Behavioral
The Institute for Family Health
The Institute for Family Health was paid $4.85M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99499, — 62% of everything it billed.
33Billing provider infoTHE INSTITUTE FOR FAMILY HEALTH
BRONX, NY 10473
BRONX, NY 10473
33aNPI1194073056assigned 08/27/2012
33bProvider typeClinical Social Worker
28Total paid$4.85M
24GClaims106,300
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in New York
Rank by total paid#21 of 882
Median peer was paid$53K
This provider vs. median92×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GAYLE, ERIC controls 19+ related entities in our dataset. Read more
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 | 35,060 | $2.09M | |
| 2019 | 42,106 | $2.20M | |
| 2020 | 1,891 | $28K | |
| 2021 | 1,128 | $23K | |
| 2022 | 7,802 | $144K | |
| 2023 | 9,388 | $178K | |
| 2024incomplete | 8,925 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99499 | 62% | 26,013 | 23,279 | $3.03M | |
| D7999 | 21% | 36,810 | 8,160 | $1.02M | |
| D1110 | Prophylaxis - adult | 4.4% | 6,405 | 6,332 | $214K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 4,623 | 4,589 | $92K |
| D0274 | Bitewings - four radiographic images | 1.5% | 3,968 | 3,943 | $71K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 7,181 | 7,130 | $64K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 1,221 | 1,059 | $60K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 1,795 | 1,787 | $60K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,387 | 1,098 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,000 | 1,948 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 590 | 570 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,553 | 4,535 | $25K |
21 more codes
| D0330 | Panoramic radiographic image | <1% | 936 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,268 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 154 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,319 | $13K |
| D0272 | Bitewings - two radiographic images | <1% | 682 | $9K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,635 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 66 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 24 | $4K |
| 3074F | <1% | 327 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 70 | $2K |
| D0270 | <1% | 164 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 16 | $1K |
| 0011A | <1% | 50 | $1K | |
| 0012A | <1% | 38 | $1K | |
| 99441 | <1% | 14 | $621.26 | |
| D9110 | <1% | 24 | $342.24 | |
| D0160 | <1% | 15 | $259.34 | |
| 3078F | <1% | 142 | $223.19 | |
| D1330 | <1% | 2,645 | $203.58 | |
| 1170F | <1% | 143 | $97.98 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 22 | $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 officialGAYLE, ERIC (PRESIDENT AND CEO)
Parent organizationTHE INSTITUTE FOR FAMILY HEALTH
| Provider | Location | Paid |
|---|---|---|
| The Institute for Family Health | New York, NY | $80.80M |
| The Institute for Family Health | New Paltz, NY | $15.21M |
| The Institute for Family Health | New York, NY | $6.27M |
| The Institute for Family Health | Bronx, NY | $4.99M |
| The Institute for Family Health | Kingston, NY | $4.47M |
| The Institute for Family Health | Ellenville, NY | $1.98M |
| The Institute for Family Health | New York, NY | $1.35M |
| The Institute for Family Health | New Paltz, NY | $1.33M |
| The Institute for Family Health | Brooklyn, NY | $1.26M |
| The Institute for Family Health | Bronx, NY | $1.00M |
| The Institute for Family Health | Bronx, NY | $964K |
| The Institute for Family Health | Bronx, NY | $927K |
| The Institute for Family Health | Hyde Park, NY | $659K |
| The Institute for Family Health | New York, NY | $576K |
| The Institute for Family Health | Kingston, NY | $478K |
| The Institute for Family Health | New York, NY | $139K |
| The Institute for Family Health | Bronx, NY | $111K |
| The Institute for Family Health | New York, NY | $16K |
| The Institute for Family Health | New York, NY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.