Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hospitalist Medicine Physicians of New York, PLLC

Hospitalist Medicine Physicians of New York, PLLC was paid $4.25M by Medicaid between Oct 2019 and Dec 2024, across 9 billing codes. Its largest line is 99284, emergency room visit (serious) — 56% of everything it billed.

33Billing provider infoHOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC
BRONX, NY 10461
33aNPI1205944329assigned 08/28/2006
28Total paid$4.25M
24GClaims106,627
24DCodes billed9
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#34 of 2,113
Median peer was paid$5K
This provider vs. median937×

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 FALL, LAURA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20195,958$248K
202015,948$532K
202119,672$725K
202224,193$991K
202323,179$981K
2024incomplete17,677$772K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 56% 50,508 49,392 $2.36M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 29% 18,033 17,615 $1.24M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 23,983 23,425 $606K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 5,856 5,646 $31K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 386 379 $6K
10060 <1% 12 12 $587.92
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 13 12 $103.48
99053 <1% 4,816 4,764 $88.10
99080 0% 3,020 1,552 $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 officialFALL, LAURA (MANAGER)
Same official

Other billing entities under FALL, LAURA

Full network →

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