Hospital
Montefiore New Rochelle Hospital
Montefiore New Rochelle Hospital was paid $3.05M by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoMONTEFIORE NEW ROCHELLE HOSPITAL
YONKERS, NY 10701
YONKERS, NY 10701
33aNPI1295163244assigned 10/29/2013
33bProvider typeGeneral Acute Care Hospital
28Total paid$3.05M
24GClaims59,627
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in New York
Rank by total paid#101 of 231
Median peer was paid$561K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2018 | 9,262 | $393K | |
| 2019 | 11,365 | $485K | |
| 2020 | 8,259 | $367K | |
| 2021 | 9,647 | $485K | |
| 2022 | 8,527 | $466K | |
| 2023 | 6,983 | $473K | |
| 2024incomplete | 5,584 | $383K |
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 | 35% | 15,276 | 14,318 | $1.07M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 4,344 | 4,218 | $308K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 3,711 | 3,688 | $298K |
| 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 | 7.2% | 2,187 | 2,121 | $220K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 2,251 | 2,241 | $187K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 1,685 | 1,684 | $159K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 3,094 | 2,887 | $135K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.5% | 1,870 | 1,172 | $75K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 8,347 | 8,286 | $71K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.2% | 1,448 | 1,282 | $68K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 769 | 286 | $55K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 3,651 | 3,608 | $52K |
52 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 420 | $49K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 252 | $28K |
| 76818 | <1% | 424 | $22K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 105 | $21K |
| 99443 | <1% | 156 | $20K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 157 | $20K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 134 | $19K |
| 99460 | <1% | 175 | $17K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,426 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 212 | $17K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 144 | $15K |
| 99442 | <1% | 156 | $13K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 273 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 91 | $9K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 363 | $9K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 37 | $8K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 149 | $7K |
| 71045 | Radiologic examination, chest; single view | <1% | 656 | $6K |
| 59025 | Fetal non-stress test | <1% | 167 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 288 | $5K |
| 99462 | <1% | 84 | $4K | |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | <1% | 26 | $3K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 349 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 44 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 125 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 146 | $2K |
| 76641 | <1% | 25 | $2K | |
| 97803 | <1% | 126 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 18 | $1K |
| 99173 | <1% | 1,821 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 26 | $1K |
| 76813 | <1% | 14 | $925.22 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 58 | $778.39 |
| 76801 | <1% | 13 | $614.81 | |
| 87660 | <1% | 29 | $609.57 | |
| 99441 | <1% | 14 | $441.53 | |
| 90474 | <1% | 58 | $395.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 51 | $221.41 |
| 90670 | <1% | 70 | $196.35 | |
| 86580 | <1% | 14 | $97.56 | |
| 90698 | <1% | 32 | $89.25 | |
| 92551 | <1% | 12 | $85.41 | |
| 81002 | <1% | 13 | $42.79 | |
| 90686 | <1% | 325 | $40.00 | |
| 90656 | <1% | 316 | $40.00 | |
| 99000 | <1% | 783 | $35.00 | |
| 96127 | <1% | 55 | $14.08 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $12.15 |
| 94760 | <1% | 473 | $7.83 | |
| 90657 | 0% | 52 | $0.00 | |
| 90685 | 0% | 12 | $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 officialPREOLO, JOHN (SENIOR DIRECTOR, CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Montefiore Medical Center | Bronx, NY | $398.40M |
| Montefiore Mount Vernon Hospital | Mount Vernon, NY | $560K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.