Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER

NPI: 1437231693 · BRONX, NY 10456 · Federally Qualified Health Center (FQHC) · NPI assigned 10/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DEMARCO, VICTOR controls 17+ related entities in our dataset. Read more

$60.39M
Total Medicaid Paid
1,135,933
Total Claims
894,777
Beneficiaries
175
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMARCO, VICTOR (SENIOR VP-CHIEF FINANCIAL OFFICER)
NPI Enumeration Date10/19/2006

Related Entities

Other providers sharing the same authorized official: DEMARCO, VICTOR

ProviderCityStateTotal Paid
BRONXCARE HEALTH SYSTEM BRONX NY $348.43M
BRONXCARE HEALTH SYSTEM BRONX NY $62.38M
BRONXCARE HEALTH SYSTEM BRONX NY $13.04M
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $7.31M
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $6.55M
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $6.04M
BRONXCARE HEALTH SYSTEM BRONX NY $4.30M
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $3.14M
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $511K
BRONXCARE HEALTH SYSTEM BRONX NY $420K
BRONXCARE HEALTH SYSTEM BRONX NY $403K
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $392K
BRONXCARE HEALTH SYSTEM BRONX NY $13K
BRONXCARE HEALTH SYSTEM BRONX NY $12K
BRONXCARE SPECIAL CARE CENTER BRONX NY $6K
BRONXCARE HEALTH SYSTEM BRONX NY $2K
BRONXCARE HEALTH SYSTEM BRONX NY $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 116,777 $5.44M
2019 163,230 $9.04M
2020 175,771 $9.76M
2021 205,828 $11.23M
2022 185,277 $9.09M
2023 177,978 $9.29M
2024 111,072 $6.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 258,693 212,995 $22.41M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52,098 46,493 $5.06M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 58,584 50,693 $4.99M
36415 Collection of venous blood by venipuncture 58,219 31,901 $2.58M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22,671 16,456 $1.99M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17,841 17,341 $1.89M
90832 Psychotherapy, 30 minutes with patient 15,594 11,138 $1.51M
D0120 Periodic oral evaluation - established patient 49,578 27,798 $1.18M
D7140 Extraction, erupted tooth or exposed root 18,932 11,758 $1.03M
D0220 Intraoral - periapical first radiographic image 71,323 51,249 $1.01M
D8670 Periodic orthodontic treatment visit 9,009 7,766 $933K
D1110 Prophylaxis - adult 15,956 12,689 $903K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 9,903 7,959 $859K
D1120 Prophylaxis - child 19,602 18,419 $791K
92551 14,373 10,033 $681K
D0140 Limited oral evaluation - problem focused 30,725 22,655 $660K
90460 Immunization administration through 18 years of age via any route, first or only component 32,831 14,105 $633K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,958 5,802 $593K
D0330 Panoramic radiographic image 17,759 11,257 $510K
D0274 Bitewings - four radiographic images 19,877 13,250 $433K
D1206 Topical application of fluoride varnish 14,249 14,132 $413K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,646 6,606 $398K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,550 4,409 $393K
99000 10,016 7,572 $386K
D1351 Sealant - per tooth 9,802 3,840 $380K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,915 5,880 $376K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,737 2,721 $368K
D0150 Comprehensive oral evaluation - new or established patient 13,321 8,294 $351K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,625 3,403 $345K
D9430 11,469 8,913 $332K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,442 3,224 $298K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,424 3,197 $294K
99215 Prolong outpt/office vis 2,512 2,473 $292K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,126 3,108 $277K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,585 2,120 $268K
90834 Psychotherapy, 45 minutes with patient 2,487 2,051 $263K
D0230 Intraoral - periapical each additional radiographic image 26,010 25,667 $258K
D0272 Bitewings - two radiographic images 16,491 12,846 $242K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,940 2,741 $216K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 3,047 2,860 $198K
99173 10,320 10,022 $196K
T1013 Sign language or oral interpretive services, per 15 minutes 5,262 4,715 $187K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,748 1,725 $175K
D9995 6,110 4,735 $161K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,224 2,090 $153K
D9310 4,000 3,525 $147K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21,331 19,769 $136K
D0210 Intraoral - complete series of radiographic images 10,671 10,518 $130K
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 16,164 13,061 $119K
D0340 2,518 2,204 $114K
97802 2,116 2,078 $105K
92015 Determination of refractive state 8,704 8,072 $103K
D8660 3,241 2,346 $92K
0012A 2,052 2,045 $79K
99201 851 809 $79K
99205 Prolong outpt/office vis 528 526 $76K
90461 4,439 3,846 $73K
90656 8,222 7,172 $68K
0001A 1,667 1,663 $66K
0002A 1,455 1,454 $59K
90686 8,888 8,857 $58K
99385 545 544 $54K
D0270 5,761 5,112 $53K
90670 2,281 2,279 $50K
0011A 1,275 1,273 $49K
D0240 2,332 2,052 $48K
11721 985 965 $47K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 378 365 $44K
90746 1,522 1,514 $44K
90620 1,159 1,159 $41K
D0350 2,643 2,526 $34K
95117 717 445 $34K
90651 1,040 1,038 $33K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 353 293 $31K
97803 502 483 $26K
0064A 618 618 $24K
11900 209 203 $23K
99386 194 194 $21K
90697 419 419 $21K
0004A 507 506 $20K
91322 331 331 $20K
90649 991 990 $17K
90707 1,302 1,293 $16K
0031A 368 368 $14K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 891 548 $14K
11720 288 288 $13K
90732 458 457 $12K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 568 505 $11K
90715 2,150 2,147 $10K
99401 526 514 $9K
D2930 Prefabricated stainless steel crown - primary tooth 77 59 $8K
99381 77 76 $8K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 382 316 $8K
90472 Immunization administration, each additional vaccine (list separately) 1,596 1,589 $8K
92560 82 82 $8K
D5110 67 58 $8K
0071A 186 186 $7K
D4341 126 57 $7K
90734 1,925 1,910 $6K
90677 195 194 $6K
0072A 142 142 $6K
90480 216 215 $5K
92133 326 306 $5K
99443 43 43 $5K
99383 63 63 $5K
90473 499 499 $5K
90733 321 320 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 790 786 $4K
92020 303 265 $4K
D2750 20 12 $4K
D1354 253 83 $4K
99384 56 56 $4K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 553 548 $4K
90662 959 957 $4K
90716 803 797 $3K
11719 74 24 $3K
0134A 90 86 $3K
0054A 91 87 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 48 47 $3K
99441 134 131 $3K
0124A 74 70 $3K
90633 1,506 1,498 $3K
D1310 4,688 4,598 $3K
D9991 473 462 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 227 226 $2K
D8680 16 13 $2K
17110 15 15 $2K
76514 38 38 $2K
D7111 56 43 $2K
92250 113 93 $2K
99242 49 49 $2K
D0180 213 180 $1K
36410 13 13 $1K
D2331 20 12 $1K
92083 24 12 $1K
D1320 138 138 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 919 918 $1K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 14 14 $1K
D0470 27 26 $977.19
90791 Psychiatric diagnostic evaluation 16 16 $967.38
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 453 435 $907.29
D0383 37 24 $745.52
90744 643 641 $631.09
99382 12 12 $610.61
90710 253 252 $544.20
96127 165 162 $500.37
0051A 12 12 $480.00
90655 242 241 $448.58
0003A 12 12 $440.00
96116 12 12 $430.14
90680 1,299 1,297 $416.92
D9110 13 13 $300.00
90696 342 341 $264.66
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 12 12 $243.27
90619 13 13 $230.44
90648 107 107 $208.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 207 200 $170.27
90698 988 984 $143.03
J1885 Injection, ketorolac tromethamine, per 15 mg 267 251 $117.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 55 53 $60.65
94760 62 62 $49.98
90700 141 141 $30.14
99442 31 30 $23.48
99406 12 12 $22.12
90657 69 68 $19.48
90713 12 12 $11.78
99429 878 598 $0.00
3008F 23 21 $0.00
D1352 13 13 $0.00
90723 13 13 $0.00
99080 4,821 1,314 $0.00
99499 682 367 $0.00
90671 76 75 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 56 54 $0.00
90685 20 20 $0.00