Gonzalez, Sakima

Gonzalez, Sakima was paid $16.47M by Medicaid between Jan 2018 and Feb 2024, across 2 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 99% of everything it billed.

33Billing provider infoGONZALEZ, SAKIMA
BRONX, NY 10467

33aNPI1265620074assigned 10/05/2007

33bProvider typeSocial Worker

28Total paid$16.47M

24GClaims89,322

24DCodes billed2

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Social Worker providers in New York

Rank by total paid#6 of 192

Median peer was paid$40K

This provider vs. median416×

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.

Single-Code Concentration99% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.

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	3,340	$581K
2019	9,313	$1.62M
2020	21,406	$3.18M
2021	20,057	$3.85M
2022	17,857	$3.57M
2023	15,125	$3.17M
2024incomplete	2,224	$501K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	99%	87,966	24,906	$16.36M
H2014	Skills training and development, per 15 minutes	<1%	1,356	490	$113K

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.