Behavioral
The Institute for Family Health
The Institute for Family Health was paid $1.98M by Medicaid between Jan 2018 and Oct 2024, across 21 billing codes. Its largest line is 99499, — 65% of everything it billed.
33Billing provider infoTHE INSTITUTE FOR FAMILY HEALTH
ELLENVILLE, NY 12428
ELLENVILLE, NY 12428
33aNPI1699048751assigned 02/20/2012
33bProvider typeClinical Social Worker
28Total paid$1.98M
24GClaims38,371
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinical Social Worker providers in New York
Rank by total paid#37 of 882
Median peer was paid$53K
This provider vs. median37×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GAYLE, ERIC controls 19+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 16,796 | $816K | |
| 2019 | 16,147 | $1.02M | |
| 2020 | 218 | $3K | |
| 2021 | 1,268 | $33K | |
| 2022 | 2,170 | $63K | |
| 2023 | 1,126 | $29K | |
| 2024incomplete | 646 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99499 | 65% | 12,615 | 10,796 | $1.28M | |
| D7999 | 25% | 19,470 | 4,566 | $500K | |
| D1110 | Prophylaxis - adult | 2.3% | 734 | 719 | $45K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 1,699 | 1,667 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 184 | 150 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 511 | 507 | $15K |
| D0274 | Bitewings - four radiographic images | <1% | 642 | 642 | $14K |
| D0330 | Panoramic radiographic image | <1% | 394 | 386 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 459 | 459 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 596 | 585 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 144 | 107 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 62 | 56 | $6K |
9 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 174 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 352 | $3K |
| G0467 | Community health center visit, returning patient | <1% | 107 | $3K |
| T2022 | Case management, per month | <1% | 19 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | $2K |
| D0270 | <1% | 103 | $1K | |
| D0160 | <1% | 14 | $943.66 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 48 | $804.04 |
| D1330 | <1% | 29 | $203.58 |
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 officialGAYLE, ERIC (PRESIDENT AND CEO)
Parent organizationTHE INSTITUTE FOR FAMILY HEALTH
| Provider | Location | 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 | 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 | Bronx, NY | $111K |
| The Institute for Family Health | New York, NY | $16K |
| The Institute for Family Health | New York, NY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.