Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Montefiore Medical Center

Montefiore Medical Center was paid $398.40M by Medicaid between Jan 2018 and Dec 2024, across 710 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 15% of everything it billed.

33Billing provider infoMONTEFIORE MEDICAL CENTER
BRONX, NY 10467
33aNPI1063525152assigned 08/16/2006
28Total paid$398.40M
24GClaims6,356,829
24DCodes billed710
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in New York

Rank by total paid#1 of 429
Median peer was paid$4K
This provider vs. median103,666×

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

$0$2.5M$5.0M$7.5M2018201920202021202220232024
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
YearClaimsPaid
2018684,262$44.01M
2019796,563$50.21M
2020679,938$43.79M
20211,069,585$62.90M
20221,081,408$71.70M
20231,160,693$70.74M
2024incomplete884,380$55.05M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 15% 586,031 560,498 $61.54M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 788,434 748,014 $60.25M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.2% 197,487 194,164 $24.74M
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 4.0% 104,761 104,012 $15.83M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.8% 154,298 151,876 $11.10M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.8% 63,567 62,050 $10.96M
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 2.6% 6,402 6,375 $10.43M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.6% 99,234 98,681 $10.37M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 64,570 60,356 $8.49M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.8% 72,136 26,878 $7.08M
88305 Level IV - Surgical pathology, gross and microscopic examination 1.5% 74,656 73,463 $6.07M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.5% 71,704 71,314 $5.82M
698 more codes
99232 Hospital visit by a doctor, follow-up day 1.4% 78,722 $5.38M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.3% 62,169 $5.37M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 61,906 $5.02M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.1% 19,071 $4.35M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.0% 32,766 $4.10M
77067 Screening mammography, bilateral, including computer-aided detection <1% 57,612 $3.90M
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 41,858 $3.87M
99223 Prolong inpt eval add15 m <1% 21,896 $3.51M
90460 Immunization administration through 18 years of age via any route, first or only component <1% 119,854 $3.49M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 55,086 $3.49M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 31,511 $3.31M
96127 <1% 332,139 $3.29M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 14,799 $3.22M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 83,724 $2.65M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 50,334 $2.61M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 29,548 $2.53M
20610 <1% 43,134 $2.50M
76830 Ultrasound, transvaginal <1% 23,359 $2.33M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 15,303 $2.21M
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 65,193 $2.17M
99222 Initial hospital care, per day, moderate complexity <1% 17,279 $2.10M
70450 Computed tomography, head or brain; without contrast material <1% 48,188 $1.97M
71046 Radiologic examination, chest; 2 views <1% 153,290 $1.92M
99205 Prolong outpt/office vis <1% 10,372 $1.85M
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 43,800 $1.69M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 8,455 $1.68M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 17,533 $1.64M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 1,078 $1.56M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 68,599 $1.54M
99238 Hospital discharge day management, 30 minutes or less <1% 21,518 $1.47M
92551 <1% 101,956 $1.47M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 197,555 $1.46M
78815 Positron emission tomography (PET) for limited area imaging <1% 1,068 $1.43M
90832 Psychotherapy session, about 30 minutes <1% 19,751 $1.38M
71045 Radiologic examination, chest; single view <1% 147,278 $1.34M
76801 <1% 9,958 $1.32M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 10,336 $1.28M
70551 Magnetic resonance imaging, brain; without contrast material <1% 11,522 $1.20M
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 25,223 $1.20M
90792 Psychiatric diagnostic evaluation with medical services <1% 7,507 $1.19M
99442 <1% 17,274 $1.19M
76818 <1% 17,573 $1.14M
90472 Immunization administration, each additional vaccine (list separately) <1% 46,776 $1.14M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 7,443 $1.14M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 54,564 $1.12M
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 7,589 $1.10M
93970 <1% 24,796 $1.09M
99443 <1% 10,403 $1.07M
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 101,731 $1.07M
76857 <1% 21,577 $1.01M
31231 <1% 7,793 $995K
00731 <1% 4,303 $922K
90791 Psychiatric diagnostic evaluation <1% 6,439 $912K
99239 Hospital discharge day management, more than 30 minutes <1% 9,926 $909K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 1,906 $867K
76770 <1% 21,752 $860K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 6,110 $857K
76813 <1% 5,995 $845K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 4,633 $835K
93000 <1% 46,178 $789K
73562 <1% 26,344 $782K
88141 <1% 28,660 $780K
99460 <1% 8,352 $776K
00170 Anesthesia for intraoral procedures, including biopsy <1% 1,979 $776K
88307 <1% 6,605 $769K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 11,128 $755K
99221 <1% 8,087 $748K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 23,891 $738K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 14,632 $734K
71275 Computed tomographic angiography, chest, with contrast material <1% 7,735 $672K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 7,657 $665K
43775 <1% 492 $656K
88342 <1% 11,018 $641K
77063 Screening digital breast tomosynthesis, bilateral <1% 18,962 $631K
76825 <1% 2,227 $608K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 9,701 $603K
73630 <1% 27,134 $545K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 4,401 $544K
87536 <1% 5,476 $529K
67028 Intravitreal injection of a pharmacologic agent <1% 5,386 $506K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 11,451 $493K
71250 <1% 9,241 $465K
76642 <1% 10,870 $464K
77014 <1% 10,684 $456K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 7,386 $454K
74183 <1% 2,147 $451K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 1,850 $418K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 581 $379K
90686 <1% 82,530 $377K
77062 <1% 2,430 $373K
46607 <1% 1,304 $343K
77066 Tomosynthesis, mammo <1% 5,241 $335K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,149 $312K
93976 <1% 4,673 $305K
92557 <1% 9,024 $298K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 685 $297K
73610 <1% 14,802 $284K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 518 $279K
95720 <1% 1,359 $279K
77065 Tomosynthesis, mammo <1% 5,788 $275K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 825 $275K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,450 $273K
73030 <1% 13,678 $271K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 1,272 $265K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 550 $260K
64615 <1% 1,684 $258K
76641 <1% 3,808 $256K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 5,387 $256K
54150 <1% 2,457 $256K
84165 <1% 17,406 $253K
00142 <1% 2,543 $251K
92134 <1% 9,552 $249K
99462 <1% 5,857 $246K
74018 <1% 23,853 $238K
H0049 Alcohol and/or drug screening <1% 12,314 $237K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 4,010 $236K
86360 <1% 4,720 $232K
97161 <1% 2,959 $232K
90834 Psychotherapy session, about 45 minutes <1% 2,420 $231K
72082 <1% 5,059 $228K
92567 <1% 16,103 $227K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 5,875 $220K
36415 Collection of venous blood by venipuncture <1% 59,110 $219K
76536 <1% 5,179 $218K
76821 <1% 2,096 $218K
76820 <1% 4,288 $217K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,636 $214K
93320 <1% 10,843 $212K
99385 <1% 1,765 $206K
72141 <1% 1,646 $204K
31575 <1% 2,225 $203K
88304 <1% 14,601 $201K
86359 <1% 4,727 $201K
99292 <1% 1,494 $199K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 1,409 $197K
97802 <1% 3,008 $189K
99441 <1% 3,890 $188K
73221 <1% 1,634 $186K
85390 <1% 6,202 $186K
58340 <1% 616 $185K
97803 <1% 3,146 $185K
93297 <1% 10,992 $183K
76819 Fetal biophysical profile; without non-stress testing <1% 1,759 $182K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 25,718 $181K
90671 <1% 1,073 $178K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,438 $177K
95951 <1% 504 $174K
92083 <1% 4,778 $171K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,665 $169K
76827 <1% 2,188 $169K
00812 <1% 1,060 $168K
72100 <1% 9,262 $165K
76942 <1% 5,950 $164K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 12,966 $160K
99480 Subsequent intensive care, per day, low birth weight infant <1% 1,216 $154K
20550 <1% 3,059 $154K
88341 <1% 1,190 $152K
93325 <1% 17,240 $152K
73130 <1% 10,267 $150K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,198 $149K
76376 <1% 3,136 $149K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 770 $145K
93015 <1% 2,086 $143K
95117 <1% 11,249 $141K
72125 Computed tomography, cervical spine; without contrast material <1% 2,920 $139K
73110 <1% 6,583 $139K
00790 <1% 230 $137K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 2,357 $130K
92015 Determination of refractive state <1% 7,810 $130K
99072 <1% 116,325 $128K
95816 <1% 2,034 $127K
92133 <1% 5,409 $127K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,829 $122K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,908 $120K
88112 <1% 2,212 $117K
54161 <1% 526 $114K
00811 <1% 730 $113K
76506 <1% 3,064 $110K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 8,574 $110K
96156 <1% 1,122 $110K
95782 <1% 829 $109K
59514 <1% 80 $107K
73560 <1% 7,770 $106K
77061 <1% 989 $106K
70544 <1% 1,256 $103K
99451 <1% 2,595 $97K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 481 $95K
86480 <1% 1,365 $94K
77427 <1% 487 $93K
64400 <1% 1,074 $90K
94010 <1% 6,473 $89K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 912 $88K
76831 <1% 552 $88K
80053 Comprehensive metabolic panel <1% 6,560 $87K
78306 <1% 505 $86K
31579 <1% 576 $85K
0071A <1% 2,042 $85K
01961 <1% 117 $84K
93880 <1% 1,399 $84K
90847 Family psychotherapy with the patient present, 50 minutes <1% 787 $84K
00840 <1% 134 $82K
93295 <1% 2,589 $81K
11900 <1% 1,399 $81K
97804 <1% 3,616 $80K
93971 <1% 3,034 $79K
93298 <1% 3,956 $78K
97535 Self-care/home management training, each 15 minutes <1% 3,168 $78K
99464 <1% 1,087 $78K
64450 <1% 2,112 $78K
96167 <1% 1,415 $76K
99254 <1% 443 $76K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 566 $74K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 819 $74K
81002 <1% 25,797 $74K
J2785 Injection, regadenoson, 0.1 mg <1% 497 $74K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 824 $73K
88291 <1% 2,375 $73K
46600 <1% 773 $73K
25600 <1% 168 $71K
90651 <1% 2,023 $71K
93925 <1% 1,914 $71K
99381 <1% 851 $71K
11901 <1% 1,017 $70K
88189 <1% 909 $70K
73502 <1% 3,225 $70K
70486 <1% 1,386 $69K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,149 $68K
99459 <1% 2,924 $67K
75574 <1% 604 $66K
83020 <1% 3,719 $66K
20611 <1% 775 $65K
78582 <1% 1,062 $64K
93923 <1% 2,075 $63K
93886 <1% 814 $63K
11721 <1% 2,508 $61K
93016 <1% 3,248 $61K
96154 <1% 2,082 $61K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 7,638 $59K
27447 <1% 50 $59K
J9035 Injection, bevacizumab, 10 mg <1% 1,114 $59K
93308 <1% 2,623 $58K
00797 <1% 118 $58K
90715 <1% 1,598 $58K
88108 <1% 2,624 $58K
59025 Fetal non-stress test <1% 1,392 $57K
64415 <1% 793 $56K
90935 Hemodialysis procedure with single evaluation by a physician <1% 1,094 $55K
93227 <1% 2,506 $55K
J1750 Injection, iron dextran, 50 mg <1% 178 $53K
99417 Prolong home eval add 15m <1% 1,941 $53K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,029 $52K
86780 <1% 2,989 $52K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,084 $52K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 5,041 $51K
94726 <1% 4,529 $51K
64405 <1% 993 $50K
31237 <1% 152 $50K
96900 <1% 2,808 $50K
99243 <1% 385 $49K
88188 <1% 856 $49K
0012A <1% 1,175 $49K
78816 <1% 39 $48K
99383 <1% 475 $48K
72110 <1% 3,321 $48K
92060 <1% 833 $48K
74019 <1% 3,816 $48K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 10,510 $46K
0064A <1% 1,075 $46K
93351 <1% 220 $45K
93248 <1% 1,885 $44K
99386 <1% 338 $44K
57454 <1% 216 $44K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,664 $43K
99051 <1% 19,680 $43K
0072A <1% 962 $43K
80061 Lipid panel <1% 2,880 $43K
71271 <1% 934 $43K
99244 Office or other outpatient consultation, moderate to high complexity <1% 221 $42K
93798 <1% 1,816 $42K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 168 $42K
83036 Hemoglobin; glycosylated (A1C) <1% 4,112 $41K
93018 <1% 3,273 $41K
77334 <1% 404 $41K
0001A <1% 1,007 $41K
84166 <1% 2,571 $40K
94729 <1% 4,719 $40K
93458 <1% 123 $40K
92020 <1% 1,710 $40K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 329 $40K
70491 <1% 573 $39K
95024 <1% 557 $38K
90474 <1% 2,957 $36K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 180 $36K
51798 <1% 3,280 $36K
59410 <1% 25 $36K
72156 <1% 236 $36K
90750 <1% 185 $35K
73564 <1% 1,429 $35K
76604 <1% 1,385 $34K
95806 <1% 314 $32K
99382 <1% 332 $32K
94060 <1% 2,574 $32K
72157 <1% 191 $31K
72040 <1% 1,817 $31K
73140 <1% 1,577 $31K
76882 <1% 732 $31K
0011A <1% 887 $30K
73590 <1% 2,205 $30K
72146 <1% 269 $30K
A9585 Injection, gadobutrol, 0.1 ml <1% 2,069 $30K
90461 <1% 39,184 $29K
93244 <1% 1,299 $28K
69210 <1% 1,181 $28K
87490 <1% 1,307 $27K
96361 Intravenous infusion, hydration; each additional hour <1% 98 $27K
95028 <1% 143 $27K
90961 <1% 113 $27K
76870 <1% 765 $27K
92082 <1% 780 $27K
90670 <1% 17,015 $26K
88313 <1% 1,898 $25K
88173 <1% 283 $25K
93975 <1% 376 $25K
77080 <1% 3,367 $24K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 202 $24K
95913 <1% 124 $24K
77072 <1% 1,957 $23K
93294 <1% 1,302 $23K
95811 <1% 61 $23K
0742T <1% 533 $23K
0002A <1% 524 $23K
99471 <1% 25 $23K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) <1% 1,528 $23K
99173 <1% 5,560 $23K
99201 <1% 473 $22K
99384 <1% 182 $22K
73080 <1% 1,366 $22K
96112 <1% 233 $21K
94664 <1% 1,566 $21K
81025 <1% 1,933 $21K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 613 $20K
99236 Prolong inpt eval add15 m <1% 95 $20K
93228 <1% 1,046 $20K
72158 <1% 138 $20K
88312 <1% 543 $20K
92285 <1% 1,390 $20K
70496 <1% 263 $20K
77300 <1% 175 $19K
77073 <1% 739 $19K
64413 <1% 178 $19K
96151 <1% 704 $18K
81003 <1% 6,599 $18K
64999 <1% 140 $18K
92002 <1% 271 $18K
52000 <1% 105 $18K
95251 <1% 593 $17K
J1010 Injection, methylprednisolone acetate, 1 mg <1% 3,276 $17K
92136 <1% 513 $17K
80048 Basic metabolic panel (calcium, ionized) <1% 1,407 $16K
99421 <1% 1,254 $16K
86803 <1% 1,056 $16K
99152 <1% 1,130 $15K
77263 <1% 99 $15K
84443 Thyroid stimulating hormone (TSH) <1% 842 $15K
64447 <1% 331 $15K
74178 <1% 163 $15K
90656 <1% 1,839 $14K
91200 <1% 1,176 $14K
97014 <1% 1,323 $14K
90837 Psychotherapy session, about an hour <1% 99 $14K
29876 <1% 28 $13K
00920 <1% 52 $13K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 1,414 $13K
70498 <1% 187 $12K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 15 $12K
99447 <1% 455 $12K
82330 <1% 871 $12K
72081 <1% 323 $12K
19083 <1% 83 $12K
97165 <1% 158 $12K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring <1% 41 $12K
90732 <1% 77 $11K
87522 Neg quan hep c or qual rna <1% 224 $11K
99476 <1% 29 $11K
73090 <1% 766 $11K
82375 <1% 869 $11K
85610 <1% 2,518 $11K
82948 <1% 2,334 $10K
93990 <1% 628 $10K
84484 <1% 820 $10K
94618 <1% 624 $10K
83605 <1% 866 $10K
95714 <1% 50 $10K
01810 <1% 98 $10K
99253 <1% 90 $10K
99188 <1% 681 $10K
99255 <1% 45 $10K
01480 <1% 43 $10K
73522 <1% 463 $10K
95700 <1% 43 $9K
99454 <1% 226 $9K
74240 <1% 227 $9K
11056 <1% 211 $9K
36620 <1% 202 $9K
70547 <1% 190 $9K
17110 <1% 83 $9K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) <1% 653 $9K
90691 <1% 70 $8K
86850 <1% 652 $8K
78832 <1% 13 $8K
74230 <1% 323 $8K
90937 <1% 116 $8K
92587 <1% 399 $8K
74328 <1% 264 $8K
95018 <1% 232 $8K
72195 <1% 55 $8K
62323 <1% 76 $8K
93229 <1% 29 $8K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy <1% 416 $7K
72070 <1% 528 $7K
88300 <1% 1,521 $7K
73521 <1% 490 $7K
76775 <1% 231 $7K
17000 <1% 96 $7K
83050 <1% 868 $7K
92235 <1% 105 $7K
72197 <1% 27 $7K
00145 <1% 24 $7K
82010 <1% 1,102 $7K
83735 <1% 1,038 $7K
86592 <1% 1,630 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 228 $7K
82800 <1% 660 $7K
01402 <1% 28 $7K
92579 <1% 150 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 269 $7K
58301 <1% 51 $7K
90962 <1% 38 $6K
81001 <1% 1,637 $6K
85018 <1% 2,106 $6K
99100 <1% 96 $6K
98968 <1% 156 $6K
90662 <1% 326 $6K
85730 <1% 993 $6K
72050 <1% 379 $6K
95180 <1% 43 $6K
82550 <1% 841 $6K
72131 <1% 130 $6K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 211 $6K
01400 <1% 20 $6K
00400 <1% 22 $5K
77301 <1% 13 $5K
86769 <1% 185 $5K
64483 <1% 48 $5K
00402 <1% 12 $5K
99401 <1% 413 $5K
87631 <1% 34 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 131 $5K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 42 $5K
86900 <1% 678 $5K
99448 <1% 112 $5K
90620 <1% 41 $5K
83690 <1% 720 $5K
95873 <1% 111 $5K
84295 <1% 959 $5K
87086 Culture, bacterial; quantitative colony count, urine <1% 579 $5K
31500 <1% 31 $5K
58300 <1% 27 $5K
95885 <1% 160 $4K
20526 <1% 55 $4K
73720 <1% 13 $4K
90836 <1% 47 $4K
01922 <1% 12 $4K
43235 <1% 29 $4K
97010 <1% 3,095 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 89 $4K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 475 $4K
90846 Family psychotherapy without the patient present, 50 minutes <1% 40 $4K
76937 <1% 384 $4K
88365 <1% 108 $4K
82947 <1% 970 $4K
90734 <1% 1,370 $4K
78264 <1% 59 $4K
86901 <1% 677 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 12 $4K
00140 <1% 24 $4K
77049 <1% 13 $4K
84132 <1% 754 $4K
28470 <1% 13 $4K
43264 <1% 13 $4K
92588 <1% 120 $4K
77085 <1% 368 $4K
86593 <1% 780 $3K
J1756 Injection, iron sucrose, 1 mg <1% 87 $3K
73552 <1% 213 $3K
99406 <1% 181 $3K
82803 <1% 109 $3K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes <1% 163 $3K
87563 <1% 84 $3K
S9470 Nutritional counseling, dietitian visit <1% 526 $3K
S9441 Asthma education, non-physician provider, per session <1% 390 $3K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 93 $3K
99457 <1% 155 $3K
88360 <1% 19 $3K
96150 <1% 87 $3K
95886 <1% 31 $3K
76886 <1% 88 $3K
0124A <1% 130 $3K
62328 <1% 24 $3K
36556 <1% 19 $3K
67840 <1% 12 $3K
73718 <1% 28 $3K
36569 <1% 26 $3K
51728 <1% 12 $3K
98967 <1% 138 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 13 $3K
00813 <1% 21 $3K
86580 <1% 94 $3K
87340 <1% 241 $2K
86706 <1% 228 $2K
73700 <1% 53 $2K
90853 Group psychotherapy (other than of a multiple-family group) <1% 119 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 56 $2K
64445 <1% 37 $2K
19281 <1% 12 $2K
0298T <1% 173 $2K
00300 <1% 12 $2K
83880 <1% 53 $2K
76514 <1% 470 $2K
20553 <1% 100 $2K
93304 <1% 52 $2K
57456 <1% 13 $2K
70360 <1% 206 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 108 $2K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes <1% 32 $2K
90716 <1% 210 $2K
64644 <1% 13 $2K
84403 <1% 68 $2K
92555 <1% 90 $2K
84100 <1% 381 $2K
0004A <1% 72 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 115 $2K
88302 <1% 166 $2K
96401 <1% 28 $2K
74221 <1% 58 $2K
11982 <1% 12 $2K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 54 $2K
72170 <1% 115 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 231 $1K
29580 <1% 23 $1K
93985 <1% 43 $1K
95800 <1% 37 $1K
97116 <1% 52 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 898 $1K
51797 <1% 12 $1K
92025 <1% 65 $1K
91322 <1% 62 $1K
90680 <1% 8,458 $1K
29075 <1% 13 $1K
76981 <1% 32 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 778 $1K
78708 <1% 14 $1K
0134A <1% 48 $1K
97162 <1% 12 $1K
96168 <1% 33 $1K
11104 <1% 14 $1K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 14 $1K
93321 <1% 151 $1K
92201 <1% 44 $1K
97032 <1% 106 $1K
98960 <1% 917 $1K
90633 <1% 4,493 $980.82
J1040 Injection, methylprednisolone acetate, 80 mg <1% 75 $953.03
99497 <1% 37 $866.78
S0190 Mifepristone, oral, 200 mg <1% 12 $864.50
0003A <1% 18 $824.94
95807 <1% 12 $823.96
93978 <1% 27 $821.06
J7050 Infusion, normal saline solution, 250 cc <1% 1,375 $805.29
58100 <1% 12 $804.93
71101 <1% 39 $796.94
85097 <1% 15 $755.35
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 18 $744.81
3078F <1% 9,554 $743.23
93272 <1% 38 $702.56
84402 <1% 25 $700.50
11730 <1% 13 $695.20
99140 <1% 77 $640.00
86708 <1% 56 $633.91
90480 <1% 24 $632.63
93246 <1% 64 $625.35
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 24 $609.27
G0008 Administration of influenza virus vaccine <1% 328 $598.55
73100 <1% 15 $597.85
99235 <1% 13 $576.82
3074F <1% 6,827 $554.82
76377 <1% 15 $548.00
93922 <1% 26 $546.44
92550 <1% 27 $541.79
76946 <1% 12 $503.38
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure <1% 40 $500.88
97035 <1% 60 $486.70
72083 <1% 27 $486.68
99446 <1% 23 $471.29
36410 <1% 250 $455.06
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 15 $441.47
11055 <1% 12 $423.11
76776 <1% 16 $389.86
84703 <1% 57 $381.60
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 14 $374.85
82150 <1% 68 $370.60
97597 <1% 19 $369.30
92225 <1% 27 $367.11
93986 <1% 12 $366.26
86704 <1% 28 $364.83
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 293 $362.55
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 13 $349.92
90698 <1% 2,666 $335.97
90707 <1% 206 $327.09
51784 <1% 12 $316.82
90697 <1% 995 $315.37
73060 <1% 27 $287.27
72084 <1% 12 $283.62
Q4032 Cast supplies, long leg cast, pediatric (0-10 years), fiberglass <1% 13 $276.82
92558 <1% 31 $257.76
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 12 $252.00
90723 <1% 1,942 $234.20
20552 <1% 12 $226.08
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 20 $220.93
90863 <1% 12 $213.80
88311 <1% 14 $209.13
82657 <1% 13 $207.87
76098 <1% 14 $202.78
80361 <1% 12 $202.75
80076 <1% 12 $191.24
93793 <1% 18 $182.48
90785 <1% 12 $177.82
90744 <1% 378 $175.22
51741 <1% 28 $144.74
93280 <1% 12 $138.17
95012 <1% 181 $130.04
84439 <1% 13 $128.96
77081 <1% 13 $125.68
84702 <1% 13 $115.92
17003 <1% 16 $113.36
82570 <1% 24 $103.17
85027 <1% 24 $96.58
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 21 $90.00
3079F <1% 1,805 $63.53
82962 <1% 24 $63.16
J1020 Injection, methylprednisolone acetate, 20 mg <1% 12 $56.93
J3490 Unclassified drugs <1% 126 $55.99
85007 <1% 24 $51.26
96160 <1% 27 $50.70
90688 <1% 66 $48.24
90648 <1% 1,913 $47.11
80365 <1% 13 $35.00
90647 <1% 1,598 $32.86
90674 <1% 13 $29.23
3075F <1% 709 $22.80
90685 <1% 658 $17.85
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 43 $16.65
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 14 $15.99
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 74 $15.92
S0191 Misoprostol, oral, 200 mcg <1% 12 $12.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 80 $6.40
J7030 Infusion, normal saline solution , 1000 cc <1% 201 $6.13
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 16 $5.94
3077F <1% 431 $5.54
91312 <1% 370 $3.93
J1094 Injection, dexamethasone acetate, 1 mg <1% 19 $3.02
Q4049 Finger splint, static <1% 13 $3.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 14 $0.90
J3010 Injection, fentanyl citrate, 0.1 mg <1% 121 $0.72
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 290 $0.68
0503F <1% 68 $0.38
91313 <1% 93 $0.11
99080 0% 13,139 $0.00
90710 0% 744 $0.00
90681 0% 31 $0.00
99499 0% 1,891 $0.00
90672 0% 29 $0.00
90700 0% 140 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 119 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 71 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 0% 13 $0.00
90687 0% 27 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 0% 14 $0.00
J2704 Injection, propofol, 10 mg 0% 167 $0.00
90696 0% 257 $0.00
J7999 Compounded drug, not otherwise classified 0% 17 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 84 $0.00
99024 0% 14 $0.00
36000 0% 13 $0.00
36416 0% 36 $0.00
1005F 0% 55 $0.00
76883 0% 12 $0.00
J2357 Injection, omalizumab, 5 mg 0% 13 $0.00

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 (SR DIRECTOR PROVIDER CREDENTIALING)
Parent organizationMONTEFIORE MEDICAL CENTER
Same official

Other billing entities under PREOLO, JOHN

Full network →
ProviderLocationPaid
Montefiore New Rochelle HospitalYonkers, NY$3.05M
Montefiore Mount Vernon HospitalMount Vernon, NY$560K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.