Clinic
Montefiore Mount Vernon Hospital
Montefiore Mount Vernon Hospital was paid $560K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoMONTEFIORE MOUNT VERNON HOSPITAL
MOUNT VERNON, NY 10550
MOUNT VERNON, NY 10550
33aNPI1013345065assigned 10/29/2013
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$560K
24GClaims9,589
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Adult Mental Health Clinic/Center providers in New York
Rank by total paid#27 of 52
Median peer was paid$560K
This provider vs. median1.0×
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 | 1,663 | $67K | |
| 2019 | 2,115 | $81K | |
| 2020 | 883 | $47K | |
| 2021 | 1,035 | $84K | |
| 2022 | 1,894 | $133K | |
| 2023 | 1,120 | $83K | |
| 2024incomplete | 879 | $65K |
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 | 24% | 2,286 | 2,124 | $136K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 21% | 2,067 | 532 | $117K |
| 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 | 16% | 1,029 | 931 | $91K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 523 | 509 | $60K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 10% | 1,354 | 1,354 | $58K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.8% | 154 | 154 | $27K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.0% | 199 | 189 | $23K |
| 71046 | Radiologic examination, chest; 2 views | 1.9% | 845 | 833 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 221 | 198 | $7K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.2% | 142 | 141 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.0% | 40 | 40 | $6K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 260 | 129 | $5K |
9 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 38 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 224 | $2K |
| 99254 | <1% | 23 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 40 | $2K |
| 99443 | <1% | 18 | $2K | |
| 76642 | <1% | 26 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 26 | $933.72 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $676.39 |
| 73630 | <1% | 62 | $616.09 |
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 officialPREOLO, JOHN (SENIOR DIRECTOR CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Montefiore Medical Center | Bronx, NY | $398.40M |
| Montefiore New Rochelle Hospital | Yonkers, NY | $3.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.