Medicaid Provider Spending

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

THE INSTITUTE FOR FAMILY HEALTH

NPI: 1295729408 · NEW YORK, NY 10003 · Clinical Social Worker · NPI assigned 09/01/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAYLE, ERIC controls 19+ related entities in our dataset. Read more

$6.27M
Total Medicaid Paid
243,580
Total Claims
223,432
Beneficiaries
78
Codes Billed
2018-01
First Month
2022-05
Last Month

Provider Details

Authorized OfficialGAYLE, ERIC (PRESIDENT AND CEO)
NPI Enumeration Date09/01/2005

Related Entities

Other providers sharing the same authorized official: GAYLE, ERIC

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 124,455 $2.98M
2019 104,046 $2.43M
2020 11,806 $627K
2021 3,244 $221K
2022 29 $902.24

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83,954 78,079 $4.18M
90834 Psychotherapy, 45 minutes with patient 7,816 4,678 $516K
90832 Psychotherapy, 30 minutes with patient 6,930 4,853 $318K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,104 5,855 $190K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,680 2,567 $180K
99442 1,830 1,710 $125K
90460 Immunization administration through 18 years of age via any route, first or only component 3,591 3,563 $73K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 692 690 $59K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,691 4,630 $54K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 471 471 $41K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 480 476 $41K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 449 449 $37K
3074F 40,500 37,288 $30K
99441 584 524 $27K
3078F 30,712 28,388 $23K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 239 239 $23K
90674 1,313 1,312 $22K
90715 539 539 $21K
90792 Psychiatric diagnostic evaluation with medical services 190 190 $21K
86703 1,728 1,718 $20K
90791 Psychiatric diagnostic evaluation 206 202 $20K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 244 225 $19K
59426 183 131 $18K
83036 Hemoglobin; glycosylated (A1C) 1,921 1,872 $18K
J1050 Injection, medroxyprogesterone acetate, 1 mg 317 316 $17K
82947 3,944 3,285 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 886 842 $14K
90461 579 578 $14K
99385 122 122 $12K
81025 1,805 1,729 $10K
90732 97 97 $8K
90734 79 79 $7K
90686 510 510 $7K
99000 3,283 3,167 $7K
92551 1,340 1,337 $6K
93000 466 459 $6K
36415 Collection of venous blood by venipuncture 3,570 3,450 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 467 462 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 83 83 $5K
3079F 10,356 9,792 $5K
90853 Group psychotherapy (other than of a multiple-family group) 227 105 $4K
90472 Immunization administration, each additional vaccine (list separately) 377 377 $4K
85018 1,706 1,674 $4K
86580 541 512 $3K
90651 84 84 $3K
98960 156 146 $3K
99173 1,549 1,546 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 36 36 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 45 43 $2K
0011A 206 206 $2K
80305 393 363 $2K
A4550 Surgical trays 133 129 $2K
90746 30 30 $2K
11721 68 68 $2K
81002 639 627 $2K
99406 147 146 $2K
99386 12 12 $1K
0012A 74 74 $797.73
3075F 2,217 2,112 $360.25
3077F 1,829 1,628 $327.69
90756 13 13 $322.14
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 25 24 $260.19
3080F 1,313 1,181 $142.68
T1016 Case management, each 15 minutes 14 13 $87.50
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 45 43 $32.62
99201 17 17 $29.24
J1885 Injection, ketorolac tromethamine, per 15 mg 15 13 $24.30
3008F 2,351 2,299 $0.17
3045F 288 281 $0.00
3046F 270 255 $0.00
97813 31 26 $0.00
0502F 492 332 $0.00
1159F 74 60 $0.00
99499 58 53 $0.00
1160F 14 14 $0.00
1170F 1,681 1,476 $0.00
3044F 410 408 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 49 49 $0.00