Medicaid Provider Spending

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

BRONXCARE HEALTH SYSTEM

NPI: 1548310758 · BRONX, NY 10457 · Ophthalmology Physician · NPI assigned 01/11/2007

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

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

$403K
Total Medicaid Paid
13,546
Total Claims
12,738
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDEMARCO, VICTOR (CFO)
NPI Enumeration Date01/11/2007

Related Entities

Other providers sharing the same authorized official: DEMARCO, VICTOR

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 840 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6,518 6,006 $221K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,851 1,784 $100K
92134 3,535 3,325 $50K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 162 159 $6K
92015 Determination of refractive state 433 431 $5K
92060 177 174 $5K
67028 Intravitreal injection of a pharmacologic agent 83 79 $5K
92083 256 252 $3K
92133 236 233 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 69 69 $2K
92228 143 143 $2K
99441 28 28 $595.81
92235 12 12 $245.34
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $232.39
92250 13 13 $161.19
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 18 18 $101.86