Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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THE INSTITUTE FOR FAMILY HEALTH

NPI: 1053685289 · BRONX, NY 10453 · Clinical Social Worker · NPI assigned 03/06/2012

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

Authorized official GAYLE, ERIC controls 19+ related entities in our dataset. Read more

$4.99M
Total Medicaid Paid
104,671
Total Claims
74,155
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAYLE, ERIC (PRESIDENT AND CEO)
Parent OrganizationTHE INSTITUTE FOR FAMILY HEALTH
NPI Enumeration Date03/06/2012

Related Entities

Other providers sharing the same authorized official: GAYLE, ERIC

ProviderCityStateTotal Paid
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $80.80M
THE INSTITUTE FOR FAMILY HEALTH NEW PALTZ NY $15.21M
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $6.27M
THE INSTITUTE FOR FAMILY HEALTH BRONX NY $4.85M
THE INSTITUTE FOR FAMILY HEALTH KINGSTON NY $4.47M
THE INSTITUTE FOR FAMILY HEALTH ELLENVILLE NY $1.98M
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $1.35M
THE INSTITUTE FOR FAMILY HEALTH NEW PALTZ NY $1.33M
THE INSTITUTE FOR FAMILY HEALTH BROOKLYN NY $1.26M
THE INSTITUTE FOR FAMILY HEALTH BRONX NY $1.00M
THE INSTITUTE FOR FAMILY HEALTH BRONX NY $964K
THE INSTITUTE FOR FAMILY HEALTH BRONX NY $927K
THE INSTITUTE FOR FAMILY HEALTH HYDE PARK NY $659K
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $576K
THE INSTITUTE FOR FAMILY HEALTH KINGSTON NY $478K
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $139K
THE INSTITUTE FOR FAMILY HEALTH BRONX NY $111K
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $16K
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,173 $2.05M
2019 39,375 $2.36M
2020 2,641 $49K
2021 3,808 $71K
2022 7,213 $135K
2023 10,199 $177K
2024 8,262 $147K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99499 28,596 24,365 $3.33M
D7999 31,988 6,501 $838K
D1110 Prophylaxis - adult 6,625 6,545 $218K
D0120 Periodic oral evaluation - established patient 4,858 4,841 $94K
D0274 Bitewings - four radiographic images 4,713 4,706 $82K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,339 1,100 $71K
D1120 Prophylaxis - child 1,598 1,593 $54K
D0150 Comprehensive oral evaluation - new or established patient 2,569 2,506 $51K
D0220 Intraoral - periapical first radiographic image 5,923 5,844 $51K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 596 557 $44K
D0230 Intraoral - periapical each additional radiographic image 5,903 5,872 $34K
D2391 Resin-based composite - one surface, posterior, primary or permanent 779 628 $27K
D0330 Panoramic radiographic image 1,102 1,100 $18K
90832 Psychotherapy, 30 minutes with patient 102 78 $16K
D0140 Limited oral evaluation - problem focused 1,355 1,332 $13K
D0210 Intraoral - complete series of radiographic images 1,927 1,919 $12K
D1208 Topical application of fluoride, excluding varnish 938 938 $11K
D0272 Bitewings - two radiographic images 358 358 $5K
D0270 385 384 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 42 $2K
D1206 Topical application of fluoride varnish 97 97 $2K
0012A 61 61 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 24 24 $2K
3074F 65 49 $2K
0011A 54 54 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24 24 $893.95
99441 15 13 $786.74
D1330 2,564 2,560 $200.94
90674 13 13 $87.69
1170F 57 51 $0.00