Bronxcare DR. Martin Luther King JR. Health Center
Bronxcare DR. Martin Luther King JR. Health Center was paid $511K by Medicaid between Jan 2018 and Mar 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
BRONX, NY 10460
Next to other Federally Qualified Health Center (FQHC) providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,911 | $209K | |
| 2019 | 3,866 | $232K | |
| 2020 | 990 | $70K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 2,333 | 1,953 | $220K |
| 36415 | Collection of venous blood by venipuncture | 30% | 5,042 | 1,500 | $152K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 23% | 1,216 | 1,069 | $118K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.9% | 176 | 135 | $20K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Bronxcare Health System | Bronx, NY | $348.43M |
| Bronxcare Health System | Bronx, NY | $62.38M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $60.39M |
| Bronxcare Health System | Bronx, NY | $13.04M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $7.31M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $6.55M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $6.04M |
| Bronxcare Health System | Bronx, NY | $4.30M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $3.14M |
| Bronxcare Health System | Bronx, NY | $420K |
| Bronxcare Health System | Bronx, NY | $403K |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $392K |
| Bronxcare Health System | Bronx, NY | $13K |
| Bronxcare Health System | Bronx, NY | $12K |
| Bronxcare Special Care Center | Bronx, NY | $6K |
| Bronxcare Health System | Bronx, NY | $2K |
| Bronxcare Health System | Bronx, NY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.