NYC HEALTH AND HOSPITALS CORPORATION
NPI: 1396932380
· ELMHURST, NY 11373
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 10/03/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.
$3.20M
Total Medicaid Paid
Provider Details
| Authorized Official | LACAYO, MANNY (SENIOR ASSOCIATE DIRECTOR) |
| NPI Enumeration Date | 10/03/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
52 |
$82K |
| 2020 |
174 |
$309K |
| 2021 |
367 |
$665K |
| 2022 |
477 |
$637K |
| 2023 |
456 |
$825K |
| 2024 |
383 |
$682K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assertive community treatment program, per diem |
1,909 |
1,815 |
$3.20M |