Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › New York › NPI 1609897453
Clinic

Betances Health Center

Betances Health Center was paid $10.39M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoBETANCES HEALTH CENTER
NEW YORK, NY 10002
33aNPI1609897453assigned 07/21/2006
28Total paid$10.39M
24GClaims125,932
24DCodes billed81
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#33 of 158
Median peer was paid$1.73M
This provider vs. median6.0×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201816,680$1.27M
201917,995$1.54M
202015,318$1.47M
202124,481$1.87M
202224,061$1.80M
202314,196$987K
2024incomplete13,201$1.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56% 55,048 35,510 $5.83M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 12% 9,881 2,917 $1.23M
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 11% 9,616 7,016 $1.12M
D1110 Prophylaxis - adult 3.1% 4,308 2,730 $322K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.9% 7,113 3,751 $303K
G0467 Community health center visit, returning patientFederally 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 2.2% 4,224 2,525 $229K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.0% 2,142 1,300 $209K
99441 <1% 1,026 701 $87K
D9110 <1% 1,029 681 $85K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 764 485 $78K
99442 <1% 880 650 $77K
97803 <1% 2,630 1,915 $74K
69 more codes
D0274 Bitewings - four radiographic images <1% 2,482 $69K
99493 <1% 629 $65K
D0220 Intraoral - periapical first radiographic image <1% 2,298 $64K
99203 Doctor's office visit, new patient (routine) <1% 441 $56K
D0210 Intraoral - complete series of radiographic images <1% 1,138 $50K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month <1% 764 $48K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 381 $46K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 335 $38K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 344 $36K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,031 $32K
D0140 Limited oral evaluation - problem focused <1% 408 $30K
D1120 Dental cleaning, child <1% 369 $24K
90682 <1% 495 $23K
0011A <1% 353 $18K
0012A <1% 303 $17K
99204 Doctor's office visit, new patient (more involved) <1% 177 $16K
0064A <1% 288 $13K
D1208 Topical application of fluoride, excluding varnish <1% 456 $12K
99385 <1% 79 $11K
D0150 Comprehensive oral evaluation - new or established patient <1% 158 $9K
T2022 Case management, per month <1% 145 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 82 $7K
D7140 Extraction, erupted tooth or exposed root <1% 53 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 634 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 71 $5K
11721 <1% 285 $5K
90658 <1% 375 $4K
90656 <1% 180 $4K
81001 <1% 74 $3K
99492 <1% 27 $3K
0134A <1% 75 $3K
81025 <1% 55 $3K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 164 $2K
81002 <1% 33 $1K
97802 <1% 261 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 69 $1K
90686 <1% 168 $900.76
D0230 Intraoral - periapical each additional radiographic image <1% 151 $782.64
91322 <1% 12 $777.00
92551 <1% 169 $757.04
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 14 $599.13
90461 <1% 24 $299.52
90480 <1% 12 $277.03
90630 <1% 16 $253.48
86701 <1% 24 $169.01
90715 <1% 12 $162.46
99402 <1% 34 $138.39
D0272 Bitewings - two radiographic images <1% 12 $128.56
91301 <1% 488 $52.93
80061 Lipid panel <1% 25 $38.92
3077F <1% 388 $35.00
80053 Comprehensive metabolic panel <1% 30 $33.29
99408 <1% 79 $26.92
97804 <1% 438 $12.75
99173 <1% 119 $11.71
1125F <1% 926 $10.00
1159F <1% 1,173 $10.00
1160F <1% 1,170 $10.00
1126F <1% 2,084 $5.00
91306 <1% 220 $0.03
82043 <1% 13 $0.02
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 496 $0.02
83036 Hemoglobin; glycosylated (A1C) <1% 12 $0.02
82570 <1% 13 $0.02
3079F 0% 163 $0.00
3080F 0% 64 $0.00
3074F 0% 30 $0.00
3078F 0% 120 $0.00
91313 0% 60 $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 officialRIVERA, SANTOS (CEO/EXECUTIVE DIRECTOR)