Clinic
Hamilton Madison House, INC
Hamilton Madison House, INC was paid $9.51M by Medicaid between Jan 2019 and Nov 2024, across 15 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 37% of everything it billed.
33Billing provider infoHAMILTON MADISON HOUSE, INC
NEW YORK, NY 10002
NEW YORK, NY 10002
33aNPI1588610604assigned 05/26/2006
28Total paid$9.51M
24GClaims63,319
24DCodes billed15
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New York
Rank by total paid#18 of 112
Median peer was paid$1.84M
This provider vs. median5.2×
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
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 | |
|---|---|---|---|
| 2019 | 3,963 | $610K | |
| 2020 | 14,087 | $1.97M | |
| 2021 | 15,319 | $2.09M | |
| 2022 | 13,585 | $2.13M | |
| 2023 | 12,465 | $1.81M | |
| 2024incomplete | 3,900 | $894K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 37% | 25,049 | 10,232 | $3.53M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 26% | 3,029 | 3,000 | $2.47M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 16% | 15,793 | 7,479 | $1.49M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 9.1% | 2,715 | 2,705 | $864K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 5,464 | 4,752 | $561K |
| 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 | 2.7% | 2,612 | 2,155 | $258K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.0% | 1,498 | 1,399 | $96K |
| 99051 | <1% | 6,276 | 3,733 | $83K | |
| H2018 | Psychosocial rehabilitation services, per diem | <1% | 156 | 155 | $64K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 235 | 173 | $41K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 202 | 181 | $23K |
| 90836 | <1% | 177 | 163 | $16K |
3 more codes
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 officialRODRIGUEZ, MIRIAM (BILLING MANAGER)