Clinic
Episcopal Health Services INC
Episcopal Health Services INC was paid $4.19M by Medicaid between Sep 2019 and Nov 2024, across 21 billing codes. Its largest line is Q5105, Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units — 34% of everything it billed.
33Billing provider infoEPISCOPAL HEALTH SERVICES INC
FAR ROCKAWAY, NY 11691
FAR ROCKAWAY, NY 11691
33aNPI1700049145assigned 07/07/2008
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$4.19M
24GClaims121,440
24DCodes billed21
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in New York
Rank by total paid#41 of 231
Median peer was paid$774K
This provider vs. median5.4×
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 | 6,935 | $132K | |
| 2020 | 22,435 | $470K | |
| 2021 | 24,623 | $662K | |
| 2022 | 23,540 | $1.14M | |
| 2023 | 21,282 | $933K | |
| 2024incomplete | 22,625 | $852K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q5105 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units | 34% | 40,023 | 1,919 | $1.43M |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 31% | 5,068 | 641 | $1.29M |
| J1270 | Injection, doxercalciferol, 1 mcg | 11% | 16,912 | 1,280 | $454K |
| 80053 | Comprehensive metabolic panel | 9.0% | 35,844 | 3,174 | $379K |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | 6.0% | 6,359 | 450 | $252K |
| 84100 | 2.8% | 4,919 | 1,252 | $116K | |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 2.3% | 3,167 | 428 | $96K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 3,673 | 1,081 | $78K |
| J1756 | Injection, iron sucrose, 1 mg | 1.5% | 1,946 | 349 | $62K |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 480 | 82 | $14K |
| 83970 | <1% | 255 | 191 | $6K | |
| 80074 | <1% | 348 | 196 | $5K |
9 more codes
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 officialGUIDO, STEVEN (CFO - CHIEF FINANCIAL OFFICER)
Parent organizationEPISCOPAL HEALTH SERVICES INC
| Provider | Location | Paid |
|---|---|---|
| Episcopal Health Services INC | Far Rockaway, NY | $46.36M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.