Montefiore Medical Center

Montefiore Medical Center was paid $76K by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 41% of everything it billed.

33Billing provider infoMONTEFIORE MEDICAL CENTER
BRONX, NY 10467

33aNPI1073708392assigned 09/10/2007

33bProvider typeGeneral Acute Care Hospital

28Total paid$76K

24GClaims1,361

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#140 of 231

Median peer was paid$561K

This provider vs. median0.1×

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	411	$26K
2019	763	$42K
2020	187	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	41%	919	448	$31K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	36%	245	202	$27K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	10%	62	55	$8K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	5.9%	30	26	$4K
H0005	Alcohol and/or drug services; group counseling by a clinician	3.8%	50	13	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	27	25	$3K
96127		0%	28	28	$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 officialDOWLING, MICHAEL (DIRECTOR)

Parent organizationMONTEFIORE MEDICAL CENTER

Same official

Other billing entities under DOWLING, MICHAEL

Full network →

Provider	Location	Paid
Montefiore North Ambulatory Care Center INC	Bronx, NY	$569K
Gun Hill Mri PC	Bronx, NY	$302K
Montefiore Medical Center	Bronx, NY	$14K
Montefiore Medical Center	Bronx, NY	$0.00

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