Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1063535193 · NEW YORK, NY 10029 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 04/06/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code H0040 with only 3 total codes billed. Highly concentrated billing profile.

$6.68M
Total Medicaid Paid
5,536
Total Claims
5,053
Beneficiaries
3
Codes Billed
2019-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKATZ, MAXINE (ASSISTANT VICE PRESIDENT)
NPI Enumeration Date04/06/2007

Related Entities

Other providers sharing the same authorized official: KATZ, MAXINE

ProviderCityStateTotal Paid
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION JAMAICA NY $9.18M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $2.44M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $2.27M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $2.24M
NEW YORK CITY HEALTH AND HOSPITAL CORPORATION BRONX NY $1.99M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $1.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 425 $454K
2020 1,216 $1.66M
2021 1,156 $1.51M
2022 1,130 $1.06M
2023 931 $1.14M
2024 678 $855K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 5,356 4,963 $6.53M
99215 Prolong outpt/office vis 156 77 $130K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24 13 $14K