Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC

NPI: 1205944329 · BRONX, NY 10461 · Emergency Medicine Physician · NPI assigned 08/28/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$4.25M
Total Medicaid Paid
106,627
Total Claims
102,797
Beneficiaries
9
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date08/28/2006

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC SAN BERNARDINO CA $32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC ARLINGTON WA $17.61M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC SAN JOSE CA $16.34M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC HUMBLE TX $16.31M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION MIDDLETOWN OH $9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC CHICAGO IL $4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF GEORGIA PC MACON GA $4.65M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M
COGENT HEALTHCARE OF NORTH CAROLINA, PC HIGH POINT NC $3.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 5,958 $248K
2020 15,948 $532K
2021 19,672 $725K
2022 24,193 $991K
2023 23,179 $981K
2024 17,677 $772K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 50,508 49,392 $2.36M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18,033 17,615 $1.24M
99283 Emergency department visit for the evaluation and management, moderate severity 23,983 23,425 $606K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,856 5,646 $31K
99282 Emergency department visit for the evaluation and management, low to moderate severity 386 379 $6K
10060 12 12 $587.92
99281 Emergency department visit for the evaluation and management, self-limited or minor 13 12 $103.48
99053 4,816 4,764 $88.10
99080 3,020 1,552 $0.00