NPI: 1598930869 · BRONX, NY 10454 · 251V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 11,335 | $3.53M |
| 2022 | 19,814 | $5.85M |
| 2023 | 17,747 | $4.52M |
| 2024 | 15,528 | $3.86M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5145 | Child fostercare th per diem | 4,462 | 4,056 | $6.72M |
| H0041 | Fos c chld non-ther per diem | 14,968 | 14,240 | $5.77M |
| H0004 | Alcohol and/or drug services | 13,468 | 3,775 | $2.06M |
| 99215 | Prolong outpt/office vis | 3,457 | 3,074 | $689K |
| 99392 | 1,647 | 1,641 | $472K | |
| 99393 | 1,354 | 1,348 | $409K | |
| 99214 | 2,050 | 1,932 | $264K | |
| 99417 | Prolong home eval add 15m | 1,762 | 1,607 | $260K |
| 90791 | 871 | 748 | $216K | |
| 99394 | 559 | 558 | $185K | |
| 99391 | 631 | 616 | $168K | |
| 99213 | 1,313 | 1,234 | $132K | |
| 90460 | 3,773 | 3,595 | $110K | |
| 99212 | 1,583 | 1,374 | $103K | |
| H0049 | Alcohol/drug screening | 1,509 | 1,504 | $71K |
| 97803 | 364 | 336 | $30K | |
| 87426 | 620 | 588 | $28K | |
| 92551 | 2,685 | 2,685 | $22K | |
| 97802 | 160 | 157 | $18K | |
| 99383 | 27 | 27 | $10K | |
| 96110 | 133 | 133 | $9K | |
| G2023 | Specimen collect covid-19 | 432 | 384 | $3K |
| 87804 | 164 | 162 | $2K | |
| 96127 | 32 | 32 | $2K | |
| 87631 | 13 | 12 | $1K | |
| 87880 | 96 | 95 | $382.92 | |
| T1013 | Sign lang/oral interpreter | 25 | 25 | $288.53 |
| 99429 | 14 | 13 | $225.00 | |
| 86580 | 40 | 39 | $195.20 | |
| 81025 | 25 | 25 | $50.50 | |
| 81002 | 25 | 25 | $50.44 | |
| 90686 | 1,207 | 1,160 | $32.54 | |
| 90480 | 17 | 13 | $32.00 | |
| 36415 | 1,450 | 1,440 | $1.99 | |
| 99000 | 1,006 | 991 | $1.20 | |
| 90670 | 138 | 124 | $1.19 | |
| 90672 | 116 | 115 | $0.99 | |
| 99173 | 1,791 | 1,788 | $0.72 | |
| 90688 | 89 | 89 | $0.43 | |
| 91307 | 13 | 12 | $0.11 | |
| 90633 | 89 | 87 | $0.06 | |
| 90680 | 15 | 15 | $0.01 | |
| 90656 | 193 | 193 | $0.00 | |
| 90677 | 38 | 38 | $0.00 |