Medicaid Provider Spending

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

NORTH BRONX FACULTY PRACTICE

NPI: 1437360997 · BRONX, NY 10461 · General Acute Care Hospital · NPI assigned 05/25/2007

$5.85M
Total Medicaid Paid
142,487
Total Claims
137,288
Beneficiaries
85
Codes Billed
2019-09
First Month
2024-06
Last Month

Provider Details

Authorized OfficialBLUMBERG, STEPHEN (PRESIDENT)
NPI Enumeration Date05/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,485 $104K
2020 9,621 $330K
2021 25,759 $931K
2022 36,506 $1.32M
2023 45,175 $2.17M
2024 21,941 $998K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 22,119 21,997 $2.23M
99283 Emergency department visit for the evaluation and management, moderate severity 13,482 13,413 $789K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,782 14,164 $674K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,735 6,703 $224K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,547 3,444 $206K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,997 4,684 $175K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,399 3,371 $172K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,093 3,093 $165K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 24,453 22,522 $161K
76819 Fetal biophysical profile; without non-stress testing 3,855 3,521 $123K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,838 2,491 $101K
59425 1,409 1,240 $89K
71046 Radiologic examination, chest; 2 views 9,836 9,778 $84K
70450 Computed tomography, head or brain; without contrast material 2,543 2,512 $79K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,017 1,012 $77K
77067 Screening mammography, bilateral, including computer-aided detection 2,411 2,409 $59K
74177 Computed tomography, abdomen and pelvis; with contrast material 605 604 $42K
88307 481 471 $37K
77063 Screening digital breast tomosynthesis, bilateral 1,804 1,804 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 468 468 $29K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 538 538 $28K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 770 766 $26K
76818 600 460 $25K
99442 423 410 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,405 2,405 $19K
71045 Radiologic examination, chest; single view 2,285 2,022 $14K
99443 304 236 $12K
76801 296 296 $12K
92250 895 894 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material 147 147 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 96 96 $10K
88141 709 703 $9K
96136 632 629 $8K
88112 402 384 $8K
76813 146 145 $7K
76830 Ultrasound, transvaginal 246 245 $6K
96137 591 588 $6K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 41 41 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 114 114 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 227 221 $5K
72125 Computed tomography, cervical spine; without contrast material 106 105 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 68 68 $4K
93970 194 186 $4K
73610 576 543 $4K
92002 110 110 $4K
71250 94 92 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 92 89 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 77 77 $3K
59426 18 13 $2K
76820 122 92 $2K
90834 Psychotherapy, 45 minutes with patient 43 24 $2K
73560 380 293 $2K
99441 131 128 $2K
88304 125 125 $2K
73110 254 224 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 76 74 $2K
99215 Prolong outpt/office vis 13 13 $1K
90832 Psychotherapy, 30 minutes with patient 28 24 $1K
73630 254 219 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 19 19 $779.20
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $778.48
73030 156 143 $775.59
74018 99 98 $684.89
73130 79 65 $437.71
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 12 $412.43
11720 57 57 $377.13
77080 82 82 $364.25
73590 57 53 $337.58
76641 12 12 $325.36
93248 25 25 $296.70
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 13 $294.92
76770 13 13 $276.50
76642 12 12 $260.39
77065 Tomosynthesis, mammo 13 12 $213.57
73564 29 27 $195.29
99188 28 28 $169.95
72100 26 26 $160.85
73502 13 12 $71.58
G8510 Screening for depression is documented as negative, a follow-up plan is not required 112 111 $46.80
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,034 1,982 $0.00
0502F 547 426 $0.00
3078F 25 25 $0.00
3008F 437 411 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 59 59 $0.00
82962 12 12 $0.00