Clinic
Settlement Health and Medical Services INC
Settlement Health and Medical Services INC was paid $16.40M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSETTLEMENT HEALTH AND MEDICAL SERVICES INC
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1144250291assigned 07/04/2006
33bProvider typeClinic/Center
28Total paid$16.40M
24GClaims307,695
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#19 of 235
Median peer was paid$630K
This provider vs. median26×
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 | 37,685 | $2.23M | |
| 2019 | 44,736 | $2.77M | |
| 2020 | 54,218 | $3.26M | |
| 2021 | 50,672 | $2.39M | |
| 2022 | 38,508 | $1.32M | |
| 2023 | 36,297 | $1.76M | |
| 2024incomplete | 45,579 | $2.68M |
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 | 40% | 79,492 | 44,193 | $6.58M |
| 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 | 19% | 40,284 | 25,112 | $3.07M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 19,767 | 7,090 | $1.02M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 21,383 | 6,489 | $987K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 14,979 | 5,165 | $770K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.9% | 9,032 | 4,741 | $646K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 13,114 | 3,490 | $594K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.9% | 7,123 | 4,305 | $471K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 3,242 | 1,250 | $346K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 3,675 | 2,353 | $298K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 2,083 | 1,191 | $192K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,531 | 1,115 | $148K |
78 more codes
| 99441 | <1% | 1,887 | $141K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,196 | $136K |
| 99442 | <1% | 1,886 | $123K | |
| 99443 | <1% | 1,688 | $110K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15,958 | $95K |
| 90658 | <1% | 10,399 | $91K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 792 | $90K |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,356 | $83K |
| 97803 | <1% | 3,034 | $68K | |
| 11721 | <1% | 580 | $57K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 270 | $33K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,684 | $28K |
| 99397 | <1% | 285 | $24K | |
| 85018 | <1% | 4,364 | $21K | |
| 90686 | <1% | 4,386 | $18K | |
| 92551 | <1% | 4,300 | $11K | |
| 0012A | <1% | 452 | $9K | |
| 0011A | <1% | 476 | $8K | |
| 97802 | <1% | 487 | $8K | |
| 0072A | <1% | 183 | $7K | |
| 90461 | <1% | 4,059 | $7K | |
| 99385 | <1% | 111 | $7K | |
| 0124A | <1% | 198 | $6K | |
| 90657 | <1% | 1,539 | $6K | |
| 0002A | <1% | 185 | $6K | |
| 99173 | <1% | 3,865 | $5K | |
| 96160 | <1% | 222 | $5K | |
| 0001A | <1% | 157 | $5K | |
| 0064A | <1% | 144 | $5K | |
| 0071A | <1% | 133 | $5K | |
| 91321 | <1% | 80 | $4K | |
| 90715 | <1% | 294 | $4K | |
| G0467 | Community health center visit, returning patient | <1% | 88 | $4K |
| 99383 | <1% | 36 | $4K | |
| 87210 | <1% | 792 | $3K | |
| 90480 | <1% | 163 | $3K | |
| 90651 | <1% | 795 | $3K | |
| 99381 | <1% | 26 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 22 | $3K |
| 0134A | <1% | 79 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $3K |
| 81002 | <1% | 1,108 | $2K | |
| 0154A | <1% | 62 | $2K | |
| 81025 | <1% | 408 | $2K | |
| 90656 | <1% | 961 | $2K | |
| 90723 | <1% | 525 | $2K | |
| 90734 | <1% | 658 | $1K | |
| 0004A | <1% | 42 | $1K | |
| 90633 | <1% | 450 | $1K | |
| 91322 | <1% | 54 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 14 | $1K |
| 90670 | <1% | 1,579 | $863.10 | |
| 86701 | <1% | 115 | $822.51 | |
| 0031A | <1% | 26 | $818.06 | |
| 90680 | <1% | 514 | $544.79 | |
| 0112A | <1% | 13 | $474.84 | |
| 90647 | <1% | 896 | $307.95 | |
| 90661 | <1% | 186 | $237.45 | |
| 90662 | <1% | 36 | $163.75 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 71 | $126.72 |
| 90677 | <1% | 164 | $56.23 | |
| 91300 | <1% | 437 | $0.04 | |
| 91306 | <1% | 142 | $0.01 | |
| 91311 | 0% | 27 | $0.00 | |
| 91312 | 0% | 179 | $0.00 | |
| 90710 | 0% | 25 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 91313 | 0% | 78 | $0.00 | |
| 58999 | 0% | 12 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 16 | $0.00 |
| 91315 | 0% | 63 | $0.00 | |
| 91307 | 0% | 350 | $0.00 | |
| 90697 | 0% | 50 | $0.00 | |
| 90698 | 0% | 24 | $0.00 | |
| 91303 | 0% | 26 | $0.00 | |
| 91301 | 0% | 954 | $0.00 | |
| 90696 | 0% | 25 | $0.00 | |
| 90620 | 0% | 12 | $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 officialTRILLA, ANA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Settlement Health and Medical Services INC | New York, NY | $1.39M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.