Behavioral
The Institute for Family Health
The Institute for Family Health was paid $6.27M by Medicaid between Jan 2018 and May 2022, across 78 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoTHE INSTITUTE FOR FAMILY HEALTH
NEW YORK, NY 10003
NEW YORK, NY 10003
33aNPI1295729408assigned 09/01/2005
33bProvider typeClinical Social Worker
28Total paid$6.27M
24GClaims243,580
24DCodes billed78
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Clinical Social Worker providers in New York
Rank by total paid#16 of 882
Median peer was paid$53K
This provider vs. median118×
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.
Entity ProliferationAuthorized official GAYLE, ERIC controls 19+ related entities in our dataset. Read more
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 | 124,455 | $2.98M | |
| 2019 | 104,046 | $2.43M | |
| 2020 | 11,806 | $627K | |
| 2021 | 3,244 | $221K | |
| 2022 | 29 | $902.24 |
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 | 67% | 83,954 | 78,079 | $4.18M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.2% | 7,816 | 4,678 | $516K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.1% | 6,930 | 4,853 | $318K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 6,104 | 5,855 | $190K |
| 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 | 2.9% | 2,680 | 2,567 | $180K |
| 99442 | 2.0% | 1,830 | 1,710 | $125K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 3,591 | 3,563 | $73K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 692 | 690 | $59K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,691 | 4,630 | $54K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 471 | 471 | $41K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 480 | 476 | $41K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 449 | 449 | $37K |
66 more codes
| 3074F | <1% | 40,500 | $30K | |
| 99441 | <1% | 584 | $27K | |
| 3078F | <1% | 30,712 | $23K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 239 | $23K |
| 90674 | <1% | 1,313 | $22K | |
| 90715 | <1% | 539 | $21K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 190 | $21K |
| 86703 | <1% | 1,728 | $20K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 206 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 244 | $19K |
| 59426 | <1% | 183 | $18K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,921 | $18K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 317 | $17K |
| 82947 | <1% | 3,944 | $15K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 886 | $14K |
| 90461 | <1% | 579 | $14K | |
| 99385 | <1% | 122 | $12K | |
| 81025 | <1% | 1,805 | $10K | |
| 90732 | <1% | 97 | $8K | |
| 90734 | <1% | 79 | $7K | |
| 90686 | <1% | 510 | $7K | |
| 99000 | <1% | 3,283 | $7K | |
| 92551 | <1% | 1,340 | $6K | |
| 93000 | <1% | 466 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,570 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 467 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 83 | $5K |
| 3079F | <1% | 10,356 | $5K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 227 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 377 | $4K |
| 85018 | <1% | 1,706 | $4K | |
| 86580 | <1% | 541 | $3K | |
| 90651 | <1% | 84 | $3K | |
| 98960 | <1% | 156 | $3K | |
| 99173 | <1% | 1,549 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 36 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 45 | $2K |
| 0011A | <1% | 206 | $2K | |
| 80305 | <1% | 393 | $2K | |
| A4550 | Surgical trays | <1% | 133 | $2K |
| 90746 | <1% | 30 | $2K | |
| 11721 | <1% | 68 | $2K | |
| 81002 | <1% | 639 | $2K | |
| 99406 | <1% | 147 | $2K | |
| 99386 | <1% | 12 | $1K | |
| 0012A | <1% | 74 | $797.73 | |
| 3075F | <1% | 2,217 | $360.25 | |
| 3077F | <1% | 1,829 | $327.69 | |
| 90756 | <1% | 13 | $322.14 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 25 | $260.19 |
| 3080F | <1% | 1,313 | $142.68 | |
| T1016 | Case management, each 15 minutes | <1% | 14 | $87.50 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 45 | $32.62 |
| 99201 | <1% | 17 | $29.24 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 15 | $24.30 |
| 3008F | <1% | 2,351 | $0.17 | |
| 3045F | 0% | 288 | $0.00 | |
| 3046F | 0% | 270 | $0.00 | |
| 97813 | 0% | 31 | $0.00 | |
| 0502F | 0% | 492 | $0.00 | |
| 1159F | 0% | 74 | $0.00 | |
| 99499 | 0% | 58 | $0.00 | |
| 1160F | 0% | 14 | $0.00 | |
| 1170F | 0% | 1,681 | $0.00 | |
| 3044F | 0% | 410 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 49 | $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 officialGAYLE, ERIC (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| The Institute for Family Health | New York, NY | $80.80M |
| The Institute for Family Health | New Paltz, NY | $15.21M |
| The Institute for Family Health | Bronx, NY | $4.99M |
| The Institute for Family Health | Bronx, NY | $4.85M |
| The Institute for Family Health | Kingston, NY | $4.47M |
| The Institute for Family Health | Ellenville, NY | $1.98M |
| The Institute for Family Health | New York, NY | $1.35M |
| The Institute for Family Health | New Paltz, NY | $1.33M |
| The Institute for Family Health | Brooklyn, NY | $1.26M |
| The Institute for Family Health | Bronx, NY | $1.00M |
| The Institute for Family Health | Bronx, NY | $964K |
| The Institute for Family Health | Bronx, NY | $927K |
| The Institute for Family Health | Hyde Park, NY | $659K |
| The Institute for Family Health | New York, NY | $576K |
| The Institute for Family Health | Kingston, NY | $478K |
| The Institute for Family Health | New York, NY | $139K |
| The Institute for Family Health | Bronx, NY | $111K |
| The Institute for Family Health | New York, NY | $16K |
| The Institute for Family Health | New York, NY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.