Medicaid Provider Spending

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

MONTEFIORE MEDICAL CENTER

NPI: 1265591168 · BRONX, NY 10458 · Home Health Agency · NPI assigned 12/06/2006

$10.35M
Total Medicaid Paid
91,146
Total Claims
28,945
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMENASHY, DAVID (VICE PRESIDENT, FINANCE)
NPI Enumeration Date12/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,549 $434K
2019 11,474 $1.39M
2020 18,449 $2.08M
2021 18,511 $2.16M
2022 16,949 $1.90M
2023 12,152 $1.21M
2024 10,062 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 34,828 9,199 $3.72M
S9131 Physical therapy; in the home, per diem 32,050 9,140 $3.65M
T1030 Nursing care, in the home, by registered nurse, per diem 9,737 2,875 $1.53M
S9127 Social work visit, in the home, per diem 3,983 2,997 $538K
S9129 Occupational therapy, in the home, per diem 5,119 2,408 $522K
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 3,979 998 $317K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 280 264 $30K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 433 398 $24K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14 14 $3K
99284 Emergency department visit for the evaluation and management, high severity 28 28 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 25 $3K
T1001 Nursing assessment / evaluation 17 16 $3K
99215 Prolong outpt/office vis 12 12 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 30 27 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 17 17 $2K
71046 Radiologic examination, chest; 2 views 78 77 $1K
88112 16 16 $880.32
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 65 12 $855.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 70 61 $746.54
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $704.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $132.30
Q5001 Hospice or home health care provided in patient's home/residence 40 38 $0.36
1CHK1 286 285 $0.00
1BHK1 13 13 $0.00