Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE INSTITUTE FOR FAMILY HEALTH

NPI: 1740553841 · BRONX, NY 10452 · Clinical Social Worker · NPI assigned 02/21/2012

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 99499 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official GAYLE, ERIC controls 19+ related entities in our dataset. Read more

$1.00M
Total Medicaid Paid
8,611
Total Claims
7,941
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialGAYLE, ERIC (PRESIDENT AND CEO)
Parent OrganizationTHE INSTITUTE FOR FAMILY HEALTH
NPI Enumeration Date02/21/2012

Related Entities

Other providers sharing the same authorized official: GAYLE, ERIC

ProviderCityStateTotal 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 ELLENVILLE NY $1.98M
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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,186 $595K
2019 3,403 $406K
2024 22 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99499 8,569 7,903 $999K
90832 Psychotherapy, 30 minutes with patient 22 19 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20 19 $2K