Mount Vernon Neighborhood Health Center INC
Mount Vernon Neighborhood Health Center INC was paid $355K by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoMOUNT VERNON NEIGHBORHOOD HEALTH CENTER INC
MOUNT VERNON, NY 10550
MOUNT VERNON, NY 10550
33aNPI1295912541assigned 01/29/2008
33bProvider typeSpecialist
28Total paid$355K
24GClaims15,678
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#278 of 1,221
Median peer was paid$45K
This provider vs. median7.9×
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 | 1,220 | $15K | |
| 2019 | 1,270 | $27K | |
| 2020 | 1,289 | $19K | |
| 2021 | 2,494 | $70K | |
| 2022 | 3,418 | $55K | |
| 2023 | 4,329 | $123K | |
| 2024incomplete | 1,658 | $47K |
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 | 58% | 6,501 | 5,864 | $205K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 2,087 | 2,015 | $39K |
| 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 | 8.9% | 669 | 656 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 1,838 | 1,761 | $17K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.3% | 183 | 179 | $8K |
| 0001A | 2.0% | 184 | 183 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 806 | 782 | $7K |
| 0002A | 1.5% | 137 | 137 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.3% | 80 | 77 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 239 | 226 | $3K |
| 0012A | <1% | 100 | 100 | $3K | |
| 0072A | <1% | 66 | 66 | $3K |
28 more codes
| 93000 | <1% | 140 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 304 | $3K |
| 0071A | <1% | 48 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 195 | $2K |
| 99442 | <1% | 15 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 118 | $1K |
| 0011A | <1% | 67 | $1K | |
| 97802 | <1% | 26 | $1K | |
| 99401 | <1% | 247 | $841.11 | |
| 96127 | <1% | 102 | $639.69 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 93 | $580.28 |
| 0004A | <1% | 14 | $560.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 179 | $541.16 |
| 0064A | <1% | 13 | $480.00 | |
| 0031A | <1% | 15 | $433.23 | |
| 85049 | <1% | 137 | $431.09 | |
| 97803 | <1% | 12 | $414.96 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 14 | $414.60 |
| 90658 | <1% | 15 | $244.80 | |
| 92551 | <1% | 646 | $181.60 | |
| 80053 | Comprehensive metabolic panel | <1% | 64 | $153.00 |
| 81000 | <1% | 37 | $147.28 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 39 | $134.40 |
| 82948 | <1% | 29 | $58.00 | |
| 81025 | <1% | 17 | $34.34 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 47 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 142 | $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 officialLEWIS, MAXINE (DEPUTY DIRECTOR PATIENT ACCOUNTS)
Parent organizationMOUNT VERNON NEIGHORHOOD HEALTH CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Mount Vernon Neighborhood Health Center, INC. | Mount Vernon, NY | $12.63M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.