Physician
Bronxcare Health System
Bronxcare Health System was paid $62.38M by Medicaid between Jan 2018 and Dec 2024, across 138 billing codes. Its largest line is 99284, emergency room visit (serious) — 19% of everything it billed.
33Billing provider infoBRONXCARE HEALTH SYSTEM
BRONX, NY 10457
BRONX, NY 10457
33aNPI1245390855assigned 12/12/2006
33bProvider typeEmergency Medicine Physician
28Total paid$62.38M
24GClaims1,005,475
24DCodes billed138
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in New York
Rank by total paid#2 of 2,113
Median peer was paid$5K
This provider vs. median13,753×
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 DEMARCO, VICTOR controls 17+ 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 | 122,357 | $6.20M | |
| 2019 | 141,742 | $7.53M | |
| 2020 | 130,982 | $7.54M | |
| 2021 | 160,170 | $10.66M | |
| 2022 | 171,774 | $11.86M | |
| 2023 | 159,215 | $10.79M | |
| 2024incomplete | 119,235 | $7.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 19% | 107,527 | 105,918 | $11.68M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 14% | 55,606 | 54,360 | $8.59M |
| 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 | 12% | 117,139 | 112,134 | $7.52M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 161,011 | 153,407 | $7.00M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 115,485 | 46,895 | $6.29M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.2% | 93,177 | 91,330 | $5.71M |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 21,579 | 21,133 | $1.30M |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 11,906 | 11,413 | $1.27M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.0% | 7,424 | 3,415 | $1.27M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 14,814 | 14,713 | $964K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.5% | 17,473 | 17,341 | $961K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 11,537 | 3,950 | $932K |
126 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 17,121 | $818K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 34,352 | $721K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 13,245 | $649K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 10,587 | $582K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 80,274 | $525K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 2,910 | $395K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,834 | $378K |
| 99221 | <1% | 5,135 | $365K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 3,726 | $359K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,733 | $353K |
| 99254 | <1% | 2,716 | $350K | |
| 99218 | <1% | 4,820 | $337K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,231 | $317K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 2,971 | $283K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,637 | $255K |
| 99217 | <1% | 4,177 | $199K | |
| 99253 | <1% | 1,678 | $176K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 8,596 | $174K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,872 | $155K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,820 | $152K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 939 | $142K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,139 | $124K |
| 99225 | <1% | 2,107 | $106K | |
| 36573 | <1% | 1,758 | $95K | |
| 20610 | <1% | 1,771 | $63K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 467 | $60K |
| 99243 | <1% | 686 | $57K | |
| 93793 | <1% | 7,218 | $45K | |
| 99460 | <1% | 548 | $44K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,158 | $41K |
| 88307 | <1% | 522 | $38K | |
| 88141 | <1% | 1,623 | $33K | |
| 88304 | <1% | 2,677 | $32K | |
| 99219 | <1% | 324 | $30K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 147 | $29K |
| 94060 | <1% | 3,955 | $28K | |
| 93970 | <1% | 1,034 | $26K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 585 | $24K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,355 | $23K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 243 | $22K |
| 99242 | <1% | 306 | $20K | |
| 11721 | <1% | 1,580 | $18K | |
| 94727 | <1% | 2,406 | $18K | |
| 99255 | <1% | 115 | $15K | |
| 94729 | <1% | 2,408 | $13K | |
| 29581 | <1% | 851 | $13K | |
| 95816 | <1% | 282 | $12K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 284 | $12K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 256 | $12K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 255 | $11K |
| 99441 | <1% | 469 | $11K | |
| 99443 | <1% | 121 | $10K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 800 | $9K |
| 93925 | <1% | 399 | $9K | |
| 31575 | <1% | 144 | $9K | |
| 88300 | <1% | 1,445 | $7K | |
| 88108 | <1% | 556 | $7K | |
| 93227 | <1% | 404 | $7K | |
| 99381 | <1% | 207 | $7K | |
| 99462 | <1% | 169 | $6K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 391 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 39 | $6K |
| 99457 | <1% | 415 | $6K | |
| 99442 | <1% | 107 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 68 | $5K |
| 99252 | <1% | 92 | $4K | |
| 36569 | <1% | 54 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 137 | $4K |
| 93320 | <1% | 257 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 179 | $2K |
| 88161 | <1% | 125 | $2K | |
| 99406 | <1% | 264 | $2K | |
| 93016 | <1% | 127 | $2K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 30 | $2K |
| 95800 | <1% | 91 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 38 | $2K |
| 93298 | <1% | 109 | $2K | |
| 93018 | <1% | 155 | $2K | |
| 76818 | <1% | 135 | $2K | |
| 93244 | <1% | 79 | $1K | |
| 97802 | <1% | 25 | $1K | |
| 76801 | <1% | 83 | $1K | |
| 20550 | <1% | 42 | $1K | |
| 97803 | <1% | 58 | $1K | |
| 99402 | <1% | 33 | $1K | |
| 99251 | <1% | 17 | $895.55 | |
| 88173 | <1% | 13 | $863.85 | |
| 93295 | <1% | 39 | $818.37 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 607 | $781.08 |
| 93325 | <1% | 397 | $778.64 | |
| 51741 | <1% | 104 | $744.65 | |
| 76937 | <1% | 54 | $647.53 | |
| 69210 | <1% | 39 | $526.15 | |
| 99606 | <1% | 28 | $509.00 | |
| 76813 | <1% | 36 | $431.57 | |
| 99201 | <1% | 54 | $407.43 | |
| 93272 | <1% | 31 | $401.98 | |
| 93321 | <1% | 66 | $379.36 | |
| 95886 | <1% | 14 | $318.40 | |
| 85060 | <1% | 27 | $300.10 | |
| 99607 | <1% | 26 | $285.60 | |
| 88112 | <1% | 13 | $282.04 | |
| 97597 | <1% | 18 | $226.58 | |
| 93922 | <1% | 25 | $211.47 | |
| 88311 | <1% | 13 | $163.75 | |
| 88302 | <1% | 13 | $162.31 | |
| 3074F | <1% | 597 | $74.06 | |
| 3078F | <1% | 943 | $72.19 | |
| 11056 | <1% | 12 | $65.57 | |
| 95012 | <1% | 110 | $22.58 | |
| 3075F | <1% | 132 | $12.50 | |
| 3044F | <1% | 368 | $11.36 | |
| 88720 | <1% | 14 | $5.01 | |
| 3008F | 0% | 1,656 | $0.00 | |
| 3079F | 0% | 323 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| 3052F | 0% | 13 | $0.00 | |
| 3085F | 0% | 450 | $0.00 | |
| 99499 | 0% | 832 | $0.00 | |
| 3051F | 0% | 122 | $0.00 | |
| 99080 | 0% | 525 | $0.00 | |
| 3046F | 0% | 201 | $0.00 | |
| 3077F | 0% | 318 | $0.00 | |
| 1159F | 0% | 214 | $0.00 | |
| 93296 | 0% | 27 | $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 officialDEMARCO, VICTOR (CFO)
| Provider | Location | Paid |
|---|---|---|
| Bronxcare Health System | Bronx, NY | $348.43M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $60.39M |
| Bronxcare Health System | Bronx, NY | $13.04M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $7.31M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $6.55M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $6.04M |
| Bronxcare Health System | Bronx, NY | $4.30M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $3.14M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $511K |
| Bronxcare Health System | Bronx, NY | $420K |
| Bronxcare Health System | Bronx, NY | $403K |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $392K |
| Bronxcare Health System | Bronx, NY | $13K |
| Bronxcare Health System | Bronx, NY | $12K |
| Bronxcare Special Care Center | Bronx, NY | $6K |
| Bronxcare Health System | Bronx, NY | $2K |
| Bronxcare Health System | Bronx, NY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.