Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Downtown Bronx Medical Associates PC

Downtown Bronx Medical Associates PC was paid $17.56M by Medicaid between Jan 2018 and Jun 2024, across 145 billing codes. Its largest line is 99284, emergency room visit (serious) — 26% of everything it billed.

33Billing provider infoDOWNTOWN BRONX MEDICAL ASSOCIATES PC
BRONX, NY 10451
33aNPI1689618407assigned 06/15/2006
33bProvider typeEmergency Medical Services (Emergency Medicine) Physician
28Total paid$17.56M
24GClaims469,284
24DCodes billed145
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in New York

Rank by total paid#1 of 88
Median peer was paid$4K
This provider vs. median4,386×

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$200K$400K$600K2018201920202021202220232024
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
201846,091$1.39M
201957,189$1.66M
202058,871$1.74M
202173,795$2.53M
202290,341$3.36M
2023100,072$4.97M
2024incomplete42,925$1.92M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 26% 50,136 49,673 $4.65M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 22% 76,094 75,220 $3.78M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.4% 26,240 10,422 $1.12M
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 5.9% 22,644 21,849 $1.04M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.9% 29,327 28,332 $1.03M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.2% 6,171 6,092 $730K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.1% 17,957 17,728 $537K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.7% 71,437 60,144 $466K
99222 Initial hospital care, per day, moderate complexity 2.4% 5,172 5,083 $415K
70450 Computed tomography, head or brain; without contrast material 1.8% 11,364 10,916 $316K
99238 Hospital discharge day management, 30 minutes or less 1.5% 6,015 5,972 $261K
71045 Radiologic examination, chest; single view 1.4% 38,818 32,187 $246K
133 more codes
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 3,807 $236K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.3% 1,537 $226K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 3,225 $172K
71046 Radiologic examination, chest; 2 views <1% 20,726 $169K
76818 <1% 3,410 $152K
99203 Doctor's office visit, new patient (routine) <1% 2,738 $147K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 3,475 $146K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,585 $129K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 6,998 $115K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,371 $110K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,122 $90K
99215 Doctor's office visit, returning patient (complex) <1% 1,006 $90K
59425 <1% 1,415 $90K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,944 $81K
72125 Computed tomography, cervical spine; without contrast material <1% 2,105 $72K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,198 $70K
99239 Hospital discharge day management, more than 30 minutes <1% 1,035 $68K
76641 <1% 1,832 $56K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 981 $54K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,208 $53K
99442 <1% 1,061 $48K
99223 Prolong inpt eval add15 m <1% 528 $46K
99221 <1% 739 $42K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 1,380 $34K
99204 Doctor's office visit, new patient (more involved) <1% 329 $34K
77066 Tomosynthesis, mammo <1% 825 $26K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 404 $23K
70486 <1% 653 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 604 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 875 $17K
76819 Fetal biophysical profile; without non-stress testing <1% 503 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 94 $14K
99443 <1% 261 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 246 $13K
73610 <1% 2,102 $13K
76830 Ultrasound, transvaginal <1% 523 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 425 $12K
73630 <1% 2,058 $12K
70496 <1% 218 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 536 $11K
70498 <1% 200 $10K
99460 <1% 155 $10K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 254 $9K
73562 <1% 1,420 $9K
92002 <1% 360 $9K
76770 <1% 432 $8K
73130 <1% 1,250 $8K
71250 <1% 261 $7K
77063 Screening digital breast tomosynthesis, bilateral <1% 369 $7K
94727 <1% 943 $6K
94060 <1% 917 $6K
72100 <1% 842 $6K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 39 $6K
94729 <1% 1,109 $6K
99218 <1% 76 $6K
73030 <1% 873 $6K
73110 <1% 787 $5K
99441 <1% 392 $5K
99235 <1% 43 $4K
88307 <1% 57 $4K
92250 <1% 313 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 94 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 118 $4K
70551 Magnetic resonance imaging, brain; without contrast material <1% 81 $4K
71275 Computed tomographic angiography, chest, with contrast material <1% 59 $3K
88304 <1% 305 $3K
95813 <1% 55 $3K
74019 <1% 303 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 466 $2K
73590 <1% 398 $2K
57452 <1% 37 $2K
76820 <1% 126 $2K
76642 <1% 69 $2K
93923 <1% 133 $2K
99253 <1% 15 $1K
74018 <1% 177 $1K
77080 <1% 318 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 57 $1K
94010 <1% 181 $923.27
76775 <1% 57 $901.88
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 13 $901.00
71047 <1% 78 $756.91
93971 <1% 39 $677.28
77065 Tomosynthesis, mammo <1% 25 $655.66
99451 <1% 28 $638.23
99217 <1% 13 $628.03
72141 <1% 14 $577.86
76536 <1% 36 $577.51
76376 <1% 71 $514.07
92083 <1% 38 $456.68
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 14 $447.94
73090 <1% 81 $446.05
73080 <1% 66 $409.60
59025 Fetal non-stress test <1% 29 $389.25
93970 <1% 14 $353.17
73564 <1% 40 $333.98
73502 <1% 41 $322.59
20610 <1% 14 $259.98
71101 <1% 27 $258.54
93308 <1% 13 $257.13
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 19 $251.31
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 153 $249.60
94726 <1% 31 $229.31
72040 <1% 27 $205.89
92202 <1% 24 $196.04
76857 <1% 14 $180.41
29580 <1% 16 $146.21
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 52 $139.93
93321 <1% 29 $136.03
72170 <1% 24 $135.19
99252 <1% 27 $119.76
92133 <1% 14 $98.72
73100 <1% 14 $92.85
93325 <1% 30 $60.21
88300 <1% 12 $29.28
99051 <1% 47 $7.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 63 $0.00
3008F 0% 634 $0.00
99024 0% 62 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 86 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 24 $0.00
1170F 0% 188 $0.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 0% 13 $0.00
3074F 0% 27 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 4,500 $0.00
99080 0% 1,025 $0.00
G9916 Functional status performed once in the last 12 months 0% 88 $0.00
3078F 0% 378 $0.00
0502F 0% 143 $0.00
1159F 0% 125 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 56 $0.00
3725F 0% 28 $0.00
81025 0% 19 $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 officialGORDON, PETER (EXECUTIVE ADMINISTRATOR)