Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1134137375 · BRONX, NY 10454 · Internal Medicine Physician · NPI assigned 08/03/2006

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

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

$19.59M
Total Medicaid Paid
582,874
Total Claims
486,140
Beneficiaries
232
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARLIN, MARJI (CHIEF REVENUE OFFICER)
NPI Enumeration Date08/03/2006

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 BROOKLYN NY $30.93M
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 2,604 $34K
2019 32,062 $1.14M
2020 106,198 $3.89M
2021 157,754 $5.37M
2022 105,344 $3.80M
2023 87,553 $2.88M
2024 91,359 $2.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43,670 34,290 $3.24M
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 19,858 15,278 $1.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,211 9,112 $1.11M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19,641 16,336 $1.07M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,831 5,976 $654K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,367 4,958 $606K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,422 1,402 $589K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 22,101 14,701 $578K
86480 8,828 8,655 $560K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,138 5,157 $549K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12,938 12,552 $414K
90460 Immunization administration through 18 years of age via any route, first or only component 9,199 9,144 $373K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,300 2,997 $311K
97802 6,963 6,745 $299K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15,516 15,315 $298K
D0999 Unspecified diagnostic procedure, by report 1,809 1,701 $289K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,727 2,394 $247K
99443 2,708 2,656 $233K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,036 4,259 $232K
99442 3,281 3,173 $231K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 11,286 10,064 $226K
90461 4,127 4,113 $218K
77067 Screening mammography, bilateral, including computer-aided detection 1,663 1,644 $211K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,575 1,564 $198K
99201 2,968 2,915 $192K
99441 3,581 3,495 $187K
D9999 Unspecified adjunctive procedure, by report 1,267 1,003 $180K
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 7,235 6,501 $180K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,445 1,432 $173K
80053 Comprehensive metabolic panel 17,612 11,956 $172K
80061 Lipid panel 13,607 12,705 $154K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,769 1,754 $147K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 867 861 $146K
86703 9,914 8,822 $139K
81001 28,294 9,457 $124K
85027 21,080 20,815 $119K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,372 1,350 $116K
83036 Hemoglobin; glycosylated (A1C) 13,795 13,500 $113K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 3,129 2,179 $111K
86769 4,183 3,154 $110K
92558 8,149 5,733 $109K
90677 574 573 $104K
90472 Immunization administration, each additional vaccine (list separately) 4,931 4,902 $102K
84443 Thyroid stimulating hormone (TSH) 6,896 6,794 $96K
86780 6,814 6,699 $89K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,174 3,129 $86K
11721 2,596 1,889 $84K
90686 6,435 6,403 $83K
H0049 Alcohol and/or drug screening 1,668 1,656 $81K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 580 577 $80K
87486 3,185 1,764 $78K
0012A 1,980 1,977 $76K
36415 Collection of venous blood by venipuncture 14,068 5,353 $75K
90746 1,218 1,213 $72K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,493 2,473 $72K
96127 11,078 10,461 $70K
90651 1,052 1,047 $69K
0011A 2,086 2,073 $66K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,071 2,066 $65K
94760 8,962 4,800 $64K
83655 4,691 4,353 $62K
99215 Prolong outpt/office vis 351 342 $54K
87581 1,452 1,432 $50K
T1013 Sign language or oral interpretive services, per 15 minutes 2,471 2,390 $49K
0064A 1,167 1,167 $48K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,457 1,410 $48K
86803 3,372 3,347 $43K
81025 4,475 4,154 $43K
92551 2,445 2,065 $40K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 86 85 $39K
3074F 12,397 9,225 $38K
80048 Basic metabolic panel (calcium, ionized) 4,698 3,427 $36K
86706 3,421 3,332 $35K
90715 1,371 1,365 $35K
90620 735 733 $34K
99051 1,528 1,523 $34K
87340 3,210 3,136 $33K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,358 1,574 $32K
86762 2,020 1,968 $29K
88142 1,146 1,123 $26K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 180 178 $25K
99406 1,446 1,445 $24K
86765 1,845 1,798 $23K
71046 Radiologic examination, chest; 2 views 651 646 $23K
99381 208 206 $23K
86787 2,013 1,962 $23K
97803 400 395 $22K
92250 496 486 $21K
86735 1,831 1,786 $21K
82728 1,595 1,578 $21K
82948 2,042 1,095 $20K
99173 4,052 4,027 $20K
99383 161 161 $19K
92015 Determination of refractive state 724 722 $18K
99385 119 118 $16K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 776 577 $16K
80076 1,954 1,942 $16K
87086 Culture, bacterial; quantitative colony count, urine 2,053 1,939 $16K
87800 422 395 $16K
83550 2,001 1,964 $15K
90732 118 117 $14K
90674 613 605 $14K
81408 14 14 $13K
83540 2,150 2,111 $13K
90714 524 522 $12K
76801 87 82 $11K
84702 785 701 $11K
D0120 Periodic oral evaluation - established patient 1,251 800 $10K
84439 1,136 1,111 $10K
D0150 Comprehensive oral evaluation - new or established patient 1,032 528 $9K
90670 815 810 $9K
0134A 209 209 $9K
87081 1,299 1,259 $9K
99384 67 67 $9K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 312 312 $9K
90480 187 187 $8K
90707 201 200 $7K
83020 519 488 $7K
D0274 Bitewings - four radiographic images 875 833 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 116 75 $6K
85045 1,534 1,520 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 44 43 $6K
77063 Screening digital breast tomosynthesis, bilateral 121 121 $6K
96161 886 813 $6K
90656 513 513 $6K
91322 86 85 $6K
86708 462 461 $6K
82043 1,090 1,081 $6K
86580 414 355 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 329 320 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 42 40 $5K
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 1,635 1,441 $5K
82607 326 321 $5K
D0220 Intraoral - periapical first radiographic image 1,235 1,211 $4K
90697 33 33 $4K
86850 295 271 $4K
90734 579 578 $4K
D4341 239 103 $4K
90716 103 103 $4K
D1110 Prophylaxis - adult 406 397 $4K
0072A 78 78 $4K
0071A 77 77 $4K
90633 479 479 $3K
D0140 Limited oral evaluation - problem focused 320 308 $3K
0124A 56 56 $3K
86592 493 480 $3K
99382 266 146 $3K
81161 14 14 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 532 496 $2K
D1208 Topical application of fluoride, excluding varnish 701 696 $2K
84460 451 446 $2K
D1120 Prophylaxis - child 238 231 $2K
86901 342 314 $2K
90662 102 101 $2K
90698 295 294 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 267 265 $2K
81003 885 864 $2K
82248 384 383 $2K
86900 338 310 $2K
D0230 Intraoral - periapical each additional radiographic image 823 820 $2K
86003 75 74 $2K
84450 433 429 $2K
D0191 315 219 $2K
D7140 Extraction, erupted tooth or exposed root 27 27 $2K
81405 12 12 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $2K
82274 140 140 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 44 42 $2K
90474 111 111 $2K
86704 139 139 $2K
D0330 Panoramic radiographic image 146 146 $2K
0004A 31 31 $1K
11056 17 17 $1K
D1330 1,053 850 $1K
84703 251 251 $1K
90680 230 227 $1K
81361 14 14 $1K
90473 61 61 $1K
90661 45 45 $998.26
90710 64 64 $947.22
90672 156 156 $922.68
81401 14 14 $904.20
81257 15 15 $872.10
D1351 Sealant - per tooth 113 37 $837.48
D1206 Topical application of fluoride varnish 105 105 $781.15
90694 27 27 $753.19
90653 41 41 $751.17
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12 12 $739.63
72100 16 16 $693.10
0074A 15 15 $677.35
82785 48 48 $653.92
81243 14 14 $593.19
81255 14 14 $535.11
82947 126 124 $492.93
81200 14 14 $491.43
81251 14 14 $491.43
82951 43 38 $427.59
81400 14 14 $422.16
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 758 726 $420.31
81260 14 14 $408.82
83525 34 33 $396.54
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 32 31 $375.53
82746 27 27 $373.62
90744 43 43 $368.91
87177 36 30 $341.49
82105 24 24 $310.30
90696 50 50 $284.30
86593 61 61 $282.34
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 12 $167.38
D0210 Intraoral - complete series of radiographic images 33 33 $151.58
90648 25 25 $143.18
D2391 Resin-based composite - one surface, posterior, primary or permanent 13 12 $135.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 41 41 $123.63
87186 15 14 $118.63
87338 12 12 $117.33
81015 24 24 $85.99
J7510 Prednisolone oral, per 5 mg 35 34 $59.50
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 46 43 $29.12
3077F 612 577 $0.00
3078F 9,488 8,532 $0.00
99499 586 464 $0.00
1160F 15 13 $0.00
1159F 21 14 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 12 12 $0.00
3075F 1,588 1,541 $0.00
3079F 1,938 1,856 $0.00
3080F 146 135 $0.00
D1310 87 87 $0.00
1220F 988 988 $0.00
D0602 14 13 $0.00
D0601 36 34 $0.00
G0008 Administration of influenza virus vaccine 19 19 $0.00