Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1356406136 · BROOKLYN, NY 11205 · Internal Medicine Physician · NPI assigned 12/22/2006

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

Authorized official KARLIN, MARJI controls 19+ related entities in our dataset. Read more

$48.88M
Total Medicaid Paid
1,496,028
Total Claims
1,111,519
Beneficiaries
273
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARLIN, MARJI (CHIEF REVENUE OFFICER)
NPI Enumeration Date12/22/2006

Related Entities

Other providers sharing the same authorized official: KARLIN, MARJI

ProviderCityStateTotal Paid
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $217.68M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $178.84M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $176.33M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $160.32M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION ELMHURST NY $146.57M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION JAMAICA NY $125.54M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $119.27M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $108.18M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $107.34M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $100.78M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $57.46M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $34.62M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $30.93M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $19.59M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $16.91M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $5.55M
NEW YORK CITY HEALTH & HOSPITALS CORPORATION BROOKLYN NY $896K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $335K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $410.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,564 $128K
2019 97,452 $3.09M
2020 274,291 $9.94M
2021 357,378 $11.59M
2022 283,551 $9.25M
2023 283,373 $8.80M
2024 196,419 $6.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 134,463 98,567 $10.39M
36415 Collection of venous blood by venipuncture 348,443 90,036 $3.50M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,773 23,779 $2.98M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 47,216 35,040 $2.95M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 26,886 22,052 $2.02M
99442 18,821 17,276 $1.55M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15,223 13,276 $1.43M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 10,886 10,679 $1.27M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,972 10,077 $1.08M
99441 12,315 11,552 $822K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 25,355 22,905 $819K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 41,311 40,712 $782K
90832 Psychotherapy, 30 minutes with patient 7,984 5,935 $757K
90460 Immunization administration through 18 years of age via any route, first or only component 18,589 18,463 $722K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 22,592 22,175 $706K
90834 Psychotherapy, 45 minutes with patient 4,725 2,966 $605K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,774 4,729 $587K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,829 5,586 $563K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12,401 9,266 $546K
86480 8,677 8,479 $542K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,957 4,966 $515K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26,126 22,184 $504K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,099 4,044 $499K
80061 Lipid panel 39,189 38,522 $458K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,466 3,300 $450K
90461 7,847 7,816 $396K
90750 2,113 2,092 $355K
80053 Comprehensive metabolic panel 29,671 28,449 $354K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,121 2,086 $349K
90472 Immunization administration, each additional vaccine (list separately) 13,354 13,244 $302K
86703 21,590 21,306 $301K
85027 53,564 52,590 $287K
99443 2,834 2,498 $279K
83036 Hemoglobin; glycosylated (A1C) 33,604 33,055 $271K
99215 Prolong outpt/office vis 1,546 1,504 $268K
H2010 Comprehensive medication services, per 15 minutes 4,244 4,034 $268K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 6,405 4,405 $263K
84443 Thyroid stimulating hormone (TSH) 19,051 18,727 $261K
D0999 Unspecified diagnostic procedure, by report 1,500 1,431 $238K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 9,572 8,087 $229K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,747 7,649 $217K
99383 1,669 1,665 $210K
92551 11,055 8,022 $198K
90686 16,793 16,716 $196K
90651 3,914 3,900 $194K
99385 1,447 1,430 $192K
82962 12,875 6,427 $192K
77067 Screening mammography, bilateral, including computer-aided detection 1,563 1,539 $187K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,965 1,635 $186K
99384 1,370 1,361 $184K
H0005 Alcohol and/or drug services; group counseling by a clinician 2,469 605 $182K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,745 2,620 $181K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,635 4,414 $178K
90677 990 988 $173K
86769 5,116 5,038 $159K
3074F 24,882 19,045 $152K
D9999 Unspecified adjunctive procedure, by report 1,013 971 $145K
90746 2,345 2,325 $141K
90620 2,600 2,587 $140K
86780 10,339 10,131 $132K
99382 1,039 1,037 $127K
83655 9,286 9,136 $123K
96127 19,199 18,111 $118K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 960 804 $113K
86803 8,602 8,458 $107K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 729 266 $107K
90715 4,288 4,264 $106K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,207 1,058 $100K
99381 963 917 $100K
81001 18,530 15,953 $84K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,431 2,361 $81K
99051 3,612 3,279 $80K
80048 Basic metabolic panel (calcium, ionized) 7,776 7,645 $78K
0012A 2,160 2,141 $77K
T1013 Sign language or oral interpretive services, per 15 minutes 4,521 4,321 $76K
99201 888 856 $73K
J1050 Injection, medroxyprogesterone acetate, 1 mg 731 726 $68K
87340 6,661 6,506 $66K
86706 6,332 6,219 $63K
0011A 2,148 2,129 $62K
99386 423 420 $62K
80076 6,639 6,527 $58K
99397 877 724 $56K
90670 2,661 2,654 $51K
97802 2,022 2,012 $51K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 160 153 $51K
90732 455 446 $48K
83020 3,513 3,460 $47K
D0120 Periodic oral evaluation - established patient 2,358 827 $46K
86003 968 908 $45K
97803 1,273 1,243 $44K
86762 3,195 3,104 $44K
90837 Psychotherapy, 53 minutes with patient 309 164 $43K
90697 303 302 $43K
82607 3,151 3,112 $43K
86704 3,918 3,852 $43K
84439 5,160 5,086 $42K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,174 1,166 $42K
0064A 1,050 1,048 $42K
86765 3,148 3,060 $39K
92015 Determination of refractive state 1,808 1,799 $36K
88142 1,551 1,507 $35K
82728 2,648 2,603 $34K
90716 1,322 1,318 $34K
90707 1,326 1,320 $33K
87800 878 858 $33K
84153 2,000 1,967 $32K
86787 3,047 2,966 $32K
90734 2,661 2,652 $30K
86735 2,783 2,718 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,612 1,391 $25K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 866 866 $24K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 732 710 $24K
87086 Culture, bacterial; quantitative colony count, urine 3,126 2,976 $23K
99401 545 541 $22K
83550 2,899 2,828 $21K
81025 3,150 3,034 $21K
90480 458 454 $21K
90633 2,647 2,642 $19K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 1,097 559 $19K
82274 1,663 1,638 $19K
11721 442 347 $19K
90656 1,544 1,544 $18K
83540 2,930 2,858 $17K
82043 3,148 3,094 $17K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 111 110 $16K
87536 162 155 $16K
82785 984 959 $15K
90791 Psychiatric diagnostic evaluation 93 86 $15K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 32 31 $14K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,542 2,245 $13K
86593 3,082 3,009 $13K
D0140 Limited oral evaluation - problem focused 600 297 $12K
71046 Radiologic examination, chest; 2 views 420 413 $12K
84702 793 738 $11K
90710 1,162 1,159 $11K
77063 Screening digital breast tomosynthesis, bilateral 207 207 $10K
86708 925 916 $10K
90744 1,296 1,291 $10K
91322 117 116 $10K
90674 534 530 $10K
87081 1,604 1,556 $10K
90698 1,638 1,635 $9K
99173 1,848 1,829 $9K
81003 4,010 3,892 $9K
76641 74 68 $8K
96161 1,135 1,115 $8K
86696 443 418 $8K
84154 425 421 $8K
90474 516 514 $8K
90714 342 342 $7K
86360 133 125 $7K
81002 1,598 1,097 $7K
0124A 138 138 $7K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 792 775 $6K
82948 225 103 $6K
86695 439 414 $6K
86580 499 493 $6K
86359 134 125 $6K
87486 162 155 $5K
83001 267 250 $5K
D1110 Prophylaxis - adult 381 371 $5K
84703 916 892 $5K
90696 939 937 $5K
90680 1,054 1,051 $5K
87581 162 155 $5K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 65 53 $4K
90473 226 225 $4K
92250 82 79 $4K
80320 629 308 $4K
90736 28 28 $4K
82951 375 344 $4K
90713 283 283 $4K
86140 812 800 $4K
99188 205 204 $3K
84460 600 575 $3K
0134A 78 78 $3K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 293 284 $3K
92083 44 43 $3K
82947 706 675 $3K
D0220 Intraoral - periapical first radiographic image 612 600 $3K
84146 140 129 $3K
90792 Psychiatric diagnostic evaluation with medical services 15 15 $3K
99205 Prolong outpt/office vis 12 12 $3K
Q3014 Telehealth originating site facility fee 79 76 $2K
0154A 56 56 $2K
87522 Neg quan hep c or qual rna 55 55 $2K
82465 555 553 $2K
84450 404 385 $2K
90672 326 326 $2K
92134 44 44 $2K
99422 26 26 $2K
88141 80 78 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 147 141 $2K
90694 40 40 $2K
83002 87 81 $2K
90653 50 50 $2K
76830 Ultrasound, transvaginal 13 13 $2K
81015 592 574 $2K
0013A 40 40 $2K
84403 61 59 $2K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 13 13 $1K
D0601 41 24 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 587 571 $1K
87186 138 133 $1K
84480 90 89 $1K
86038 120 118 $1K
85651 310 303 $1K
82565 210 206 $1K
87338 79 77 $897.80
90723 253 253 $892.52
91319 75 75 $858.55
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 59 44 $820.35
82105 56 55 $814.57
84520 210 206 $809.88
92202 40 39 $802.91
91320 31 31 $795.13
84436 109 107 $704.14
90647 262 262 $696.64
90700 108 107 $686.96
84402 27 26 $649.48
86850 48 45 $632.12
83718 77 77 $606.29
80069 64 64 $601.42
90662 19 19 $594.58
85730 105 99 $586.95
85610 176 171 $570.29
85660 104 104 $528.88
90671 61 61 $453.18
72100 15 15 $452.70
84478 64 64 $438.05
84481 28 28 $416.97
85007 128 127 $415.58
86592 88 84 $411.60
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 22 21 $407.66
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 69 58 $391.11
D0330 Panoramic radiographic image 53 53 $372.24
86901 48 45 $357.24
84550 72 72 $312.19
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,053 1,053 $311.66
G0008 Administration of influenza virus vaccine 43 43 $306.90
D0274 Bitewings - four radiographic images 28 26 $294.61
85045 67 63 $276.23
87350 24 24 $271.00
90660 32 32 $247.82
86900 48 45 $242.99
82746 14 14 $213.69
90661 39 39 $189.41
90681 12 12 $164.49
86707 12 12 $132.14
D1320 54 54 $130.55
90685 127 126 $125.05
D0150 Comprehensive oral evaluation - new or established patient 13 13 $120.12
83516 12 12 $119.78
82248 25 24 $108.40
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 272 258 $97.09
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 125 123 $95.24
90648 22 22 $53.57
94760 13 13 $45.51
D0230 Intraoral - periapical each additional radiographic image 12 12 $18.00
3078F 19,473 17,912 $6.25
90611 50 50 $0.03
3075F 5,490 5,261 $0.01
3079F 6,652 6,329 $0.01
3080F 1,145 1,088 $0.00
1220F 262 262 $0.00
3008F 677 677 $0.00
3044F 14 14 $0.00
3077F 2,925 2,742 $0.00
1160F 1,721 1,545 $0.00
99499 775 665 $0.00
1159F 2,609 1,928 $0.00
99223 Prolong inpt eval add15 m 12 12 $0.00