Physician
Montefiore Medical Center
Montefiore Medical Center was paid $14K by Medicaid between Jan 2018 and Oct 2022, across 14 billing codes. Its largest line is 96127, — 23% of everything it billed.
33Billing provider infoMONTEFIORE MEDICAL CENTER
BRONX, NY 10469
BRONX, NY 10469
33aNPI1003990763assigned 10/25/2006
33bProvider typeAllergy & Immunology Physician
28Total paid$14K
24GClaims1,502
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Allergy & Immunology Physician providers in New York
Rank by total paid#86 of 135
Median peer was paid$34K
This provider vs. median0.4×
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 | 324 | $5K | |
| 2019 | 533 | $5K | |
| 2020 | 281 | $2K | |
| 2021 | 330 | $2K | |
| 2022 | 34 | $300.16 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96127 | 23% | 479 | 472 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 23% | 228 | 154 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 38 | 37 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 14% | 91 | 91 | $2K |
| 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 | 11% | 14 | 14 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.0% | 89 | 88 | $977.50 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 3.6% | 117 | 112 | $499.20 |
| 92551 | 3.6% | 81 | 81 | $497.64 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 28 | 27 | $80.00 |
| 90686 | <1% | 137 | 135 | $38.06 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | 14 | $6.34 |
| 80061 | Lipid panel | <1% | 12 | 12 | $6.04 |
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 officialDOWLING, MICHAEL (DIR. OF PROV. SVCS. & NTWK. CONTRAC)
Parent organizationMONTEFIORE MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Montefiore North Ambulatory Care Center INC | Bronx, NY | $569K |
| Gun Hill Mri PC | Bronx, NY | $302K |
| Montefiore Medical Center | Bronx, NY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.