Clinic
Montefiore Medical Center
Montefiore Medical Center was paid $1.88M by Medicaid between Jan 2019 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoMONTEFIORE MEDICAL CENTER
BRONX, NY 10462
BRONX, NY 10462
33aNPI1255660148assigned 12/23/2009
33bProvider typeClinic/Center
28Total paid$1.88M
24GClaims22,958
24DCodes billed17
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#87 of 235
Median peer was paid$630K
This provider vs. median3.0×
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.
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 | |
|---|---|---|---|
| 2019 | 5,362 | $433K | |
| 2020 | 594 | $38K | |
| 2021 | 4,527 | $261K | |
| 2022 | 3,985 | $367K | |
| 2023 | 5,291 | $466K | |
| 2024incomplete | 3,199 | $311K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 76% | 11,773 | 11,675 | $1.42M |
| 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 | 13% | 2,003 | 1,975 | $243K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 606 | 603 | $75K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.9% | 438 | 438 | $54K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 304 | 304 | $38K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 2,541 | 2,519 | $26K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 182 | 181 | $9K |
| 99051 | <1% | 2,677 | 2,662 | $5K | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 33 | 33 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 100 | 99 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 76 | 76 | $679.00 |
| 81003 | <1% | 271 | 268 | $538.84 |
5 more codes
| 81025 | <1% | 175 | $350.00 | |
| 93000 | <1% | 13 | $195.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 64 | $8.54 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 30 | $6.12 |
| 99072 | 0% | 1,672 | $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 officialDOWLING, MICHAEL (DIRECTOR PROVIDER SERVICES & NTWK)
| Provider | Location | Paid |
|---|---|---|
| Montefiore North Ambulatory Care Center INC | Bronx, NY | $569K |
| Gun Hill Mri PC | Bronx, NY | $302K |
| Montefiore Medical Center | Bronx, NY | $14K |
| Montefiore Medical Center | Bronx, NY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.