Medicaid Provider Spending

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

NPI: 1245390855 · BRONX, NY 10457 · Emergency Medicine Physician · NPI assigned 12/12/2006

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

Authorized official DEMARCO, VICTOR controls 17+ related entities in our dataset. Read more

$62.38M
Total Medicaid Paid
1,005,475
Total Claims
889,170
Beneficiaries
138
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMARCO, VICTOR (CFO)
NPI Enumeration Date12/12/2006

Related Entities

Other providers sharing the same authorized official: DEMARCO, VICTOR

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 119,235 $7.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 107,527 105,918 $11.68M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 55,606 54,360 $8.59M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 117,139 112,134 $7.52M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 161,011 153,407 $7.00M
99232 Subsequent hospital care, per day, moderate complexity 115,485 46,895 $6.29M
99283 Emergency department visit for the evaluation and management, moderate severity 93,177 91,330 $5.71M
99238 Hospital discharge day management, 30 minutes or less 21,579 21,133 $1.30M
99222 Initial hospital care, per day, moderate complexity 11,906 11,413 $1.27M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,424 3,415 $1.27M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14,814 14,713 $964K
88305 Level IV - Surgical pathology, gross and microscopic examination 17,473 17,341 $961K
99233 Prolong inpt eval add15 m 11,537 3,950 $932K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 17,121 16,880 $818K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34,352 32,214 $721K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13,245 12,999 $649K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,587 10,556 $582K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 80,274 72,901 $525K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,910 2,807 $395K
99215 Prolong outpt/office vis 3,834 2,886 $378K
99221 5,135 4,991 $365K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,726 3,685 $359K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,733 6,723 $353K
99254 2,716 2,216 $350K
99218 4,820 4,735 $337K
90792 Psychiatric diagnostic evaluation with medical services 2,231 2,197 $317K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,971 2,820 $283K
99223 Prolong inpt eval add15 m 1,637 1,588 $255K
99217 4,177 4,039 $199K
99253 1,678 1,440 $176K
99281 Emergency department visit for the evaluation and management, self-limited or minor 8,596 8,355 $174K
99239 Hospital discharge day management, more than 30 minutes 1,872 1,841 $155K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,820 3,798 $152K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 939 935 $142K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,139 2,132 $124K
99225 2,107 1,967 $106K
36573 1,758 1,617 $95K
20610 1,771 1,734 $63K
99244 Office or other outpatient consultation, moderate to high complexity 467 460 $60K
99243 686 682 $57K
93793 7,218 5,252 $45K
99460 548 547 $44K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,158 1,095 $41K
88307 522 517 $38K
88141 1,623 1,611 $33K
88304 2,677 2,667 $32K
99219 324 321 $30K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 147 147 $29K
94060 3,955 3,946 $28K
93970 1,034 1,027 $26K
99282 Emergency department visit for the evaluation and management, low to moderate severity 585 527 $24K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,355 3,195 $23K
95810 Polysomnography; sleep staging with 4 or more additional parameters 243 243 $22K
99242 306 303 $20K
11721 1,580 1,578 $18K
94727 2,406 2,405 $18K
99255 115 109 $15K
94729 2,408 2,407 $13K
29581 851 190 $13K
95816 282 275 $12K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 284 269 $12K
90832 Psychotherapy, 30 minutes with patient 256 237 $12K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 255 243 $11K
99441 469 458 $11K
99443 121 121 $10K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 800 729 $9K
93925 399 393 $9K
31575 144 144 $9K
88300 1,445 1,434 $7K
88108 556 508 $7K
93227 404 341 $7K
99381 207 207 $7K
99462 169 140 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 391 389 $6K
99205 Prolong outpt/office vis 39 39 $6K
99457 415 415 $6K
99442 107 107 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 68 68 $5K
99252 92 83 $4K
36569 54 51 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 137 87 $4K
93320 257 242 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 179 179 $2K
88161 125 112 $2K
99406 264 257 $2K
93016 127 127 $2K
90846 Family psychotherapy without the patient present, 50 minutes 30 25 $2K
95800 91 91 $2K
90791 Psychiatric diagnostic evaluation 13 13 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 38 38 $2K
93298 109 108 $2K
93018 155 153 $2K
76818 135 57 $2K
93244 79 79 $1K
97802 25 25 $1K
76801 83 82 $1K
20550 42 38 $1K
97803 58 58 $1K
99402 33 33 $1K
99251 17 17 $895.55
88173 13 13 $863.85
93295 39 38 $818.37
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 607 569 $781.08
93325 397 377 $778.64
51741 104 104 $744.65
76937 54 51 $647.53
69210 39 37 $526.15
99606 28 27 $509.00
76813 36 36 $431.57
99201 54 54 $407.43
93272 31 31 $401.98
93321 66 65 $379.36
95886 14 12 $318.40
85060 27 24 $300.10
99607 26 25 $285.60
88112 13 13 $282.04
97597 18 14 $226.58
93922 25 24 $211.47
88311 13 13 $163.75
88302 13 13 $162.31
3074F 597 595 $74.06
3078F 943 929 $72.19
11056 12 12 $65.57
95012 110 110 $22.58
3075F 132 132 $12.50
3044F 368 366 $11.36
88720 14 12 $5.01
3008F 1,656 1,604 $0.00
3079F 323 320 $0.00
3080F 12 12 $0.00
3052F 13 13 $0.00
3085F 450 433 $0.00
99499 832 401 $0.00
3051F 122 122 $0.00
99080 525 70 $0.00
3046F 201 190 $0.00
3077F 318 316 $0.00
1159F 214 201 $0.00
93296 27 26 $0.00