Clinic
Mount Vernon Neighborhood Health Center, INC.
Mount Vernon Neighborhood Health Center, INC. was paid $12.63M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 61% of everything it billed.
33Billing provider infoMOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC.
MOUNT VERNON, NY 10550
MOUNT VERNON, NY 10550
33aNPI1396736120assigned 11/01/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.63M
24GClaims295,917
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#29 of 158
Median peer was paid$1.73M
This provider vs. median7.3×
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 | 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 | |
| 2024incomplete | 33,976 | $1.56M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 61% | 140,694 | 108,799 | $7.69M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 51,451 | 44,464 | $2.08M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 21,731 | 15,169 | $1.04M |
| 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 | 3.1% | 7,279 | 6,528 | $385K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.4% | 4,100 | 3,335 | $306K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 12,832 | 12,697 | $266K |
| D1110 | Prophylaxis - adult | 1.4% | 4,368 | 4,307 | $174K |
| D0274 | Bitewings - four radiographic images | <1% | 3,075 | 3,019 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,672 | 2,386 | $51K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,745 | 3,623 | $43K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,328 | 4,248 | $37K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,390 | 2,315 | $36K |
104 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 309 | $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 | <1% | 545 | $34K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,176 | $31K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 346 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,411 | $21K |
| 93000 | <1% | 1,297 | $20K | |
| 0001A | <1% | 586 | $19K | |
| D1206 | Topical application of fluoride varnish | <1% | 771 | $17K |
| 0002A | <1% | 483 | $16K | |
| 99401 | <1% | 1,645 | $15K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 282 | $14K |
| D1120 | Dental cleaning, child | <1% | 436 | $13K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 147 | $12K |
| G0008 | Administration of influenza virus vaccine | <1% | 861 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 738 | $11K |
| 92551 | <1% | 4,323 | $11K | |
| D0330 | Panoramic radiographic image | <1% | 370 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 216 | $8K |
| G0467 | Community health center visit, returning patient | <1% | 342 | $8K |
| 85049 | <1% | 3,531 | $8K | |
| 97803 | <1% | 457 | $7K | |
| 0012A | <1% | 237 | $7K | |
| 76830 | Ultrasound, transvaginal | <1% | 210 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 223 | $6K |
| 97802 | <1% | 489 | $6K | |
| 0011A | <1% | 271 | $6K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 137 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 67 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 34 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 80 | $4K |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 2,254 | $4K |
| 90686 | <1% | 1,496 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 42 | $4K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 372 | $3K |
| 0004A | <1% | 136 | $3K | |
| 90658 | <1% | 727 | $3K | |
| 0064A | <1% | 117 | $3K | |
| 0072A | <1% | 89 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 386 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 52 | $2K |
| 96127 | <1% | 214 | $2K | |
| 0071A | <1% | 73 | $2K | |
| 81025 | <1% | 122 | $2K | |
| 99441 | <1% | 59 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 147 | $2K |
| 99442 | <1% | 28 | $2K | |
| 0031A | <1% | 62 | $2K | |
| 59025 | Fetal non-stress test | <1% | 42 | $2K |
| 91322 | <1% | 14 | $1K | |
| 81000 | <1% | 564 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 26 | $1K |
| 0124A | <1% | 34 | $1K | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 599 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | $812.80 |
| 86592 | <1% | 450 | $792.81 | |
| 90661 | <1% | 182 | $686.05 | |
| 80061 | Lipid panel | <1% | 317 | $640.42 |
| G0009 | Administration of pneumococcal vaccine | <1% | 59 | $566.58 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 24 | $549.83 |
| D0191 | <1% | 28 | $543.15 | |
| D1999 | <1% | 292 | $534.60 | |
| 80053 | Comprehensive metabolic panel | <1% | 490 | $516.32 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 70 | $501.57 |
| 73560 | <1% | 12 | $355.13 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 27 | $316.70 |
| 90674 | <1% | 12 | $312.36 | |
| 72100 | <1% | 12 | $306.37 | |
| 90756 | <1% | 24 | $301.58 | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 27 | $294.00 |
| 90480 | <1% | 18 | $274.06 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 172 | $271.20 |
| 99173 | <1% | 1,041 | $271.09 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 42 | $218.48 |
| 90648 | <1% | 406 | $208.68 | |
| 92015 | Determination of refractive state | <1% | 12 | $188.98 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 213 | $179.10 |
| 90685 | <1% | 81 | $178.20 | |
| 99406 | <1% | 16 | $150.00 | |
| 82948 | <1% | 46 | $133.51 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 30 | $125.30 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 95 | $120.00 |
| 90677 | <1% | 12 | $113.00 | |
| 81015 | <1% | 206 | $40.96 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 97 | $34.66 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 41 | $10.00 |
| 80076 | <1% | 42 | $3.66 | |
| 90611 | <1% | 37 | $2.29 | |
| 90670 | <1% | 619 | $2.00 | |
| 90619 | <1% | 12 | $2.00 | |
| 90649 | <1% | 104 | $1.00 | |
| 90633 | 0% | 251 | $0.00 | |
| 90734 | 0% | 14 | $0.00 | |
| 90681 | 0% | 31 | $0.00 | |
| 86787 | 0% | 15 | $0.00 | |
| 90723 | 0% | 204 | $0.00 | |
| 87283 | 0% | 12 | $0.00 | |
| D1330 | 0% | 384 | $0.00 | |
| 82043 | 0% | 28 | $0.00 | |
| 90680 | 0% | 113 | $0.00 | |
| 3351F | 0% | 77 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90657 | 0% | 27 | $0.00 | |
| 86706 | 0% | 15 | $0.00 | |
| G9460 | Tobacco assessment or tobacco cessation intervention not performed, reason not given | 0% | 13 | $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 (DIRECTOR PATIENT FINANCIAL SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Mount Vernon Neighborhood Health Center INC | Mount Vernon, NY | $355K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.