Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Bronxcare Health System

Bronxcare Health System was paid $348.43M by Medicaid between Jan 2018 and Dec 2024, across 682 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.

33Billing provider infoBRONXCARE HEALTH SYSTEM
BRONX, NY 10457
33aNPI1417027558assigned 11/08/2006
28Total paid$348.43M
24GClaims5,745,382
24DCodes billed682
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#4 of 231
Median peer was paid$561K
This provider vs. median621×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DEMARCO, VICTOR controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0M$10M2018201920202021202220232024
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
YearClaimsPaid
2018303,852$15.52M
2019611,974$29.33M
20201,078,700$53.81M
20211,144,861$60.41M
2022864,466$80.71M
2023889,043$62.42M
2024incomplete852,486$46.24M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 526,832 431,905 $64.68M
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 11% 269,573 229,986 $36.86M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.0% 102,792 96,518 $20.85M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.1% 91,296 85,972 $17.79M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 4.4% 130,983 103,248 $15.50M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.2% 134,034 112,329 $14.55M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 3.1% 14,198 12,016 $10.90M
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.9% 43,604 41,670 $10.27M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.2% 38,946 36,422 $7.51M
36415 Collection of venous blood by venipuncture 1.7% 357,168 83,431 $6.04M
80053 Comprehensive metabolic panel 1.5% 239,928 140,449 $5.35M
97010 1.4% 122,069 25,589 $4.82M
670 more codes
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.2% 68,468 $4.03M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.2% 90,274 $4.01M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.1% 71,397 $3.94M
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 1.0% 53,058 $3.65M
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 17,610 $3.36M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) <1% 106,011 $3.28M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 3,338 $3.05M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 25,893 $3.02M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 32,724 $2.90M
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg <1% 5,180 $2.73M
99203 Doctor's office visit, new patient (routine) <1% 18,253 $2.48M
96361 Intravenous infusion, hydration; each additional hour <1% 24,019 $2.47M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 3,310 $2.43M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 29,437 $2.08M
S9485 Crisis intervention mental health services, per diem <1% 1,767 $2.05M
80048 Basic metabolic panel (calcium, ionized) <1% 65,543 $2.00M
90853 Group psychotherapy (other than of a multiple-family group) <1% 26,888 $1.90M
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 9,209 $1.88M
J0401 Injection, aripiprazole (abilify maintena), 1 mg <1% 1,898 $1.87M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 1,951 $1.83M
94760 <1% 68,685 $1.73M
99215 Doctor's office visit, returning patient (complex) <1% 9,696 $1.44M
97162 <1% 11,301 $1.43M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 49,568 $1.42M
92551 <1% 47,225 $1.40M
81002 <1% 53,096 $1.39M
70450 Computed tomography, head or brain; without contrast material <1% 10,377 $1.29M
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 32,910 $1.29M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 15,135 $1.26M
90846 Family psychotherapy without the patient present, 50 minutes <1% 8,469 $1.20M
90834 Psychotherapy session, about 45 minutes <1% 7,188 $1.17M
97014 <1% 49,587 $1.10M
99204 Doctor's office visit, new patient (more involved) <1% 6,677 $1.09M
20610 <1% 8,939 $1.07M
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 8,245 $1.05M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 11,892 $1.01M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 37,784 $987K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 10,168 $917K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 18,491 $912K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes <1% 8,471 $889K
99173 <1% 14,490 $856K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 6,995 $849K
87536 <1% 11,953 $848K
86703 <1% 51,455 $812K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 6,629 $764K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 26,008 $764K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 8,083 $751K
59841 <1% 649 $751K
85610 <1% 53,810 $729K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 7,041 $714K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,272 $705K
86885 <1% 26,962 $696K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 806 $688K
76830 Ultrasound, transvaginal <1% 11,049 $677K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,403 $666K
80061 Lipid panel <1% 63,604 $664K
97161 <1% 5,242 $643K
73630 <1% 17,598 $641K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 7,238 $637K
90792 Psychiatric diagnostic evaluation with medical services <1% 2,629 $632K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,268 $612K
58558 <1% 495 $589K
97164 <1% 5,309 $571K
87086 Culture, bacterial; quantitative colony count, urine <1% 37,837 $558K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 25,719 $498K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 34,959 $493K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 5,598 $492K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,844 $487K
83655 <1% 26,865 $487K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 18,631 $475K
11721 <1% 7,338 $469K
80051 <1% 48,316 $459K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 4,949 $456K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 5,944 $453K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 2,330 $451K
90670 <1% 9,096 $427K
93970 <1% 2,707 $423K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 36,965 $415K
90651 <1% 2,982 $409K
94060 <1% 4,714 $398K
52000 <1% 642 $397K
77067 Screening mammography, bilateral, including computer-aided detection <1% 7,929 $395K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 6,373 $391K
J3490 Unclassified drugs <1% 63,307 $377K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 3,239 $374K
86592 <1% 65,718 $348K
86901 <1% 27,038 $346K
12001 <1% 1,505 $343K
90697 <1% 3,205 $333K
76818 <1% 3,768 $332K
71046 Radiologic examination, chest; 2 views <1% 35,040 $327K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 8,404 $320K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 15,003 $320K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 159,847 $313K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,928 $310K
83036 Hemoglobin; glycosylated (A1C) <1% 72,505 $304K
86900 <1% 27,038 $303K
81025 <1% 20,512 $302K
J1756 Injection, iron sucrose, 1 mg <1% 9,086 $300K
J2794 Injection, risperidone (risperdal consta), 0.5 mg <1% 1,304 $299K
10060 <1% 1,564 $293K
99381 <1% 2,181 $292K
76641 <1% 3,969 $292K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 6,385 $291K
87210 <1% 25,986 $288K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 562 $284K
51741 <1% 2,115 $281K
12011 <1% 1,276 $272K
99232 Hospital visit by a doctor, follow-up day <1% 3,560 $270K
86803 <1% 39,119 $265K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 14,891 $265K
99457 <1% 1,853 $261K
90461 <1% 12,049 $260K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 3,999 $248K
92134 <1% 7,533 $247K
92083 <1% 3,485 $243K
97803 <1% 2,068 $238K
86706 <1% 35,349 $235K
97166 <1% 1,901 $223K
99454 <1% 2,837 $220K
82607 <1% 25,504 $216K
29581 <1% 1,914 $211K
90686 <1% 15,895 $205K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,111 $202K
73562 <1% 8,929 $201K
20550 <1% 1,263 $201K
58100 <1% 700 $199K
97597 <1% 843 $194K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 6,047 $194K
C9290 Injection, bupivacaine liposome, 1 mg <1% 367 $193K
90715 <1% 8,717 $190K
90677 <1% 1,281 $187K
90671 <1% 1,064 $183K
99000 <1% 8,097 $181K
76801 <1% 2,213 $180K
99406 <1% 6,313 $178K
77066 Tomosynthesis, mammo <1% 2,207 $176K
97165 <1% 1,490 $175K
11981 <1% 797 $172K
J2505 Injection, pegfilgrastim, 6 mg <1% 36 $169K
92133 <1% 4,128 $157K
73030 <1% 7,165 $156K
84443 Thyroid stimulating hormone (TSH) <1% 31,606 $154K
GZHZZZZ <1% 78 $151K
87340 <1% 35,228 $151K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,097 $141K
73130 <1% 6,672 $141K
0002A <1% 4,074 $138K
12002 <1% 552 $136K
87077 <1% 4,754 $132K
77065 Tomosynthesis, mammo <1% 2,193 $132K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,311 $128K
83880 <1% 8,390 $128K
84153 <1% 7,131 $127K
82728 <1% 15,031 $126K
90746 <1% 3,166 $126K
86762 <1% 11,128 $124K
93971 <1% 2,865 $124K
11982 <1% 562 $123K
57454 <1% 379 $122K
69210 <1% 2,049 $122K
76536 <1% 1,602 $122K
86769 <1% 7,161 $122K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 14,409 $121K
31575 <1% 1,359 $119K
97802 <1% 1,202 $119K
76819 Fetal biophysical profile; without non-stress testing <1% 1,547 $116K
36416 <1% 4,113 $115K
0012A <1% 3,333 $114K
92587 <1% 2,255 $113K
71250 <1% 1,279 $112K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 13,409 $112K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 10,689 $111K
96367 <1% 3,760 $111K
70486 <1% 1,980 $110K
84702 <1% 18,546 $109K
58300 <1% 992 $109K
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals <1% 3,001 $108K
0001A <1% 3,879 $108K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 1,573 $107K
97168 <1% 1,023 $106K
86765 <1% 9,779 $104K
76813 <1% 1,526 $104K
29355 <1% 491 $103K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 936 $100K
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals <1% 2,747 $98K
83020 <1% 8,411 $96K
C1729 Catheter, drainage <1% 1,157 $95K
73565 <1% 2,476 $93K
36000 <1% 7,117 $92K
84439 <1% 18,422 $92K
82746 <1% 14,378 $91K
88142 <1% 4,690 $91K
90680 <1% 7,264 $89K
90656 <1% 8,964 $89K
29125 <1% 737 $89K
58301 <1% 704 $89K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 413 $88K
0011A <1% 3,121 $87K
92557 <1% 4,270 $87K
90619 <1% 668 $86K
86140 <1% 11,584 $85K
96415 <1% 794 $85K
73221 <1% 472 $84K
92550 <1% 3,190 $83K
96417 <1% 1,413 $83K
73610 <1% 5,262 $83K
90691 <1% 1,047 $81K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,086 $80K
J7030 Infusion, normal saline solution , 1000 cc <1% 37,064 $80K
86580 <1% 3,284 $77K
90837 Psychotherapy session, about an hour <1% 507 $77K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 521 $75K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 506 $74K
90620 <1% 791 $74K
99205 Prolong outpt/office vis <1% 556 $74K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,487 $74K
76942 <1% 783 $73K
70551 Magnetic resonance imaging, brain; without contrast material <1% 607 $72K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 1,369 $71K
88104 <1% 830 $69K
86704 <1% 9,756 $69K
C1769 Guide wire <1% 684 $68K
90698 <1% 5,357 $67K
99385 <1% 628 $64K
87522 Neg quan hep c or qual rna <1% 1,884 $63K
HZ2ZZZZ <1% 124 $63K
72100 <1% 3,107 $62K
51798 <1% 463 $61K
99386 <1% 561 $61K
D7140 Extraction, erupted tooth or exposed root <1% 1,251 $61K
H0037 Community psychiatric supportive treatment program, per diem <1% 56 $60K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 1,028 $59K
99402 <1% 621 $58K
87517 <1% 1,569 $58K
94727 <1% 1,967 $57K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 512 $57K
73110 <1% 3,284 $57K
83970 <1% 1,539 $56K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 18,787 $56K
76870 <1% 1,193 $55K
86735 <1% 6,773 $54K
92015 Determination of refractive state <1% 2,806 $54K
A4605 Tracheal suction catheter, closed system, each <1% 862 $54K
90716 <1% 2,319 $51K
96375 Therapeutic injection; each additional sequential IV push <1% 16,888 $51K
90734 <1% 2,154 $51K
83001 <1% 3,531 $50K
90649 <1% 1,231 $50K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg <1% 36 $50K
73140 <1% 2,786 $50K
93017 <1% 540 $49K
A4649 Surgical supply; miscellaneous <1% 4,168 $47K
82670 <1% 2,238 $47K
82570 <1% 14,298 $47K
90717 <1% 462 $46K
73564 <1% 1,360 $46K
71045 Radiologic examination, chest; single view <1% 7,360 $46K
93296 <1% 617 $45K
99453 <1% 749 $45K
84146 <1% 3,377 $43K
88304 <1% 1,815 $43K
82043 <1% 11,825 $43K
11055 <1% 295 $42K
90707 <1% 2,670 $42K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 5,133 $41K
99238 Hospital discharge day management, 30 minutes or less <1% 539 $40K
83540 <1% 13,214 $40K
72125 Computed tomography, cervical spine; without contrast material <1% 1,567 $39K
H2011 Crisis intervention service, per 15 minutes <1% 112 $39K
95816 <1% 192 $37K
72170 <1% 2,370 $37K
83550 <1% 11,309 $37K
90472 Immunization administration, each additional vaccine (list separately) <1% 5,207 $36K
67028 Intravitreal injection of a pharmacologic agent <1% 626 $36K
90710 <1% 1,678 $35K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 197 $35K
76000 <1% 412 $35K
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 <1% 6,152 $35K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes <1% 241 $34K
0064A <1% 911 $34K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 36,216 $34K
71271 <1% 423 $34K
11900 <1% 229 $33K
C1776 Joint device (implantable) <1% 356 $32K
83002 <1% 2,230 $32K
77062 <1% 622 $32K
D1120 Dental cleaning, child <1% 769 $32K
59025 Fetal non-stress test <1% 355 $31K
90633 <1% 4,374 $30K
51702 <1% 168 $30K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 3,605 $30K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 368 $30K
73502 <1% 2,549 $30K
92250 <1% 1,099 $30K
96152 <1% 265 $29K
86708 <1% 3,950 $29K
87400 <1% 5,860 $28K
87081 <1% 3,536 $27K
88720 <1% 1,592 $27K
20605 <1% 158 $27K
92579 <1% 696 $27K
72114 <1% 808 $27K
76820 <1% 437 $26K
90732 <1% 386 $26K
41899 Unlisted procedure, dentoalveolar structures <1% 24 $26K
86787 <1% 3,396 $26K
99051 <1% 1,351 $25K
92567 <1% 2,927 $25K
92060 <1% 340 $25K
90839 <1% 182 $25K
72141 <1% 257 $24K
96127 <1% 3,448 $23K
0004A <1% 744 $23K
94729 <1% 1,972 $23K
99201 <1% 353 $22K
95800 <1% 374 $22K
99222 Initial hospital care, per day, moderate complexity <1% 152 $22K
93925 <1% 271 $22K
86316 <1% 2,571 $22K
72197 <1% 129 $22K
88300 <1% 1,331 $22K
82785 <1% 1,651 $21K
80050 General health panel <1% 832 $20K
91322 <1% 401 $20K
73560 <1% 1,087 $20K
96402 <1% 259 $20K
74240 <1% 105 $19K
72110 <1% 1,172 $19K
86705 <1% 3,200 $19K
87070 <1% 2,625 $19K
J2469 Injection, palonosetron hcl, 25 mcg <1% 1,549 $19K
70491 <1% 153 $18K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 742 $18K
29827 <1% 12 $18K
84165 <1% 3,335 $18K
88141 <1% 1,187 $17K
92227 <1% 380 $17K
80076 <1% 746 $17K
77080 <1% 783 $17K
95012 <1% 1,454 $17K
86038 <1% 3,787 $17K
88307 <1% 181 $17K
A4624 Tracheal suction catheter, any type other than closed system, each <1% 633 $16K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 87 $16K
90847 Family psychotherapy with the patient present, 50 minutes <1% 57 $16K
93225 <1% 223 $16K
84480 <1% 4,678 $16K
J1631 Injection, haloperidol decanoate, per 50 mg <1% 2,477 $15K
82784 <1% 1,418 $15K
82533 <1% 999 $15K
86376 <1% 1,222 $15K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 7,845 $15K
D1206 Topical application of fluoride varnish <1% 711 $15K
83735 <1% 14,526 $14K
82627 <1% 743 $14K
92228 <1% 303 $14K
99383 <1% 124 $14K
0072A <1% 360 $14K
90739 <1% 154 $14K
84403 <1% 756 $14K
90480 <1% 549 $14K
99223 Prolong inpt eval add15 m <1% 64 $14K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 190 $13K
J7300 Intrauterine copper contraceptive (paragard) <1% 27 $13K
73080 <1% 1,437 $13K
86334 <1% 1,156 $13K
83010 <1% 1,135 $13K
73590 <1% 1,632 $12K
93243 <1% 115 $12K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 889 $12K
90714 <1% 901 $12K
99221 <1% 106 $12K
15853 <1% 279 $12K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 192 $12K
74178 <1% 69 $11K
95886 <1% 111 $11K
29515 <1% 110 $11K
94762 <1% 471 $11K
90723 <1% 1,793 $11K
85044 <1% 8,744 $11K
92235 <1% 114 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 32,545 $11K
20611 <1% 27 $11K
83615 <1% 4,415 $11K
93321 <1% 205 $11K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 1,770 $11K
0071A <1% 270 $11K
80320 <1% 17,199 $11K
93242 <1% 182 $11K
72052 <1% 428 $10K
73700 <1% 122 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 48 $10K
72131 <1% 201 $10K
99408 <1% 304 $10K
86161 <1% 1,246 $10K
86880 <1% 527 $10K
90662 <1% 600 $10K
A4615 Cannula, nasal <1% 168 $9K
90696 <1% 1,544 $9K
90744 <1% 1,394 $9K
85651 <1% 7,974 $9K
86431 <1% 2,463 $9K
72040 <1% 364 $9K
77049 <1% 74 $9K
Q0166 Granisetron hydrochloride, 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 24 hour dosage regimen <1% 642 $9K
73090 <1% 1,273 $9K
91320 <1% 119 $9K
90648 <1% 1,865 $9K
11056 <1% 64 $8K
93299 <1% 76 $8K
29826 <1% 13 $8K
95811 <1% 12 $8K
74018 <1% 923 $8K
29130 <1% 78 $8K
D0120 Dental checkup, returning patient <1% 314 $8K
83690 <1% 25,521 $8K
57456 <1% 31 $8K
88346 <1% 67 $8K
73100 <1% 466 $8K
0124A <1% 211 $7K
71100 <1% 667 $7K
88112 <1% 181 $7K
84446 <1% 741 $7K
83498 <1% 312 $7K
99411 <1% 270 $7K
94799 <1% 493 $7K
86256 <1% 569 $7K
85384 <1% 1,609 $7K
90678 <1% 39 $7K
70498 <1% 39 $7K
82378 <1% 627 $7K
84540 <1% 2,067 $7K
0054A <1% 187 $6K
80164 <1% 1,922 $6K
90473 <1% 896 $6K
86696 <1% 702 $6K
0134A <1% 182 $6K
84100 <1% 2,715 $6K
82550 <1% 4,716 $6K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility <1% 64 $6K
82626 <1% 270 $6K
85730 <1% 1,518 $6K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,111 $5K
96368 <1% 625 $5K
86225 <1% 1,462 $5K
86147 <1% 327 $5K
77061 <1% 191 $5K
84630 <1% 915 $5K
D9995 <1% 184 $5K
74022 <1% 997 $5K
87390 <1% 357 $5K
90681 <1% 255 $5K
Q3014 Telehealth originating site facility fee <1% 427 $5K
69200 <1% 60 $5K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 1,468 $5K
97032 <1% 520 $5K
J7060 5% dextrose/water (500 ml = 1 unit) <1% 6,181 $5K
92526 <1% 18 $5K
93325 <1% 697 $5K
99253 <1% 113 $5K
84484 <1% 13,664 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 16 $5K
82131 <1% 447 $4K
D0330 Panoramic radiographic image <1% 150 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,849 $4K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,643 $4K
73060 <1% 486 $4K
74183 <1% 12 $4K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 1,790 $4K
82747 <1% 467 $4K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,636 $4K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 9,151 $4K
36573 <1% 63 $4K
93926 <1% 77 $4K
86003 <1% 1,001 $4K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 14 $4K
84436 <1% 2,119 $4K
84999 <1% 1,241 $4K
P9019 Platelets, each unit <1% 13 $4K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 5,509 $4K
76882 <1% 76 $4K
73552 <1% 418 $4K
C1888 Catheter, ablation, non-cardiac, endovascular (implantable) <1% 14 $3K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 42 $3K
90655 <1% 847 $3K
92610 <1% 38 $3K
J8540 Dexamethasone, oral, 0.25 mg <1% 5,615 $3K
73600 <1% 336 $3K
83525 <1% 363 $3K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,771 $3K
85362 <1% 4,929 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 48 $3K
80299 <1% 366 $3K
77002 <1% 28 $3K
84144 <1% 221 $3K
93320 <1% 262 $3K
90743 <1% 67 $3K
93280 <1% 51 $3K
D0220 Intraoral - periapical first radiographic image <1% 558 $3K
73620 <1% 291 $3K
0052A <1% 65 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,834 $2K
80178 <1% 1,267 $2K
J1630 Injection, haloperidol, up to 5 mg <1% 2,923 $2K
93307 <1% 229 $2K
95812 <1% 12 $2K
J2704 Injection, propofol, 10 mg <1% 14,514 $2K
82270 <1% 483 $2K
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 450 $2K
D0140 Limited oral evaluation - problem focused <1% 344 $2K
86235 <1% 544 $2K
85240 <1% 183 $2K
20526 <1% 12 $2K
82977 <1% 626 $2K
92020 <1% 35 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 7,683 $2K
90849 <1% 29 $2K
C9257 Injection, bevacizumab, 0.25 mg <1% 792 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 102 $2K
82150 <1% 1,164 $2K
76825 <1% 13 $2K
82525 <1% 248 $2K
99401 <1% 57 $2K
95911 <1% 13 $2K
82105 <1% 470 $2K
73521 <1% 129 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 12 $2K
80329 <1% 2,701 $2K
73660 <1% 123 $2K
82951 <1% 347 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 5,366 $2K
88108 <1% 292 $2K
90657 <1% 625 $2K
0051A <1% 42 $2K
86340 <1% 201 $2K
93282 <1% 24 $2K
J3370 Injection, vancomycin hcl, 500 mg <1% 99 $2K
70496 <1% 36 $2K
99254 <1% 26 $2K
87040 <1% 2,879 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,924 $1K
82960 <1% 336 $1K
93226 <1% 26 $1K
99218 <1% 12 $1K
98960 <1% 87 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 186 $1K
90700 <1% 246 $1K
D0272 Bitewings - two radiographic images <1% 118 $1K
93041 <1% 2,240 $1K
90733 <1% 29 $1K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 5,003 $1K
90785 <1% 15 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 5,905 $1K
J2680 Injection, fluphenazine decanoate, up to 25 mg <1% 366 $1K
C9113 Injection, pantoprazole sodium, per vial <1% 920 $986.41
76821 <1% 16 $982.53
0031A <1% 23 $923.98
92002 <1% 14 $899.07
97124 <1% 17 $861.36
72074 <1% 51 $860.73
84681 <1% 53 $854.91
J2060 Injection, lorazepam, 2 mg <1% 2,470 $832.40
99397 <1% 12 $813.14
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,494 $803.83
85247 <1% 43 $795.27
92555 <1% 31 $777.65
85246 <1% 23 $761.71
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg <1% 29 $737.44
97116 <1% 41 $733.93
88161 <1% 76 $708.02
72050 <1% 28 $683.21
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,491 $670.63
82232 <1% 93 $669.84
87350 <1% 80 $652.72
D1110 Prophylaxis - adult <1% 15 $630.00
J1450 Injection fluconazole, 200 mg <1% 213 $627.68
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 5,701 $625.08
D0230 Intraoral - periapical each additional radiographic image <1% 86 $620.00
77047 <1% 12 $614.73
86709 <1% 197 $608.19
96900 <1% 31 $606.58
85007 <1% 2,060 $600.78
88312 <1% 12 $576.27
83516 <1% 86 $544.52
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,538 $529.16
73070 <1% 27 $514.05
86870 <1% 27 $512.84
71048 <1% 28 $479.10
84590 <1% 68 $476.58
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 41 $476.10
86301 <1% 135 $471.02
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 816 $464.81
A9585 Injection, gadobutrol, 0.1 ml <1% 1,712 $451.87
72070 <1% 15 $442.47
90672 <1% 19 $441.17
82390 <1% 92 $411.99
J1790 Injection, droperidol, up to 5 mg <1% 877 $407.53
93351 <1% 13 $391.96
72082 <1% 12 $377.02
99441 <1% 22 $360.54
D9310 <1% 12 $360.00
86021 <1% 40 $344.96
Q4106 Dermagraft, per square centimeter <1% 13 $333.51
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 238 $319.53
D0274 Bitewings - four radiographic images <1% 25 $312.00
85270 <1% 18 $296.20
85280 <1% 17 $292.79
92202 <1% 12 $286.14
J9190 Injection, fluorouracil, 500 mg <1% 21 $282.20
J7510 Prednisolone oral, per 5 mg <1% 2,143 $261.10
D9430 <1% 13 $260.00
90713 <1% 39 $259.61
85303 <1% 41 $221.71
98925 <1% 17 $209.57
D0270 <1% 64 $200.00
99442 <1% 16 $198.47
99382 <1% 12 $198.12
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 2,324 $174.95
G0008 Administration of influenza virus vaccine <1% 40 $140.09
81050 <1% 90 $135.69
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes <1% 34 $134.02
83030 <1% 26 $127.76
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,855 $121.89
87420 <1% 1,214 $116.22
74021 <1% 30 $113.58
J0690 Injection, cefazolin sodium, 500 mg <1% 244 $108.71
82180 <1% 12 $98.90
96376 <1% 2,117 $98.62
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 293 $76.25
82140 <1% 25 $74.87
J0720 Injection, chloramphenicol sodium succinate, up to 1 gm <1% 12 $65.36
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 189 $62.58
S0077 Injection, clindamycin phosphate, 300 mg <1% 131 $62.47
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,113 $58.74
J0360 Injection, hydralazine hcl, up to 20 mg <1% 53 $57.52
82009 <1% 2,109 $55.55
84134 <1% 28 $55.54
86790 <1% 14 $55.51
82103 <1% 12 $51.25
J1644 Injection, heparin sodium, per 1000 units <1% 160 $49.29
J1171 Injection, hydromorphone, 0.1 mg <1% 63 $36.78
J2470 Injection, pantoprazole sodium, 40 mg <1% 44 $32.73
J8597 Antiemetic drug, oral, not otherwise specified <1% 392 $26.41
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 17 $26.37
J3475 Injection, magnesium sulfate, per 500 mg <1% 313 $23.90
87449 <1% 47 $15.60
J1953 Injection, levetiracetam, 10 mg <1% 262 $14.88
86738 <1% 49 $14.65
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 31 $8.18
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 95 $7.96
S0191 Misoprostol, oral, 200 mcg <1% 17 $7.84
87207 <1% 36 $5.99
J3480 Injection, potassium chloride, per 2 meq <1% 258 $5.88
89051 <1% 15 $5.60
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 57 $0.60
J0735 Injection, clonidine hydrochloride, 1 mg <1% 17 $0.57
J7050 Infusion, normal saline solution, 250 cc <1% 12 $0.02
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 869 $0.02
99429 0% 1,909 $0.00
J3535 Drug administered through a metered dose inhaler 0% 128 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 245 $0.00
A4580 Cast supplies (e.g., plaster) 0% 12 $0.00
D1310 0% 13 $0.00
83625 0% 13 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 19 $0.00
99080 0% 11,999 $0.00
99499 0% 467 $0.00
93793 0% 20 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 24 $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 officialDEMARCO, VICTOR (SENIOR VP- CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under DEMARCO, VICTOR

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.