Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BROOKLYN › ODA PRIMARY HEALTH CARE NETWORK, INC.

ODA PRIMARY HEALTH CARE NETWORK, INC.

NPI: 1184186496 · BROOKLYN, NY 11249 · Federally Qualified Health Center (FQHC) · NPI assigned 04/04/2019

$36.91M
Total Medicaid Paid
1,208,128
Total Claims
814,973
Beneficiaries
133
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTEITELBAUM, ROSE (CFO)
Parent OrganizationODA PRIMARY HEALTH CARE NETWORK, INC.
NPI Enumeration Date04/04/2019

Related Entities

Other providers sharing the same authorized official: TEITELBAUM, ROSE

ProviderCityStateTotal Paid
ODA PRIMARY HEALTH CARE NETWORK, INC. BROOKLYN NY $6.88M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 64,827 $1.98M
2020 245,852 $10.25M
2021 324,396 $14.53M
2022 211,196 $5.79M
2023 202,656 $2.94M
2024 159,201 $1.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 338,137 237,957 $13.36M
94760 219,438 111,683 $5.99M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 116,281 83,252 $2.48M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 53,902 34,442 $2.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33,172 24,536 $1.57M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 43,280 23,030 $1.53M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 22,435 12,355 $993K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 28,187 17,854 $922K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 22,126 12,814 $872K
17110 8,153 6,999 $842K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 8,337 4,264 $672K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16,613 10,810 $524K
36415 Collection of venous blood by venipuncture 39,056 27,770 $367K
99401 11,198 4,845 $331K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 10,431 10,287 $259K
D1110 Prophylaxis - adult 5,558 5,558 $205K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,552 3,379 $193K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 9,101 7,748 $188K
D0120 Periodic oral evaluation - established patient 8,296 8,296 $179K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 28,327 16,683 $173K
99173 7,760 3,706 $161K
D0220 Intraoral - periapical first radiographic image 14,894 14,812 $152K
90460 Immunization administration through 18 years of age via any route, first or only component 19,542 19,000 $151K
99381 1,721 1,151 $140K
85018 14,711 11,710 $138K
81000 8,597 5,977 $132K
99490 Ccm add 20min 1,563 825 $128K
D0140 Limited oral evaluation - problem focused 10,684 10,285 $111K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,017 1,528 $101K
D1120 Prophylaxis - child 3,013 3,013 $98K
83655 5,072 3,475 $96K
11730 1,713 732 $95K
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 3,561 1,493 $95K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,765 1,653 $85K
D0274 Bitewings - four radiographic images 4,314 4,314 $84K
11721 1,809 1,104 $77K
36416 5,404 3,558 $76K
99215 Prolong outpt/office vis 2,034 904 $73K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 955 695 $72K
D2751 Crown - porcelain fused to predominantly base metal 194 187 $70K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,339 1,140 $68K
D0270 5,996 5,965 $63K
D0272 Bitewings - two radiographic images 3,802 3,799 $48K
69210 2,030 1,566 $48K
10060 691 593 $44K
11720 883 547 $37K
92551 3,388 2,968 $33K
D2930 Prefabricated stainless steel crown - primary tooth 458 334 $32K
D1208 Topical application of fluoride, excluding varnish 2,866 2,866 $32K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 100 100 $29K
D2391 Resin-based composite - one surface, posterior, primary or permanent 840 684 $28K
90723 2,521 1,796 $26K
D2150 Silver amalgam - two surfaces, primary or permanent 555 475 $26K
71046 Radiologic examination, chest; 2 views 4,197 3,906 $25K
17111 188 173 $24K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 432 314 $23K
0012A 721 721 $22K
D1206 Topical application of fluoride varnish 779 779 $20K
93000 1,085 858 $19K
D3320 106 102 $17K
0011A 720 719 $17K
D0230 Intraoral - periapical each additional radiographic image 3,231 3,230 $16K
D1351 Sealant - per tooth 420 187 $15K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 2,863 1,529 $14K
90686 2,660 2,648 $12K
90461 7,617 7,519 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 419 265 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,043 902 $10K
90677 704 704 $9K
D9110 507 499 $8K
D0150 Comprehensive oral evaluation - new or established patient 372 372 $8K
D7140 Extraction, erupted tooth or exposed root 214 183 $7K
12001 83 83 $6K
0064A 141 141 $5K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 90 37 $5K
11900 95 88 $5K
0001A 124 124 $5K
D2140 157 129 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 101 95 $4K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 12 12 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 50 46 $3K
0071A 75 75 $3K
99441 94 83 $3K
11102 25 25 $2K
0072A 66 66 $2K
0002A 59 59 $2K
D2954 25 24 $2K
D0210 Intraoral - complete series of radiographic images 245 243 $2K
90670 1,290 1,240 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 34 15 $2K
90648 728 685 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 171 160 $1K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 116 32 $1K
73630 148 139 $1K
90710 500 481 $1K
99443 28 27 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 486 460 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21 13 $1K
90716 285 266 $975.66
90682 16 16 $900.00
99000 2,955 2,896 $850.88
0031A 24 24 $694.84
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 329 311 $679.76
90715 218 209 $616.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg 50 36 $572.56
J8540 Dexamethasone, oral, 0.25 mg 48 42 $569.22
90734 54 40 $549.36
73140 29 25 $454.08
D1354 27 17 $450.00
86580 26 22 $403.04
90656 100 100 $150.06
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 100 60 $140.09
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 28 16 $122.83
81025 65 65 $40.98
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 122 119 $24.47
85048 32 29 $1.14
91307 121 115 $0.41
91306 119 119 $0.39
91300 198 186 $0.25
91301 923 906 $0.12
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 19 19 $0.11
91303 43 43 $0.01
90619 297 297 $0.00
90697 394 394 $0.00
90696 314 314 $0.00
90651 15 15 $0.00
90660 13 13 $0.00
90707 242 242 $0.00
73130 17 17 $0.00
90700 181 181 $0.00
Q0239 Injection, bamlanivimab-xxxx, 700 mg 19 19 $0.00
90672 71 71 $0.00
90661 20 20 $0.00