Bronxcare Health System

Bronxcare Health System was paid $403K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 55% of everything it billed.

33Billing provider infoBRONXCARE HEALTH SYSTEM
BRONX, NY 10457

33aNPI1548310758assigned 01/11/2007

33bProvider typeOphthalmology Physician

28Total paid$403K

24GClaims13,546

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#194 of 1,085

Median peer was paid$34K

This provider vs. median12×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DEMARCO, VICTOR controls 17+ related entities in our dataset. Read more

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	2,153	$86K
2019	2,119	$77K
2020	2,091	$59K
2021	2,685	$71K
2022	2,066	$60K
2023	1,592	$36K
2024incomplete	840	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	55%	6,518	6,006	$221K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	25%	1,851	1,784	$100K
92134		12%	3,535	3,325	$50K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	162	159	$6K
92015	Determination of refractive state	1.3%	433	431	$5K
92060		1.3%	177	174	$5K
67028	Intravitreal injection of a pharmacologic agent	1.3%	83	79	$5K
92083		<1%	256	252	$3K
92133		<1%	236	233	$2K
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	<1%	69	69	$2K
92228		<1%	143	143	$2K
99441		<1%	28	28	$595.81

4 more codes

92235		<1%	12	$245.34
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	$232.39
92250		<1%	13	$161.19
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	18	$101.86

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 officialDEMARCO, VICTOR (CFO)

Same official

Other billing entities under DEMARCO, VICTOR

Full network →

Provider	Location	Paid
Bronxcare Health System	Bronx, NY	$348.43M
Bronxcare Health System	Bronx, NY	$62.38M
Bronxcare DR. Martin Luther King JR. Health Center	Bronx, NY	$60.39M
Bronxcare Health System	Bronx, NY	$13.04M
Bronxcare DR. Martin Luther King JR. Health Center	Bronx, NY	$7.31M
Bronxcare DR. Martin Luther King JR. Health Center	Bronx, NY	$6.55M
Bronxcare DR. Martin Luther King JR. Health Center	Bronx, NY	$6.04M
Bronxcare Health System	Bronx, NY	$4.30M
Bronxcare DR. Martin Luther King JR. Health Center	Bronx, NY	$3.14M
Bronxcare DR. Martin Luther King JR. Health Center	Bronx, NY	$511K
Bronxcare Health System	Bronx, NY	$420K
Bronxcare DR. Martin Luther King JR. Health Center	Bronx, NY	$392K
Bronxcare Health System	Bronx, NY	$13K
Bronxcare Health System	Bronx, NY	$12K
Bronxcare Special Care Center	Bronx, NY	$6K
Bronxcare Health System	Bronx, NY	$2K
Bronxcare Health System	Bronx, NY	$1K

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