WESTCHESTER COUNTY HEALTHCARE CORP
NPI: 1528292596
· VALHALLA, NY 10595
· General Acute Care Hospital
· NPI assigned 05/06/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code H0040 with only 3 total codes billed. Highly concentrated billing profile.
$4.58M
Total Medicaid Paid
Provider Details
| Authorized Official | FERSKO, MARK (SVP, FINANCIAL PLANNING) |
| NPI Enumeration Date | 05/06/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
148 |
$50K |
| 2020 |
469 |
$718K |
| 2021 |
562 |
$1.02M |
| 2022 |
548 |
$1.10M |
| 2023 |
491 |
$1.01M |
| 2024 |
339 |
$687K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assertive community treatment program, per diem |
2,407 |
2,394 |
$4.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
108 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
21 |
13 |
$4K |