Clinic
Bronxcare DR. Martin Luther King JR. Health Center
Bronxcare DR. Martin Luther King JR. Health Center was paid $6.04M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoBRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER
BRONX, NY 10451
BRONX, NY 10451
33aNPI1588962906assigned 03/09/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.04M
24GClaims92,741
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#48 of 158
Median peer was paid$1.73M
This provider vs. median3.5×
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 | 15,657 | $775K | |
| 2019 | 15,572 | $857K | |
| 2020 | 16,135 | $1.06M | |
| 2021 | 13,435 | $956K | |
| 2022 | 7,635 | $458K | |
| 2023 | 14,402 | $1.07M | |
| 2024incomplete | 9,905 | $866K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 26,369 | 20,487 | $2.70M |
| 36415 | Collection of venous blood by venipuncture | 15% | 28,940 | 8,171 | $934K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 6,422 | 5,546 | $658K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.5% | 2,971 | 1,991 | $395K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.8% | 6,361 | 3,031 | $349K |
| 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 | 3.1% | 1,843 | 1,451 | $190K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 7,184 | 1,566 | $174K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.9% | 1,594 | 938 | $116K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 1,013 | 895 | $112K |
| 11721 | 1.2% | 1,379 | 576 | $71K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,839 | 450 | $55K |
| 90656 | <1% | 1,229 | 420 | $42K |
21 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 726 | $34K |
| D1110 | Prophylaxis - adult | <1% | 349 | $31K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 992 | $27K |
| 92551 | <1% | 654 | $25K | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 385 | $24K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 163 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 540 | $18K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 310 | $14K |
| 99173 | <1% | 130 | $9K | |
| 97802 | <1% | 109 | $8K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 46 | $7K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 42 | $6K |
| 81025 | <1% | 135 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 31 | $4K |
| 86580 | <1% | 138 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 17 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 32 | $2K |
| 99201 | <1% | 13 | $2K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 45 | $2K |
| 99441 | 0% | 13 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 727 | $0.00 |
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 (SENIOR VP-CHIEF FINANCIAL OFFICER)
Parent organizationBRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER
| 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 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 Health System | Bronx, NY | $403K |
| 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.