 510 499 $192K
83036 Hemoglobin; glycosylated (A1C) 23,956 22,993 $189K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,877 1,393 $189K
90677 1,179 1,177 $180K
90472 Immunization administration, each additional vaccine (list separately) 8,312 8,273 $175K
99201 2,612 2,463 $171K
84443 Thyroid stimulating hormone (TSH) 12,781 12,501 $163K
90837 Psychotherapy, 53 minutes with patient 1,105 718 $157K
90686 14,269 14,225 $155K
90746 2,542 2,534 $154K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 3,246 2,492 $128K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,493 1,421 $128K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,704 4,037 $127K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,471 2,047 $125K
86780 10,182 9,961 $124K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,400 1,371 $113K
90697 928 928 $111K
90620 1,464 1,461 $109K
99205 Prolong outpt/office vis 669 664 $102K
80076 11,976 11,839 $97K
T1013 Sign language or oral interpretive services, per 15 minutes 3,999 3,178 $95K
99383 800 800 $94K
D1110 Prophylaxis - adult 4,060 3,115 $91K
96127 15,046 14,479 $85K
0012A 2,121 2,106 $84K
86803 6,888 6,778 $81K
99384 616 614 $78K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,810 2,729 $78K
J1050 Injection, medroxyprogesterone acetate, 1 mg 932 928 $77K
D0120 Periodic oral evaluation - established patient 5,167 2,668 $77K
99443 1,621 1,274 $75K
0011A 2,176 2,163 $73K
90715 3,068 3,049 $73K
90791 Psychiatric diagnostic evaluation 584 387 $73K
99385 517 503 $70K
99381 736 727 $70K
96112 621 606 $64K
0064A 1,417 1,415 $59K
D0150 Comprehensive oral evaluation - new or established patient 3,219 1,879 $57K
82948 4,423 2,984 $57K
92015 Determination of refractive state 2,425 2,327 $54K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 883 511 $54K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 415 404 $53K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,625 1,606 $53K
D1120 Prophylaxis - child 2,816 2,111 $52K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,604 1,564 $52K
91322 591 585 $51K
86706 5,267 5,104 $51K
87800 1,375 1,349 $49K
90732 472 463 $46K
99382 400 400 $44K
87340 4,454 4,341 $43K
00120 1,591 497 $40K
90674 1,366 1,357 $39K
86762 2,916 2,817 $39K
71046 Radiologic examination, chest; 2 views 1,241 1,227 $39K
96130 485 444 $37K
99051 1,693 1,680 $36K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 2,639 1,364 $36K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,778 811 $34K
90480 799 799 $34K
90670 2,143 2,138 $34K
86765 2,754 2,664 $33K
81002 3,518 2,284 $33K
82043 6,435 6,350 $32K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,470 768 $31K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,131 1,703 $31K
3074F 14,088 12,108 $31K
90716 1,060 1,055 $30K
99386 177 175 $28K
86787 2,661 2,579 $28K
D0140 Limited oral evaluation - problem focused 1,181 693 $27K
86735 2,581 2,506 $27K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 561 555 $27K
88142 1,134 1,091 $26K
90750 146 146 $26K
84153 1,673 1,646 $25K
77063 Screening digital breast tomosynthesis, bilateral 533 533 $25K
0134A 606 606 $25K
92250 595 594 $24K
90847 Family psychotherapy with the patient present, 50 minutes 136 117 $23K
81025 3,979 3,838 $23K
87081 2,418 2,183 $23K
99429 412 372 $23K
90707 905 903 $22K
99401 847 840 $22K
92002 255 255 $22K
D0220 Intraoral - periapical first radiographic image 3,319 3,278 $20K
90734 1,727 1,726 $20K
82607 1,413 1,345 $19K
D0210 Intraoral - complete series of radiographic images 1,257 1,248 $18K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 647 647 $18K
90714 854 844 $18K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 456 265 $18K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 26 26 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,551 1,517 $17K
87086 Culture, bacterial; quantitative colony count, urine 2,325 2,235 $17K
84439 2,072 2,039 $16K
87486 518 507 $16K
0071A 355 355 $16K
D1208 Topical application of fluoride, excluding varnish 2,861 2,854 $16K
90853 Group psychotherapy (other than of a multiple-family group) 356 249 $15K
87581 518 507 $15K
90633 2,134 2,132 $14K
0072A 309 309 $14K
95834 310 157 $14K
92523 61 59 $14K
90656 1,411 1,411 $14K
90662 470 465 $13K
82728 1,083 1,061 $13K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 89 88 $13K
0124A 271 271 $12K
D0274 Bitewings - four radiographic images 1,358 1,345 $12K
96161 1,295 1,231 $12K
82274 1,044 1,039 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,437 1,424 $10K
83020 820 789 $10K
81003 4,496 4,427 $9K
92551 405 354 $9K
84702 631 589 $9K
83550 1,238 1,217 $9K
83540 1,554 1,529 $8K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,803 2,467 $7K
76830 Ultrasound, transvaginal 68 68 $7K
97802 624 623 $6K
D0230 Intraoral - periapical each additional radiographic image 1,749 1,749 $6K
87536 68 67 $6K
D1206 Topical application of fluoride varnish 588 587 $6K
86696 354 330 $6K
98960 256 255 $6K
86708 506 473 $6K
82465 644 503 $5K
72100 123 122 $5K
96136 72 71 $5K
86850 315 300 $5K
96131 90 89 $5K
86704 470 443 $5K
82951 517 445 $5K
0154A 104 104 $5K
85660 981 977 $4K
90710 748 748 $4K
D1351 Sealant - per tooth 333 90 $4K
99173 331 330 $4K
90681 887 887 $4K
93975 24 24 $4K
86901 574 551 $4K
D1330 3,143 3,064 $4K
86695 329 305 $4K
86900 577 554 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 129 82 $4K
96137 86 85 $4K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,717 1,534 $4K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 25 25 $3K
86580 384 377 $3K
90653 100 100 $3K
90698 578 575 $3K
D0272 Bitewings - two radiographic images 464 451 $3K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 65 56 $3K
T2022 Case management, per month 78 67 $3K
90744 545 544 $3K
90846 Family psychotherapy without the patient present, 50 minutes 26 24 $3K
96160 186 152 $3K
84403 98 93 $3K
90696 523 523 $2K
84146 138 131 $2K
90694 73 73 $2K
82947 611 608 $2K
0081A 48 48 $2K
97168 27 27 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 13 12 $2K
86140 442 433 $2K
0004A 42 42 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 172 171 $2K
92227 95 95 $2K
84460 358 358 $2K
83525 163 156 $2K
90723 497 497 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 12 12 $2K
84703 340 319 $2K
0074A 33 33 $1K
86038 162 161 $1K
86592 413 385 $1K
81015 567 561 $1K
73630 43 38 $1K
80069 153 152 $1K
0082A 29 29 $1K
86593 296 288 $1K
90474 84 84 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 12 12 $1K
84402 41 41 $990.82
96113 28 28 $970.30
86430 187 185 $961.24
90647 340 340 $949.64
84550 240 232 $914.80
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 13 13 $857.78
83001 52 51 $852.80
85025 Blood count; complete (CBC), automated, and automated differential WBC count 279 279 $831.57
91319 31 31 $830.68
97763 13 12 $676.50
86360 13 13 $653.20
87522 Neg quan hep c or qual rna 15 15 $637.21
91320 15 15 $633.42
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 151 40 $617.31
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 222 143 $573.86
0001A 12 12 $568.40
82105 53 53 $557.94
86359 13 13 $541.16
87338 39 39 $484.41
Q3014 Telehealth originating site facility fee 41 38 $476.56
97116 105 39 $471.38
85610 131 122 $457.92
83002 26 26 $414.83
96380 15 15 $388.50
85651 119 118 $386.83
90672 67 67 $362.47
90713 46 46 $326.80
82570 80 75 $319.07
87186 40 39 $311.91
90756 14 14 $299.21
85730 37 37 $220.85
90648 73 73 $214.22
84156 54 48 $151.86
D0270 30 30 $110.78
82248 27 26 $107.46
90660 14 14 $104.68
D0601 208 206 $88.32
84100 25 24 $86.17
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 286 275 $65.82
J7510 Prednisolone oral, per 5 mg 12 12 $27.16
90685 93 93 $17.85
3079F 4,807 4,608 $0.00
3075F 3,318 3,215 $0.00
3044F 114 108 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 407 407 $0.00
3080F 942 898 $0.00
G0008 Administration of influenza virus vaccine 108 108 $0.00
1220F 547 547 $0.00
D0603 100 100 $0.00
3077F 1,753 1,653 $0.00
3078F 12,157 11,134 $0.00
1159F 1,189 1,018 $0.00
99499 668 549 $0.00
D0191 361 361 $0.00
1160F 734 666 $0.00
D0190 331 331 $0.00
99080 61 29 $0.00
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 13 13 $0.00