Medicaid Provider Spending

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

NYC COMMUNITY MEDICAL CARE

NPI: 1427486703 · BRONX, NY 10472 · 261QM1300X

$2.18M
Total Medicaid Paid
154,832
Total Claims
133,213
Beneficiaries
91
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,431 $222K
2019 21,616 $213K
2020 12,932 $138K
2021 21,691 $273K
2022 32,608 $463K
2023 20,099 $403K
2024 18,455 $463K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 11,948 10,178 $806K
99214 4,878 4,449 $421K
99212 5,590 5,325 $236K
99401 5,696 5,236 $119K
G0445 High inten beh couns std 30m 5,484 4,852 $97K
99396 869 866 $83K
S9470 Nutritional counseling, diet 2,851 2,430 $66K
99203 616 616 $55K
99395 489 487 $44K
87635 1,574 1,390 $42K
G0447 Behavior counsel obesity 15m 2,253 2,001 $39K
36410 2,609 2,544 $25K
G0444 Depression screen annual 1,982 1,951 $19K
99211 745 679 $14K
36415 7,172 6,949 $11K
90471 797 789 $11K
H0049 Alcohol/drug screening 672 669 $11K
99385 109 109 $10K
S0340 Lifestyle mod 1st stage 3,209 2,696 $8K
99204 70 70 $7K
90688 334 331 $6K
G0108 Diab manage trn per indiv 187 180 $6K
G2012 Brief check in by md/qhp 1,021 941 $5K
G2023 Specimen collect covid-19 339 324 $4K
G8510 Scr dep neg, no plan reqd 1,089 1,057 $3K
3074F 11,246 8,079 $3K
99408 420 412 $3K
3078F 10,704 7,990 $3K
83036 383 377 $3K
90686 117 117 $3K
G0103 Psa screening 221 213 $2K
90658 191 190 $2K
99397 36 36 $2K
90685 65 64 $1K
99386 12 12 $1K
99173 737 723 $777.20
G0121 Colon ca scrn not hi rsk ind 23 23 $739.30
Q0091 Obtaining screen pap smear 30 30 $657.18
97802 82 81 $616.87
G9622 No unheal etoh user 115 115 $602.00
0011A 12 12 $561.60
99490 Ccm add 20min 38 38 $403.93
3079F 1,894 1,658 $385.00
99051 92 84 $374.25
S9451 Exercise class 143 141 $360.00
99000 3,574 3,375 $228.48
G0123 Screen cerv/vag thin layer 14 14 $198.52
90656 12 12 $142.56
3077F 375 305 $127.50
3075F 454 401 $87.50
G9275 Doc of non tobacco user 685 668 $84.00
1159F 7,260 5,866 $65.00
1160F 6,543 5,168 $60.00
1111F 232 230 $50.00
88150 12 12 $32.97
1126F 2,308 2,118 $15.11
G8417 Calc bmi abv up param f/u 5,733 4,725 $7.00
2028F 149 144 $1.00
3049F 596 580 $0.10
3513F 1,761 1,716 $0.08
3044F 1,135 1,104 $0.06
3511F 1,750 1,699 $0.03
1000F 228 218 $0.01
3008F 11,669 8,700 $0.01
3512F 1,782 1,739 $0.00
1157F 2,695 1,784 $0.00
G8420 Calc bmi norm parameters 2,841 2,502 $0.00
3048F 905 875 $0.00
4086F 1,338 1,202 $0.00
3514F 1,591 1,551 $0.00
2023F 81 78 $0.00
2010F 2,422 1,952 $0.00
3014F 75 63 $0.00
1170F 215 211 $0.00
3017F 455 398 $0.00
3080F 51 40 $0.00
3061F 272 269 $0.00
1036F 321 309 $0.00
1031F 13 13 $0.00
4011F 20 16 $0.00
99072 1,882 1,706 $0.00
G8427 Docrev cur meds by elig clin 123 115 $0.00
4013F 2,223 2,013 $0.00
3051F 929 903 $0.00
G9276 Doc of tobacco user 45 41 $0.00
3725F 773 727 $0.00
3515F 52 52 $0.00
3015F 53 46 $0.00
3050F 14 14 $0.00
3288F 12 12 $0.00
2022F 15 13 $0.00