Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › MOUNT VERNON › MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.

NPI: 1396736120 · MOUNT VERNON, NY 10550 · Federally Qualified Health Center (FQHC) · NPI assigned 11/01/2005

$12.63M
Total Medicaid Paid
295,917
Total Claims
246,728
Beneficiaries
116
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEWIS, MAXINE (DIRECTOR PATIENT FINANCIAL SERVICES)
NPI Enumeration Date11/01/2005

Related Entities

Other providers sharing the same authorized official: LEWIS, MAXINE

ProviderCityStateTotal Paid
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER INC MOUNT VERNON NY $355K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50,733 $2.18M
2019 58,242 $2.18M
2020 43,396 $1.76M
2021 42,689 $1.67M
2022 23,469 $1.10M
2023 43,412 $2.18M
2024 33,976 $1.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 140,694 108,799 $7.69M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,451 44,464 $2.08M
D0120 Periodic oral evaluation - established patient 21,731 15,169 $1.04M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,279 6,528 $385K
90834 Psychotherapy, 45 minutes with patient 4,100 3,335 $306K
90460 Immunization administration through 18 years of age via any route, first or only component 12,832 12,697 $266K
D1110 Prophylaxis - adult 4,368 4,307 $174K
D0274 Bitewings - four radiographic images 3,075 3,019 $66K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,672 2,386 $51K
D0220 Intraoral - periapical first radiographic image 3,745 3,623 $43K
D0230 Intraoral - periapical each additional radiographic image 4,328 4,248 $37K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,390 2,315 $36K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 309 295 $34K
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 545 536 $34K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,176 2,042 $31K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 346 346 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,411 1,357 $21K
93000 1,297 1,287 $20K
0001A 586 582 $19K
D1206 Topical application of fluoride varnish 771 771 $17K
0002A 483 481 $16K
99401 1,645 1,534 $15K
D0140 Limited oral evaluation - problem focused 282 253 $14K
D1120 Prophylaxis - child 436 429 $13K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 147 144 $12K
G0008 Administration of influenza virus vaccine 861 857 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 738 647 $11K
92551 4,323 4,238 $11K
D0330 Panoramic radiographic image 370 368 $10K
99215 Prolong outpt/office vis 216 207 $8K
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 342 177 $8K
85049 3,531 3,467 $8K
97803 457 442 $7K
0012A 237 237 $7K
76830 Ultrasound, transvaginal 210 204 $7K
D0150 Comprehensive oral evaluation - new or established patient 223 174 $6K
97802 489 488 $6K
0011A 271 271 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 137 136 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 67 57 $5K
90791 Psychiatric diagnostic evaluation 34 33 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 80 76 $4K
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 2,254 2,084 $4K
90686 1,496 1,459 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 42 39 $4K
T1013 Sign language or oral interpretive services, per 15 minutes 372 327 $3K
0004A 136 136 $3K
90658 727 716 $3K
0064A 117 117 $3K
0072A 89 89 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 386 382 $3K
90837 Psychotherapy, 53 minutes with patient 52 52 $2K
96127 214 197 $2K
0071A 73 73 $2K
81025 122 108 $2K
99441 59 52 $2K
D1208 Topical application of fluoride, excluding varnish 147 147 $2K
99442 28 27 $2K
0031A 62 62 $2K
59025 Fetal non-stress test 42 15 $2K
91322 14 14 $1K
81000 564 544 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 26 25 $1K
0124A 34 34 $1K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 599 545 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 12 12 $812.80
86592 450 437 $792.81
90661 182 182 $686.05
80061 Lipid panel 317 314 $640.42
G0009 Administration of pneumococcal vaccine 59 57 $566.58
D0210 Intraoral - complete series of radiographic images 24 24 $549.83
D0191 28 25 $543.15
D1999 292 266 $534.60
80053 Comprehensive metabolic panel 490 489 $516.32
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 70 70 $501.57
73560 12 12 $355.13
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 27 27 $316.70
90674 12 12 $312.36
72100 12 12 $306.37
90756 24 24 $301.58
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 27 15 $294.00
90480 18 17 $274.06
83036 Hemoglobin; glycosylated (A1C) 172 172 $271.20
99173 1,041 1,027 $271.09
84443 Thyroid stimulating hormone (TSH) 42 41 $218.48
90648 406 399 $208.68
92015 Determination of refractive state 12 12 $188.98
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 213 212 $179.10
90685 81 75 $178.20
99406 16 14 $150.00
82948 46 40 $133.51
D0145 Oral evaluation for a patient under three years of age 30 29 $125.30
G0444 Annual depression screening, 5 to 15 minutes 95 91 $120.00
90677 12 12 $113.00
81015 206 204 $40.96
80048 Basic metabolic panel (calcium, ionized) 97 96 $34.66
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 41 41 $10.00
80076 42 40 $3.66
90611 37 36 $2.29
90670 619 613 $2.00
90619 12 12 $2.00
90649 104 104 $1.00
90633 251 250 $0.00
90734 14 13 $0.00
90681 31 30 $0.00
86787 15 15 $0.00
90723 204 204 $0.00
87283 12 12 $0.00
D1330 384 384 $0.00
82043 28 28 $0.00
90680 113 113 $0.00
3351F 77 77 $0.00
90716 13 13 $0.00
90657 27 27 $0.00
86706 15 15 $0.00
G9460 Tobacco assessment or tobacco cessation intervention not performed, reason not given 13 12 $0.00