Carnegie Hill Institute

Carnegie Hill Institute was paid $1.25M by Medicaid between Jan 2019 and May 2023, across 8 billing codes. Its largest line is G0396, Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes — 49% of everything it billed.

33Billing provider infoCARNEGIE HILL INSTITUTE
NEW YORK, NY 10128

33aNPI1164549119assigned 03/23/2007

33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center

28Total paid$1.25M

24GClaims10,591

24DCodes billed8

24AFirst – last monthJan 2019 – May 2023

Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in New York

Rank by total paid#42 of 64

Median peer was paid$2.18M

This provider vs. median0.6×

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
2019	1,636	$159K
2020	4,494	$516K
2021	2,665	$322K
2022	1,525	$220K
2023	271	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	49%	5,524	1,419	$617K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	36%	2,930	735	$454K
H0005	Alcohol and/or drug services; group counseling by a clinician	4.9%	1,137	337	$61K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	3.2%	339	63	$40K
H0001	Alcohol and/or drug assessment	3.0%	239	169	$37K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1.5%	102	95	$19K
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	<1%	98	64	$12K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	222	131	$11K

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 officialKARKUS, ANNA MARIE (MEDICAL DIRECTOR)

Same official

Other billing entities under KARKUS, ANNA MARIE

Full network →

Provider	Location	Paid
Carnegie Hill Institute, INC.	New York, NY	$3.66M
Carnegie Hill of New York, INC	New York, NY	$816K

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