Clinic
Core Health Medical, P.C.
Core Health Medical, P.C. was paid $654K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoCORE HEALTH MEDICAL, P.C.
BRONX, NY 10465
BRONX, NY 10465
33aNPI1124212683assigned 08/28/2007
33bProvider typeClinic/Center
28Total paid$654K
24GClaims49,661
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#115 of 235
Median peer was paid$630K
This provider vs. median1.0×
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 | 8,774 | $180K | |
| 2019 | 9,050 | $136K | |
| 2020 | 10,165 | $133K | |
| 2021 | 7,971 | $77K | |
| 2022 | 5,805 | $45K | |
| 2023 | 5,319 | $45K | |
| 2024incomplete | 2,577 | $37K |
Box 24 · Service lines
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 | 23% | 3,928 | 3,566 | $154K |
| 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 | 23% | 2,396 | 2,205 | $151K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 5,814 | 5,028 | $104K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 12% | 7,015 | 6,120 | $79K |
| 99401 | 11% | 4,930 | 4,260 | $74K | |
| 94060 | 5.5% | 737 | 735 | $36K | |
| 93000 | 1.7% | 747 | 743 | $11K | |
| 94016 | 1.1% | 733 | 731 | $7K | |
| 92550 | 1.0% | 770 | 769 | $7K | |
| 81000 | <1% | 4,268 | 4,126 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,012 | 4,889 | $5K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 5,386 | 4,833 | $4K |
23 more codes
| 86580 | <1% | 484 | $3K | |
| 99173 | <1% | 611 | $3K | |
| 81025 | <1% | 1,286 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $2K |
| 99442 | <1% | 27 | $1K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 153 | $830.02 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 73 | $737.90 |
| 81002 | <1% | 1,011 | $699.49 | |
| 90658 | <1% | 69 | $656.58 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | $620.65 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,044 | $332.87 |
| 93922 | <1% | 12 | $302.40 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | $238.00 |
| G0008 | Administration of influenza virus vaccine | <1% | 57 | $222.61 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 237 | $203.74 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 332 | $175.88 |
| 96127 | <1% | 77 | $161.65 | |
| 90756 | <1% | 15 | $150.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 121 | $11.66 |
| J1071 | Injection, testosterone cypionate, 1 mg | <1% | 1,829 | $10.65 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 114 | $3.75 |
| 99001 | 0% | 253 | $0.00 | |
| 88738 | 0% | 17 | $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 officialHILL, MARK (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.