Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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North Bronx Faculty Practice

North Bronx Faculty Practice was paid $5.85M by Medicaid between Sep 2019 and Jun 2024, across 85 billing codes. Its largest line is 99284, emergency room visit (serious) — 38% of everything it billed.

33Billing provider infoNORTH BRONX FACULTY PRACTICE
BRONX, NY 10461
33aNPI1437360997assigned 05/25/2007
28Total paid$5.85M
24GClaims142,487
24DCodes billed85
24AFirst – last monthSep 2019 – Jun 2024
Compared with peers

Next to other General Acute Care Hospital providers in New York

Rank by total paid#90 of 231
Median peer was paid$561K
This provider vs. median10×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
20193,485$104K
20209,621$330K
202125,759$931K
202236,506$1.32M
202345,175$2.17M
2024incomplete21,941$998K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 38% 22,119 21,997 $2.23M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 13,482 13,413 $789K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 14,782 14,164 $674K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.8% 6,735 6,703 $224K
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 3.5% 3,547 3,444 $206K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3.0% 4,997 4,684 $175K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.9% 3,399 3,371 $172K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.8% 3,093 3,093 $165K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.8% 24,453 22,522 $161K
76819 Fetal biophysical profile; without non-stress testing 2.1% 3,855 3,521 $123K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.7% 2,838 2,491 $101K
59425 1.5% 1,409 1,240 $89K
73 more codes
71046 Radiologic examination, chest; 2 views 1.4% 9,836 $84K
70450 Computed tomography, head or brain; without contrast material 1.3% 2,543 $79K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.3% 1,017 $77K
77067 Screening mammography, bilateral, including computer-aided detection 1.0% 2,411 $59K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 605 $42K
88307 <1% 481 $37K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,804 $34K
99203 Doctor's office visit, new patient (routine) <1% 468 $29K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 538 $28K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 770 $26K
76818 <1% 600 $25K
99442 <1% 423 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,405 $19K
71045 Radiologic examination, chest; single view <1% 2,285 $14K
99443 <1% 304 $12K
76801 <1% 296 $12K
92250 <1% 895 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 147 $10K
99204 Doctor's office visit, new patient (more involved) <1% 96 $10K
88141 <1% 709 $9K
96136 <1% 632 $8K
88112 <1% 402 $8K
76813 <1% 146 $7K
76830 Ultrasound, transvaginal <1% 246 $6K
96137 <1% 591 $6K
99285 Emergency room visit (most serious) <1% 41 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 114 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 227 $5K
72125 Computed tomography, cervical spine; without contrast material <1% 106 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 68 $4K
93970 <1% 194 $4K
73610 <1% 576 $4K
92002 <1% 110 $4K
71250 <1% 94 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 92 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 77 $3K
59426 <1% 18 $2K
76820 <1% 122 $2K
90834 Psychotherapy session, about 45 minutes <1% 43 $2K
73560 <1% 380 $2K
99441 <1% 131 $2K
88304 <1% 125 $2K
73110 <1% 254 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 76 $2K
99215 Doctor's office visit, returning patient (complex) <1% 13 $1K
90832 Psychotherapy session, about 30 minutes <1% 28 $1K
73630 <1% 254 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 19 $779.20
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 13 $778.48
73030 <1% 156 $775.59
74018 <1% 99 $684.89
73130 <1% 79 $437.71
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 13 $412.43
11720 <1% 57 $377.13
77080 <1% 82 $364.25
73590 <1% 57 $337.58
76641 <1% 12 $325.36
93248 <1% 25 $296.70
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 13 $294.92
76770 <1% 13 $276.50
76642 <1% 12 $260.39
77065 Tomosynthesis, mammo <1% 13 $213.57
73564 <1% 29 $195.29
99188 <1% 28 $169.95
72100 <1% 26 $160.85
73502 <1% 13 $71.58
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 112 $46.80
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 2,034 $0.00
0502F 0% 547 $0.00
3078F 0% 25 $0.00
3008F 0% 437 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 59 $0.00
82962 0% 12 $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 officialBLUMBERG, STEPHEN (PRESIDENT)