Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Bronx › NPI 1073858296
Physician

Bronxcare Health System

Bronxcare Health System was paid $420K by Medicaid between Aug 2018 and Jul 2022, across 5 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 52% of everything it billed.

33Billing provider infoBRONXCARE HEALTH SYSTEM
BRONX, NY 10457
33aNPI1073858296assigned 11/28/2012
33bProvider typePediatrics Physician
28Total paid$420K
24GClaims4,304
24DCodes billed5
24AFirst – last monthAug 2018 – Jul 2022
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#452 of 1,983
Median peer was paid$17K
This provider vs. median25×

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.

Entity ProliferationAuthorized official DEMARCO, VICTOR controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
201847$43.00
2019706$41K
20201,592$156K
20211,377$143K
2022582$80K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 52% 2,052 1,391 $220K
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 26% 1,472 1,104 $109K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 7.6% 54 43 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7.3% 272 239 $31K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.0% 454 297 $30K

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 officialDEMARCO, VICTOR (CFO/SVP)
Parent organizationBRONXCARE HEALTH SYSTEM
Same official

Other billing entities under DEMARCO, VICTOR

Full network →

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