Clinic
Montefiore Medical Center
Montefiore Medical Center was paid $742K by Medicaid between Apr 2019 and Nov 2022, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoMONTEFIORE MEDICAL CENTER
BRONX, NY 10458
BRONX, NY 10458
33aNPI1619400132assigned 04/11/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$742K
24GClaims10,938
24DCodes billed9
24AFirst – last monthApr 2019 – Nov 2022
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#64 of 138
Median peer was paid$576K
This provider vs. median1.3×
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 | 1,327 | $60K | |
| 2020 | 966 | $68K | |
| 2021 | 5,191 | $294K | |
| 2022 | 3,454 | $320K |
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 | 82% | 5,106 | 5,059 | $611K |
| 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 | 12% | 750 | 746 | $90K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 121 | 121 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 951 | 944 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | 53 | $7K |
| 99051 | <1% | 1,924 | 1,898 | $5K | |
| 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% | 30 | 30 | $4K |
| 81003 | <1% | 143 | 141 | $73.56 | |
| 99072 | 0% | 1,860 | 1,838 | $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 officialDOWLING, MICHAEL (CAO)
| Provider | Location | Paid |
|---|---|---|
| Montefiore North Ambulatory Care Center INC | Bronx, NY | $569K |
| Gun Hill Mri PC | Bronx, NY | $302K |
| Montefiore Medical Center | Bronx, NY | $14K |
| Montefiore Medical Center | Bronx, NY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.