Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1548208127 · NEW YORK, NY 10002 · Internal Medicine Physician · NPI assigned 06/03/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KARLIN, MARJI controls 19+ related entities in our dataset. Read more

$57.46M
Total Medicaid Paid
1,251,300
Total Claims
990,795
Beneficiaries
322
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARLIN, MARJI (CHIEF REVENUE OFFICER)
NPI Enumeration Date06/03/2006

Related Entities

Other providers sharing the same authorized official: KARLIN, MARJI

ProviderCityStateTotal Paid
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $217.68M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $178.84M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $176.33M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $160.32M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION ELMHURST NY $146.57M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION JAMAICA NY $125.54M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $119.27M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $108.18M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $107.34M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $100.78M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $48.88M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $34.62M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $30.93M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $19.59M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $16.91M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $5.55M
NEW YORK CITY HEALTH & HOSPITALS CORPORATION BROOKLYN NY $896K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $335K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $410.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,804 $1.34M
2019 97,683 $4.64M
2020 204,485 $10.43M
2021 294,825 $13.40M
2022 217,869 $10.27M
2023 207,684 $8.77M
2024 200,950 $8.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93,847 74,720 $8.12M
90834 Psychotherapy, 45 minutes with patient 56,339 28,696 $6.99M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 54,140 44,002 $3.70M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,574 25,386 $3.04M
90832 Psychotherapy, 30 minutes with patient 19,159 12,683 $1.89M
99441 26,449 24,677 $1.81M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 24,802 19,484 $1.77M
99442 20,974 19,845 $1.74M
H2012 Behavioral health day treatment, per hour 14,825 1,706 $1.21M
36415 Collection of venous blood by venipuncture 115,583 47,637 $1.11M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12,569 8,036 $965K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,339 7,583 $848K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,985 7,583 $839K
90853 Group psychotherapy (other than of a multiple-family group) 13,895 6,054 $811K
D0999 Unspecified diagnostic procedure, by report 4,710 4,451 $753K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,147 5,678 $715K
D9999 Unspecified adjunctive procedure, by report 4,823 4,272 $695K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 20,887 16,316 $680K
90460 Immunization administration through 18 years of age via any route, first or only component 16,998 13,093 $618K
D0120 Periodic oral evaluation - established patient 23,297 9,716 $615K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,995 4,780 $580K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 8,710 5,929 $560K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28,358 27,630 $554K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,842 4,851 $548K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,327 4,238 $548K
99443 6,061 5,295 $536K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4,570 3,518 $523K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15,536 14,953 $511K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 21,967 18,601 $496K
77067 Screening mammography, bilateral, including computer-aided detection 3,980 3,912 $469K
90847 Family psychotherapy with the patient present, 50 minutes 2,260 1,521 $431K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,040 1,021 $424K
90750 2,426 2,415 $388K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,815 2,737 $383K
90651 2,849 2,832 $371K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,853 5,921 $367K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,120 2,084 $362K
99215 Prolong outpt/office vis 3,180 2,677 $350K
80061 Lipid panel 24,375 23,968 $292K
86480 4,040 3,926 $256K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 10,209 8,901 $254K
90461 4,859 4,824 $250K
D1110 Prophylaxis - adult 5,377 4,311 $238K
83036 Hemoglobin; glycosylated (A1C) 28,436 27,900 $232K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,363 2,277 $207K
86703 14,154 12,852 $207K
99385 1,471 1,434 $198K
90686 12,350 12,256 $192K
90677 1,168 1,162 $188K
77063 Screening digital breast tomosynthesis, bilateral 3,822 3,761 $175K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,213 1,207 $174K
84443 Thyroid stimulating hormone (TSH) 12,400 12,167 $171K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,844 1,836 $161K
80053 Comprehensive metabolic panel 13,595 12,013 $159K
85027 28,630 28,059 $154K
81003 10,382 5,855 $151K
90837 Psychotherapy, 53 minutes with patient 1,116 771 $150K
87536 1,466 1,445 $145K
90791 Psychiatric diagnostic evaluation 901 863 $145K
80048 Basic metabolic panel (calcium, ionized) 15,362 14,921 $141K
92015 Determination of refractive state 6,198 6,165 $136K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 3,170 2,239 $136K
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 8,080 3,101 $133K
90746 2,133 2,121 $131K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,695 3,287 $131K
99051 5,435 4,857 $124K
86780 9,621 9,392 $124K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,135 2,029 $118K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,308 3,220 $110K
90472 Immunization administration, each additional vaccine (list separately) 5,688 5,640 $110K
90792 Psychiatric diagnostic evaluation with medical services 673 558 $107K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,040 1,841 $106K
80076 12,299 12,108 $105K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,566 3,505 $102K
86803 8,012 7,898 $99K
92250 2,283 2,253 $97K
86360 1,812 1,771 $96K
99386 619 581 $94K
86769 2,919 2,439 $90K
T1013 Sign language or oral interpretive services, per 15 minutes 5,111 4,476 $90K
97161 870 868 $86K
90715 2,845 2,826 $82K
81408 58 58 $79K
86359 1,811 1,770 $75K
D1120 Prophylaxis - child 2,266 1,169 $74K
0012A 1,753 1,752 $73K
87800 1,909 1,868 $72K
99381 723 704 $67K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,641 1,703 $67K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,901 3,420 $66K
92083 1,018 948 $64K
96127 10,038 9,895 $63K
0064A 1,455 1,453 $63K
90697 463 462 $62K
0011A 1,831 1,818 $61K
87340 6,208 6,076 $61K
91322 552 550 $57K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,018 929 $57K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 130 129 $56K
86706 5,634 5,519 $56K
00120 989 450 $55K
90480 1,195 1,192 $55K
82728 4,302 4,239 $54K
88142 2,324 2,256 $53K
73630 1,442 1,260 $52K
H2010 Comprehensive medication services, per 15 minutes 824 813 $49K
83655 3,670 3,586 $48K
92133 1,178 1,170 $46K
71046 Radiologic examination, chest; 2 views 1,372 1,355 $42K
96110 Developmental screening, with scoring and documentation, per standardized instrument 959 911 $41K
76827 1,172 260 $41K
81025 6,103 5,778 $40K
82607 2,787 2,738 $38K
99201 446 440 $36K
87486 1,052 1,033 $35K
90836 392 318 $35K
82274 2,711 2,688 $35K
76700 Ultrasound, abdominal, real time with image documentation; complete 248 246 $33K
87581 1,051 1,032 $33K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,146 1,146 $32K
90732 336 327 $32K
88305 Level IV - Surgical pathology, gross and microscopic examination 287 276 $30K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit 8,896 7,048 $30K
99383 226 226 $29K
86704 2,728 2,699 $29K
87086 Culture, bacterial; quantitative colony count, urine 3,846 3,655 $28K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 44 44 $28K
81001 6,474 5,859 $27K
86762 1,945 1,870 $27K
99205 Prolong outpt/office vis 154 154 $26K
D1351 Sealant - per tooth 1,191 284 $25K
0134A 572 570 $25K
3074F 23,230 20,271 $24K
86765 1,951 1,872 $24K
82043 4,478 4,395 $24K
D0274 Bitewings - four radiographic images 2,736 2,546 $24K
D7140 Extraction, erupted tooth or exposed root 556 279 $23K
84153 1,402 1,375 $23K
90734 941 941 $23K
99384 150 150 $22K
87535 596 585 $21K
D0210 Intraoral - complete series of radiographic images 1,056 978 $21K
90670 1,379 1,368 $20K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 397 305 $20K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 107 107 $20K
83550 2,692 2,644 $20K
90739 128 128 $20K
86787 1,808 1,732 $20K
90620 160 160 $20K
84439 2,222 2,157 $19K
76642 218 198 $19K
90707 527 525 $18K
87631 140 139 $18K
D0220 Intraoral - periapical first radiographic image 3,599 3,510 $17K
90846 Family psychotherapy without the patient present, 50 minutes 160 117 $17K
D1208 Topical application of fluoride, excluding varnish 1,395 1,167 $16K
83540 2,780 2,729 $16K
76830 Ultrasound, transvaginal 131 130 $16K
0124A 317 317 $15K
90656 1,117 1,117 $15K
92134 347 340 $14K
83001 767 744 $14K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 468 428 $14K
90662 563 548 $14K
86003 236 223 $14K
92551 506 282 $13K
86735 1,175 1,159 $13K
99382 106 106 $13K
84146 673 656 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,629 1,615 $12K
H2011 Crisis intervention service, per 15 minutes 112 107 $12K
97803 434 434 $12K
90714 493 490 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 863 852 $11K
90716 365 364 $11K
83020 779 743 $11K
0154A 233 233 $10K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 467 467 $10K
87081 1,395 1,361 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 159 97 $10K
84702 730 653 $10K
77065 Tomosynthesis, mammo 73 69 $9K
87517 202 199 $9K
81161 45 45 $9K
86850 651 604 $8K
76705 Ultrasound, abdominal, real time with image documentation; limited 89 89 $8K
D0140 Limited oral evaluation - problem focused 276 143 $8K
0072A 165 165 $8K
90633 1,000 995 $8K
82951 698 636 $7K
0081A 157 157 $7K
81329 56 55 $7K
90674 246 244 $7K
84403 247 242 $6K
99173 982 981 $6K
96161 888 877 $6K
0071A 121 121 $6K
86901 940 885 $6K
0082A 120 120 $5K
86592 997 924 $5K
86900 930 880 $5K
D2391 Resin-based composite - one surface, posterior, primary or permanent 98 65 $5K
87338 405 399 $5K
86140 1,068 1,037 $5K
76536 39 38 $5K
99429 62 60 $5K
D0230 Intraoral - periapical each additional radiographic image 1,489 1,489 $5K
81243 100 98 $5K
99188 217 217 $5K
G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening 343 326 $4K
D0272 Bitewings - two radiographic images 574 525 $4K
80348 172 116 $4K
Q3014 Telehealth originating site facility fee 167 141 $4K
85610 1,076 771 $4K
96112 27 26 $4K
0074A 78 78 $4K
86008 29 27 $4K
77061 31 28 $4K
51798 84 62 $3K
0004A 69 69 $3K
84402 127 124 $3K
87186 321 305 $3K
82105 218 215 $3K
86708 282 278 $3K
86593 658 650 $3K
90694 91 91 $3K
90680 592 586 $3K
90698 641 634 $3K
81361 26 26 $3K
86038 283 277 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 417 411 $3K
91320 65 64 $3K
D1206 Topical application of fluoride varnish 281 281 $3K
82785 174 173 $3K
82670 92 92 $3K
90653 138 138 $3K
94060 25 25 $3K
85651 693 672 $2K
96116 14 14 $2K
81401 26 26 $2K
90474 139 139 $2K
83735 401 380 $2K
81002 42 12 $2K
81405 13 13 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 337 228 $2K
99401 40 40 $2K
D4341 25 12 $2K
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 49 49 $2K
99493 12 12 $2K
83002 95 91 $2K
90838 15 15 $2K
91319 189 189 $2K
90744 248 245 $2K
81257 26 26 $2K
83516 138 137 $2K
92020 50 49 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 167 161 $1K
73610 27 25 $1K
58300 12 12 $1K
74220 39 39 $1K
90710 133 133 $1K
88141 60 56 $1K
73560 41 26 $1K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 fqhc visit 135 131 $1K
92225 48 46 $1K
97802 92 92 $1K
81255 26 26 $1K
81251 26 26 $1K
81200 26 26 $1K
81400 26 26 $997.83
73030 26 26 $961.66
81260 26 26 $888.39
1159F 3,848 2,607 $887.64
83970 24 24 $882.66
0073A 18 18 $880.01
92227 28 28 $859.66
91318 85 84 $804.36
90678 17 17 $745.23
90696 101 101 $728.05
84100 177 165 $682.47
87522 Neg quan hep c or qual rna 16 16 $644.90
90672 147 146 $605.53
90473 33 33 $521.48
85025 Blood count; complete (CBC), automated, and automated differential WBC count 169 167 $495.87
82746 25 25 $436.33
84550 93 91 $431.79
85730 68 65 $346.85
96160 18 12 $333.30
92202 16 16 $320.86
96159 13 13 $318.89
90713 12 12 $304.70
82465 69 69 $301.62
90688 56 56 $287.45
84425 13 13 $244.55
82172 12 12 $203.56
90660 25 25 $193.44
82977 24 24 $167.40
82948 42 39 $164.08
D0330 Panoramic radiographic image 15 12 $151.27
83695 12 12 $148.78
90700 24 24 $147.62
86430 15 14 $81.50
82570 14 12 $66.30
85045 17 17 $62.15
90648 12 12 $53.55
84156 15 12 $51.31
85018 19 19 $45.38
J0696 Injection, ceftriaxone sodium, per 250 mg 13 12 $29.54
81000 15 12 $29.15
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 18 17 $20.53
G0008 Administration of influenza virus vaccine 185 185 $2.67
90611 109 109 $0.05
3079F 8,139 7,676 $0.00
3080F 1,300 1,240 $0.00
3075F 5,038 4,828 $0.00
1220F 512 512 $0.00
3044F 50 50 $0.00
3077F 2,619 2,446 $0.00
1160F 2,435 1,943 $0.00
3078F 20,373 18,418 $0.00
99499 1,665 1,316 $0.00
2022F 13 13 $0.00