Medicaid Provider Spending

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

THE INSTITUTE FOR FAMILY HEALTH

NPI: 1609373158 · BRONX, NY 10461 · Clinical Social Worker · NPI assigned 04/11/2018

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

Authorized official GAYLE, ERIC controls 19+ related entities in our dataset. Read more

$111K
Total Medicaid Paid
1,368
Total Claims
952
Beneficiaries
13
Codes Billed
2019-04
First Month
2023-08
Last Month

Provider Details

Authorized OfficialGAYLE, ERIC (PRESIDENT AND CEO)
Parent OrganizationTHE INSTITUTE FOR FAMILY HEALTH
NPI Enumeration Date04/11/2018

Related Entities

Other providers sharing the same authorized official: GAYLE, ERIC

ProviderCityStateTotal Paid
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $80.80M
THE INSTITUTE FOR FAMILY HEALTH NEW PALTZ NY $15.21M
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $6.27M
THE INSTITUTE FOR FAMILY HEALTH BRONX NY $4.99M
THE INSTITUTE FOR FAMILY HEALTH BRONX NY $4.85M
THE INSTITUTE FOR FAMILY HEALTH KINGSTON NY $4.47M
THE INSTITUTE FOR FAMILY HEALTH ELLENVILLE NY $1.98M
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $1.35M
THE INSTITUTE FOR FAMILY HEALTH NEW PALTZ NY $1.33M
THE INSTITUTE FOR FAMILY HEALTH BROOKLYN NY $1.26M
THE INSTITUTE FOR FAMILY HEALTH BRONX NY $1.00M
THE INSTITUTE FOR FAMILY HEALTH BRONX NY $964K
THE INSTITUTE FOR FAMILY HEALTH BRONX NY $927K
THE INSTITUTE FOR FAMILY HEALTH HYDE PARK NY $659K
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $576K
THE INSTITUTE FOR FAMILY HEALTH KINGSTON NY $478K
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $139K
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $16K
THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,021 $97K
2020 246 $9K
2023 101 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99499 268 219 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 120 115 $22K
90832 Psychotherapy, 30 minutes with patient 108 72 $16K
3074F 233 83 $15K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 252 107 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 117 117 $6K
90834 Psychotherapy, 45 minutes with patient 60 42 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 96 85 $3K
99441 35 33 $2K
D1110 Prophylaxis - adult 20 20 $462.36
D0120 Periodic oral evaluation - established patient 12 12 $189.68
D0220 Intraoral - periapical first radiographic image 13 13 $99.36
D1330 34 34 $0.00