Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1063577831 · BROOKLYN, NY 11207 · Internal Medicine Physician · NPI assigned 12/22/2006

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

Authorized official KARLIN, MARJI controls 19+ related entities in our dataset. Read more

$30.93M
Total Medicaid Paid
812,160
Total Claims
649,587
Beneficiaries
228
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARLIN, MARJI (CHIEF REVENUE OFFICER)
NPI Enumeration Date12/22/2006

Related Entities

Other providers sharing the same authorized official: KARLIN, MARJI

ProviderCityStateTotal Paid
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $217.68M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $178.84M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $176.33M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $160.32M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION ELMHURST NY $146.57M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION JAMAICA NY $125.54M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $119.27M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $108.18M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $107.34M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $100.78M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $57.46M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $48.88M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $34.62M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $19.59M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $16.91M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $5.55M
NEW YORK CITY HEALTH & HOSPITALS CORPORATION BROOKLYN NY $896K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $335K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $410.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,113 $570K
2019 29,093 $1.15M
2020 131,553 $5.37M
2021 270,327 $10.23M
2022 132,325 $5.35M
2023 109,714 $4.29M
2024 116,035 $3.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 63,992 53,981 $4.71M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,108 42,311 $4.15M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34,263 28,703 $2.38M
90832 Psychotherapy, 30 minutes with patient 22,748 15,598 $2.12M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,949 15,246 $1.84M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 59,233 50,856 $1.14M
36415 Collection of venous blood by venipuncture 120,047 35,787 $1.05M
90834 Psychotherapy, 45 minutes with patient 7,035 4,588 $861K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,207 6,640 $722K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,535 5,183 $602K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 24,442 21,369 $582K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,373 4,802 $490K
99442 5,385 5,050 $416K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,935 8,147 $390K
99443 4,196 4,045 $384K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,508 4,339 $381K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 11,190 10,475 $363K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,627 3,056 $329K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 10,118 9,894 $317K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16,833 16,547 $315K
90460 Immunization administration through 18 years of age via any route, first or only component 8,489 8,372 $312K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,858 1,812 $294K
D0999 Unspecified diagnostic procedure, by report 1,803 1,627 $288K
86480 4,612 4,537 $285K
99441 4,412 4,202 $261K
D9999 Unspecified adjunctive procedure, by report 1,794 1,550 $254K
77067 Screening mammography, bilateral, including computer-aided detection 1,903 1,872 $249K
80061 Lipid panel 19,412 18,976 $224K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,820 1,790 $214K
99201 2,443 2,344 $194K
80053 Comprehensive metabolic panel 15,032 14,772 $177K
90791 Psychiatric diagnostic evaluation 1,137 951 $169K
90461 3,113 3,095 $165K
90750 970 952 $162K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,022 1,595 $158K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,196 1,174 $145K
85027 24,582 24,060 $133K
83036 Hemoglobin; glycosylated (A1C) 16,316 15,935 $132K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,106 1,018 $131K
99215 Prolong outpt/office vis 788 741 $127K
90472 Immunization administration, each additional vaccine (list separately) 5,406 5,362 $125K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 3,420 2,560 $123K
84443 Thyroid stimulating hormone (TSH) 8,416 8,251 $116K
86703 7,931 7,792 $105K
81001 21,927 15,831 $102K
86780 6,767 6,616 $87K
90651 1,789 1,785 $86K
86769 2,881 2,580 $84K
87536 907 889 $84K
0012A 2,135 2,126 $82K
99383 641 637 $80K
0011A 2,252 2,233 $74K
90686 6,493 6,471 $73K
83655 5,439 5,374 $71K
90677 411 411 $70K
H0040 Assertive community treatment program, per diem 37 37 $67K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,411 2,971 $59K
86803 4,664 4,590 $58K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 994 912 $57K
D1110 Prophylaxis - adult 2,223 1,848 $56K
99384 388 388 $53K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,042 2,015 $53K
90746 799 794 $51K
96127 8,435 8,167 $50K
11721 1,406 1,000 $49K
80048 Basic metabolic panel (calcium, ionized) 4,869 4,771 $46K
99051 2,152 1,908 $45K
90620 1,054 1,052 $45K
90715 1,929 1,917 $45K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 615 471 $45K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 2,657 1,282 $44K
D0120 Periodic oral evaluation - established patient 2,547 1,565 $40K
86706 3,496 3,438 $35K
0064A 858 856 $35K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 253 248 $34K
99385 255 251 $33K
87340 2,995 2,953 $30K
86762 2,113 2,074 $30K
83020 2,219 2,200 $29K
T1013 Sign language or oral interpretive services, per 15 minutes 1,561 1,455 $29K
86765 2,115 2,075 $27K
3074F 8,475 7,259 $24K
86735 2,075 2,036 $23K
86787 2,080 2,041 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 730 726 $22K
92250 498 493 $22K
90670 878 869 $21K
90734 1,228 1,226 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,432 1,133 $20K
D0330 Panoramic radiographic image 1,082 611 $19K
77063 Screening digital breast tomosynthesis, bilateral 343 343 $18K
90853 Group psychotherapy (other than of a multiple-family group) 333 217 $18K
D0150 Comprehensive oral evaluation - new or established patient 851 432 $18K
82607 1,299 1,281 $17K
84153 1,094 1,067 $17K
99382 129 129 $16K
90697 126 126 $16K
D0140 Limited oral evaluation - problem focused 680 355 $16K
82728 1,236 1,214 $16K
84439 1,991 1,961 $16K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 544 337 $16K
90480 323 323 $15K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,014 1,682 $15K
99386 96 92 $14K
82274 1,252 1,226 $14K
D1120 Prophylaxis - child 821 512 $14K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 408 405 $14K
80076 1,595 1,557 $14K
82043 2,587 2,542 $14K
90716 250 247 $12K
90732 112 111 $11K
97802 383 371 $11K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 51 50 $11K
H0004 Behavioral health counseling and therapy, per 15 minutes 121 115 $10K
99205 Prolong outpt/office vis 67 65 $10K
D0220 Intraoral - periapical first radiographic image 1,472 1,243 $8K
0134A 198 198 $8K
81025 1,243 1,188 $8K
90846 Family psychotherapy without the patient present, 50 minutes 87 78 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 316 164 $8K
83540 1,240 1,213 $7K
86704 665 652 $7K
87086 Culture, bacterial; quantitative colony count, urine 958 931 $7K
D0274 Bitewings - four radiographic images 759 672 $7K
90707 158 157 $7K
87486 280 106 $6K
00120 246 103 $6K
V5008 Hearing screening 119 119 $6K
90792 Psychiatric diagnostic evaluation with medical services 53 52 $6K
90656 600 600 $6K
87081 759 724 $6K
86003 123 111 $6K
90633 793 790 $6K
86696 353 350 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 712 697 $5K
84466 406 403 $5K
83550 668 648 $5K
90669 583 246 $5K
96161 482 467 $5K
86695 352 349 $5K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 81 79 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 52 51 $4K
92134 84 84 $4K
86360 73 64 $4K
36410 310 309 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 184 183 $4K
71046 Radiologic examination, chest; 2 views 106 104 $3K
91322 73 72 $3K
88142 135 134 $3K
86359 72 63 $3K
87071 120 83 $3K
0124A 54 54 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 507 505 $2K
86580 155 110 $2K
92551 140 138 $2K
D0230 Intraoral - periapical each additional radiographic image 701 701 $2K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 91 59 $2K
87581 64 63 $2K
86708 133 132 $2K
D0210 Intraoral - complete series of radiographic images 95 95 $1K
86592 345 342 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 28 12 $1K
0154A 27 27 $1K
D1208 Topical application of fluoride, excluding varnish 347 344 $1K
99401 26 26 $1K
82785 87 86 $1K
86593 317 316 $1K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 45 45 $1K
85014 541 522 $1K
92015 Determination of refractive state 46 46 $1K
85018 539 520 $1K
82465 272 267 $1K
90710 170 169 $1K
83021 56 56 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 258 238 $1K
99403 12 12 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 18 18 $1K
H0049 Alcohol and/or drug screening 21 21 $1K
91320 15 15 $980.28
99173 76 75 $788.90
92083 12 12 $760.70
84436 121 120 $649.16
D1206 Topical application of fluoride varnish 83 83 $600.50
90661 81 81 $561.49
G0463 Hospital outpatient clinic visit for assessment and management of a patient 14 12 $560.03
87800 14 14 $544.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 57 42 $527.80
90698 332 325 $499.80
92133 13 12 $487.16
84550 108 107 $465.70
90674 71 71 $395.99
90653 22 22 $342.25
90696 77 77 $325.77
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 24 $295.44
82570 50 50 $292.50
90744 50 49 $285.95
91319 64 64 $210.21
96160 17 17 $145.38
85651 43 42 $143.21
99381 63 63 $132.62
90658 79 79 $129.70
84479 25 25 $79.18
82550 14 13 $76.21
84460 12 12 $72.61
84450 12 12 $72.61
82947 12 12 $48.19
1159F 1,460 1,089 $45.00
85041 42 42 $42.25
90681 28 28 $35.70
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 137 133 $33.18
94760 13 13 $30.76
81003 16 16 $28.54
90654 12 12 $19.35
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $17.34
36406 12 12 $12.26
3077F 1,624 1,512 $0.00
3078F 8,707 8,104 $0.00
1160F 954 816 $0.00
99499 656 539 $0.00
99080 18 14 $0.00
90685 19 19 $0.00
3080F 502 459 $0.00
3079F 2,502 2,386 $0.00
3075F 2,758 2,641 $0.00
G0008 Administration of influenza virus vaccine 27 27 $0.00
1220F 420 420 $0.00
D0601 36 35 $0.00
D0603 15 15 $0.00