Clinic
Bronxcare DR. Martin Luther King JR. Health Center
Bronxcare DR. Martin Luther King JR. Health Center was paid $60.39M by Medicaid between Jan 2018 and Dec 2024, across 175 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoBRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER
BRONX, NY 10456
BRONX, NY 10456
33aNPI1437231693assigned 10/19/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$60.39M
24GClaims1,135,933
24DCodes billed175
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#7 of 158
Median peer was paid$1.73M
This provider vs. median35×
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
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 | 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 | |
| 2024incomplete | 111,072 | $6.55M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 258,693 | 212,995 | $22.41M |
| 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 | 8.4% | 52,098 | 46,493 | $5.06M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.3% | 58,584 | 50,693 | $4.99M |
| 36415 | Collection of venous blood by venipuncture | 4.3% | 58,219 | 31,901 | $2.58M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.3% | 22,671 | 16,456 | $1.99M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 17,841 | 17,341 | $1.89M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.5% | 15,594 | 11,138 | $1.51M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.0% | 49,578 | 27,798 | $1.18M |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 18,932 | 11,758 | $1.03M |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 71,323 | 51,249 | $1.01M |
| D8670 | Periodic orthodontic treatment visit | 1.5% | 9,009 | 7,766 | $933K |
| D1110 | Prophylaxis - adult | 1.5% | 15,956 | 12,689 | $903K |
163 more codes
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.4% | 9,903 | $859K |
| D1120 | Dental cleaning, child | 1.3% | 19,602 | $791K |
| 92551 | 1.1% | 14,373 | $681K | |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 30,725 | $660K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.0% | 32,831 | $633K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 5,958 | $593K |
| D0330 | Panoramic radiographic image | <1% | 17,759 | $510K |
| D0274 | Bitewings - four radiographic images | <1% | 19,877 | $433K |
| D1206 | Topical application of fluoride varnish | <1% | 14,249 | $413K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,646 | $398K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,550 | $393K |
| 99000 | <1% | 10,016 | $386K | |
| D1351 | Sealant - per tooth | <1% | 9,802 | $380K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 5,915 | $376K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,737 | $368K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13,321 | $351K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,625 | $345K |
| D9430 | <1% | 11,469 | $332K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 4,442 | $298K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,424 | $294K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,512 | $292K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,126 | $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 | <1% | 3,585 | $268K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,487 | $263K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 26,010 | $258K |
| D0272 | Bitewings - two radiographic images | <1% | 16,491 | $242K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,940 | $216K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 3,047 | $198K |
| 99173 | <1% | 10,320 | $196K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 5,262 | $187K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,748 | $175K |
| D9995 | <1% | 6,110 | $161K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,224 | $153K |
| D9310 | <1% | 4,000 | $147K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 21,331 | $136K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 10,671 | $130K |
| G0467 | Community health center visit, returning patient | <1% | 16,164 | $119K |
| D0340 | <1% | 2,518 | $114K | |
| 97802 | <1% | 2,116 | $105K | |
| 92015 | Determination of refractive state | <1% | 8,704 | $103K |
| D8660 | <1% | 3,241 | $92K | |
| 0012A | <1% | 2,052 | $79K | |
| 99201 | <1% | 851 | $79K | |
| 99205 | Prolong outpt/office vis | <1% | 528 | $76K |
| 90461 | <1% | 4,439 | $73K | |
| 90656 | <1% | 8,222 | $68K | |
| 0001A | <1% | 1,667 | $66K | |
| 0002A | <1% | 1,455 | $59K | |
| 90686 | <1% | 8,888 | $58K | |
| 99385 | <1% | 545 | $54K | |
| D0270 | <1% | 5,761 | $53K | |
| 90670 | <1% | 2,281 | $50K | |
| 0011A | <1% | 1,275 | $49K | |
| D0240 | <1% | 2,332 | $48K | |
| 11721 | <1% | 985 | $47K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 378 | $44K |
| 90746 | <1% | 1,522 | $44K | |
| 90620 | <1% | 1,159 | $41K | |
| D0350 | <1% | 2,643 | $34K | |
| 95117 | <1% | 717 | $34K | |
| 90651 | <1% | 1,040 | $33K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 353 | $31K |
| 97803 | <1% | 502 | $26K | |
| 0064A | <1% | 618 | $24K | |
| 11900 | <1% | 209 | $23K | |
| 99386 | <1% | 194 | $21K | |
| 90697 | <1% | 419 | $21K | |
| 0004A | <1% | 507 | $20K | |
| 91322 | <1% | 331 | $20K | |
| 90649 | <1% | 991 | $17K | |
| 90707 | <1% | 1,302 | $16K | |
| 0031A | <1% | 368 | $14K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 891 | $14K |
| 11720 | <1% | 288 | $13K | |
| 90732 | <1% | 458 | $12K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 568 | $11K |
| 90715 | <1% | 2,150 | $10K | |
| 99401 | <1% | 526 | $9K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 77 | $8K |
| 99381 | <1% | 77 | $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 | <1% | 382 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,596 | $8K |
| 92560 | <1% | 82 | $8K | |
| D5110 | <1% | 67 | $8K | |
| 0071A | <1% | 186 | $7K | |
| D4341 | <1% | 126 | $7K | |
| 90734 | <1% | 1,925 | $6K | |
| 90677 | <1% | 195 | $6K | |
| 0072A | <1% | 142 | $6K | |
| 90480 | <1% | 216 | $5K | |
| 92133 | <1% | 326 | $5K | |
| 99443 | <1% | 43 | $5K | |
| 99383 | <1% | 63 | $5K | |
| 90473 | <1% | 499 | $5K | |
| 90733 | <1% | 321 | $4K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 790 | $4K |
| 92020 | <1% | 303 | $4K | |
| D2750 | <1% | 20 | $4K | |
| D1354 | <1% | 253 | $4K | |
| 99384 | <1% | 56 | $4K | |
| G0466 | Community health center visit, new patient | <1% | 553 | $4K |
| 90662 | <1% | 959 | $4K | |
| 90716 | <1% | 803 | $3K | |
| 11719 | <1% | 74 | $3K | |
| 0134A | <1% | 90 | $3K | |
| 0054A | <1% | 91 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 48 | $3K |
| 99441 | <1% | 134 | $3K | |
| 0124A | <1% | 74 | $3K | |
| 90633 | <1% | 1,506 | $3K | |
| D1310 | <1% | 4,688 | $3K | |
| D9991 | <1% | 473 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 227 | $2K |
| D8680 | <1% | 16 | $2K | |
| 17110 | <1% | 15 | $2K | |
| 76514 | <1% | 38 | $2K | |
| D7111 | <1% | 56 | $2K | |
| 92250 | <1% | 113 | $2K | |
| 99242 | <1% | 49 | $2K | |
| D0180 | <1% | 213 | $1K | |
| 36410 | <1% | 13 | $1K | |
| D2331 | <1% | 20 | $1K | |
| 92083 | <1% | 24 | $1K | |
| D1320 | <1% | 138 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 919 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $1K |
| D0470 | <1% | 27 | $977.19 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 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 | <1% | 453 | $907.29 |
| D0383 | <1% | 37 | $745.52 | |
| 90744 | <1% | 643 | $631.09 | |
| 99382 | <1% | 12 | $610.61 | |
| 90710 | <1% | 253 | $544.20 | |
| 96127 | <1% | 165 | $500.37 | |
| 0051A | <1% | 12 | $480.00 | |
| 90655 | <1% | 242 | $448.58 | |
| 0003A | <1% | 12 | $440.00 | |
| 96116 | <1% | 12 | $430.14 | |
| 90680 | <1% | 1,299 | $416.92 | |
| D9110 | <1% | 13 | $300.00 | |
| 90696 | <1% | 342 | $264.66 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 12 | $243.27 |
| 90619 | <1% | 13 | $230.44 | |
| 90648 | <1% | 107 | $208.81 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 207 | $170.27 |
| 90698 | <1% | 988 | $143.03 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 267 | $117.22 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 55 | $60.65 |
| 94760 | <1% | 62 | $49.98 | |
| 90700 | <1% | 141 | $30.14 | |
| 99442 | <1% | 31 | $23.48 | |
| 99406 | <1% | 12 | $22.12 | |
| 90657 | <1% | 69 | $19.48 | |
| 90713 | <1% | 12 | $11.78 | |
| 99429 | 0% | 878 | $0.00 | |
| 3008F | 0% | 23 | $0.00 | |
| D1352 | 0% | 13 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 99080 | 0% | 4,821 | $0.00 | |
| 99499 | 0% | 682 | $0.00 | |
| 90671 | 0% | 76 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 56 | $0.00 |
| 90685 | 0% | 20 | $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)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.