Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Fpa Hospital Based

Fpa Hospital Based was paid $4.05M by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is 74183, — 35% of everything it billed.

33Billing provider infoFPA HOSPITAL BASED
NEW YORK, NY 10029
33aNPI1487995700assigned 03/12/2013
28Total paid$4.05M
24GClaims78,694
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in New York

Rank by total paid#20 of 1,568
Median peer was paid$5K
This provider vs. median748×

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$50K$100K$150K2018201920202021202220232024
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
20186,316$231K
20197,989$380K
202011,788$593K
202117,680$1.00M
202216,594$920K
202312,374$662K
2024incomplete5,953$261K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74183 35% 3,893 3,888 $1.42M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12% 1,566 1,552 $506K
74177 Computed tomography, abdomen and pelvis; with contrast material 9.2% 2,382 2,368 $374K
71250 7.1% 2,422 2,416 $289K
71046 Radiologic examination, chest; 2 views 5.8% 17,471 17,281 $235K
72197 4.0% 477 473 $164K
A9581 Injection, gadoxetate disodium, 1 ml 3.6% 1,481 1,453 $145K
76770 3.6% 1,418 1,406 $145K
76830 Ultrasound, transvaginal 2.9% 960 957 $119K
71045 Radiologic examination, chest; single view 2.7% 13,239 8,947 $111K
70450 Computed tomography, head or brain; without contrast material 1.8% 2,197 2,096 $74K
77067 Screening mammography, bilateral, including computer-aided detection 1.8% 1,966 1,966 $73K
36 more codes
A9585 Injection, gadobutrol, 0.1 ml 1.5% 3,277 $60K
70491 <1% 224 $39K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 617 $35K
70486 <1% 274 $34K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 222 $29K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,990 $29K
77063 Screening digital breast tomosynthesis, bilateral <1% 936 $27K
70543 <1% 67 $24K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 182 $16K
93975 <1% 63 $15K
71271 <1% 155 $15K
77080 <1% 876 $15K
A9573 Injection, gadopiclenol, 1 ml <1% 446 $13K
77085 <1% 149 $9K
77072 <1% 353 $9K
74018 <1% 424 $7K
70551 Magnetic resonance imaging, brain; without contrast material <1% 54 $6K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 12 $3K
70480 <1% 12 $2K
73562 <1% 167 $2K
99204 Doctor's office visit, new patient (more involved) <1% 12 $2K
73564 <1% 104 $2K
73620 <1% 130 $1K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) <1% 25 $472.12
73630 <1% 39 $376.11
73130 <1% 31 $356.77
73030 <1% 29 $330.61
72100 <1% 12 $238.94
82565 <1% 27 $126.86
73120 <1% 14 $124.73
G9551 Final reports for imaging studies without an incidentally found lesion noted <1% 6,013 $2.41
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) <1% 9,368 $0.34
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found <1% 431 $0.14
G9638 Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) <1% 177 $0.02
G9327 Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements 0% 1,068 $0.00
G9318 Imaging study named according to standardized nomenclature 0% 242 $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 officialHART, JOHN (ADMINISTRATIVE DIRECTOR)
Same official

Other billing entities under HART, JOHN

Full network →
ProviderLocationPaid
Fpa Hospital BasedNew York, NY$16.67M
Fpa Hospital BasedNew York, NY$1.30M
Wray Community District HospitalWray, CO$1.23M
Wray Community District HospitalWray, CO$78K
Mmi Holdings LLCJohnson City, TN$12K
Mmi Holdings LLCHoover, AL$5K
Heartland Foot & Ankle Clinic PCMt Pleasant, IA$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.