SBH Physicians, PC
SBH Physicians, PC was paid $31.66M by Medicaid between Jan 2018 and Dec 2024, across 194 billing codes. Its largest line is 99284, emergency room visit (serious) — 25% of everything it billed.
33Billing provider infoSBH PHYSICIANS, PC
BRONX, NY 10457
BRONX, NY 10457
33aNPI1740595917assigned 08/12/2010
33bProvider typeOptometrist
28Total paid$31.66M
24GClaims702,063
24DCodes billed194
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#1 of 1,605
Median peer was paid$29K
This provider vs. median1,081×
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 | |
|---|---|---|---|
| 2018 | 70,262 | $3.51M | |
| 2019 | 83,490 | $3.86M | |
| 2020 | 74,542 | $3.67M | |
| 2021 | 101,055 | $5.05M | |
| 2022 | 118,089 | $5.11M | |
| 2023 | 136,117 | $5.84M | |
| 2024incomplete | 118,508 | $4.61M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 25% | 83,254 | 81,240 | $7.93M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 88,171 | 32,088 | $4.27M |
| 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 | 10% | 51,157 | 49,605 | $3.24M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.9% | 58,696 | 58,033 | $3.12M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.0% | 17,341 | 16,982 | $2.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 32,370 | 31,033 | $1.46M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.5% | 9,034 | 5,502 | $1.42M |
| 99222 | Initial hospital care, per day, moderate complexity | 3.9% | 14,329 | 13,313 | $1.22M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.4% | 32,483 | 32,118 | $1.09M |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.3% | 14,509 | 14,335 | $714K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.2% | 9,020 | 7,690 | $367K |
| 98929 | 1.1% | 6,542 | 5,789 | $335K |
182 more codes
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 10,004 | $289K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,046 | $246K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,697 | $224K |
| 71045 | Radiologic examination, chest; single view | <1% | 27,603 | $199K |
| 76641 | <1% | 5,285 | $183K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 2,323 | $168K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,288 | $155K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,474 | $153K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 4,632 | $145K |
| 99443 | <1% | 1,973 | $144K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14,452 | $130K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 1,841 | $120K |
| 99221 | <1% | 1,972 | $113K | |
| 77066 | Tomosynthesis, mammo | <1% | 2,721 | $109K |
| 99442 | <1% | 1,856 | $102K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,322 | $98K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 2,029 | $96K |
| 88307 | <1% | 1,316 | $93K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13,028 | $91K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 525 | $72K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 688 | $68K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 2,738 | $65K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 1,860 | $63K |
| 90961 | <1% | 483 | $63K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,652 | $50K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 359 | $50K |
| 76377 | <1% | 1,820 | $49K | |
| 99218 | <1% | 808 | $47K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,581 | $46K |
| 77065 | Tomosynthesis, mammo | <1% | 1,363 | $44K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 2,059 | $43K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,246 | $39K |
| 76830 | Ultrasound, transvaginal | <1% | 1,364 | $37K |
| 77062 | <1% | 1,852 | $37K | |
| 99217 | <1% | 816 | $36K | |
| 88141 | <1% | 1,818 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,372 | $33K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 646 | $23K |
| 90962 | <1% | 221 | $22K | |
| 93458 | <1% | 108 | $22K | |
| 99243 | <1% | 260 | $19K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 387 | $18K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 324 | $18K |
| 88304 | <1% | 1,307 | $18K | |
| 93298 | <1% | 1,428 | $18K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 167 | $17K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 273 | $16K |
| 70486 | <1% | 481 | $16K | |
| 73630 | <1% | 2,513 | $16K | |
| 99406 | <1% | 2,346 | $16K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 199 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,547 | $15K |
| 92002 | <1% | 298 | $11K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 138 | $11K |
| 99225 | <1% | 228 | $11K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 320 | $11K |
| 92134 | <1% | 683 | $10K | |
| 73130 | <1% | 1,436 | $9K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 232 | $9K |
| 73610 | <1% | 1,396 | $9K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 66 | $9K |
| 71250 | <1% | 208 | $8K | |
| 99254 | <1% | 65 | $8K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 28 | $8K |
| 73562 | <1% | 1,044 | $7K | |
| 88300 | <1% | 1,955 | $7K | |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | <1% | 63 | $7K |
| 97803 | <1% | 276 | $6K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 449 | $6K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 108 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 89 | $5K |
| 98926 | <1% | 169 | $5K | |
| 77061 | <1% | 273 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 394 | $5K |
| 92083 | <1% | 261 | $4K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 37 | $4K |
| 94060 | <1% | 434 | $4K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 79 | $4K |
| 93970 | <1% | 146 | $4K | |
| 98927 | <1% | 89 | $3K | |
| 76775 | <1% | 143 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,076 | $3K |
| 99152 | <1% | 290 | $3K | |
| 93016 | <1% | 195 | $3K | |
| 76937 | <1% | 573 | $3K | |
| 90686 | <1% | 197 | $3K | |
| 72170 | <1% | 421 | $3K | |
| 94727 | <1% | 291 | $3K | |
| 73560 | <1% | 342 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 53 | $2K |
| 93283 | <1% | 67 | $2K | |
| 92202 | <1% | 282 | $2K | |
| 73030 | <1% | 342 | $2K | |
| 72100 | <1% | 227 | $2K | |
| 94729 | <1% | 285 | $2K | |
| 93018 | <1% | 195 | $2K | |
| 92133 | <1% | 152 | $2K | |
| 99441 | <1% | 75 | $2K | |
| 77080 | <1% | 308 | $2K | |
| 99385 | <1% | 26 | $2K | |
| 73110 | <1% | 252 | $2K | |
| 92020 | <1% | 127 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,958 | $2K |
| 93976 | <1% | 43 | $2K | |
| 93297 | <1% | 144 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 51 | $1K |
| 99201 | <1% | 67 | $1K | |
| 99242 | <1% | 27 | $1K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 28 | $1K |
| 76536 | <1% | 56 | $1K | |
| 0001A | <1% | 29 | $1K | |
| 36569 | <1% | 12 | $1K | |
| 73590 | <1% | 181 | $1K | |
| 99253 | <1% | 15 | $1K | |
| 74018 | <1% | 122 | $871.84 | |
| 99407 | <1% | 49 | $870.83 | |
| 88104 | <1% | 53 | $860.34 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 33 | $851.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $767.37 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $751.27 |
| 98925 | <1% | 39 | $722.10 | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 14 | $685.19 |
| 98928 | <1% | 13 | $498.98 | |
| 3078F | <1% | 6,096 | $495.00 | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 13 | $461.88 |
| 3074F | <1% | 5,685 | $420.00 | |
| 90658 | <1% | 30 | $386.06 | |
| 3079F | <1% | 2,666 | $332.50 | |
| 93308 | <1% | 14 | $265.37 | |
| 3077F | <1% | 2,220 | $242.50 | |
| 76857 | <1% | 13 | $228.46 | |
| 93272 | <1% | 37 | $225.62 | |
| 72040 | <1% | 24 | $194.19 | |
| 92283 | <1% | 14 | $167.30 | |
| 88311 | <1% | 15 | $159.77 | |
| 36410 | <1% | 160 | $140.37 | |
| 73503 | <1% | 12 | $137.07 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 594 | $124.15 |
| 92551 | <1% | 15 | $117.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 15,547 | $106.85 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 208 | $72.54 |
| 1160F | <1% | 16,999 | $64.74 | |
| 1159F | <1% | 17,138 | $52.82 | |
| 76514 | <1% | 14 | $44.25 | |
| 3080F | <1% | 586 | $32.50 | |
| 3075F | <1% | 594 | $30.00 | |
| 1170F | <1% | 648 | $25.00 | |
| 1126F | <1% | 9,739 | $17.84 | |
| 81025 | <1% | 168 | $16.56 | |
| 81002 | <1% | 105 | $8.67 | |
| 3008F | <1% | 18,163 | $7.49 | |
| 1036F | <1% | 10,021 | $2.49 | |
| 3725F | <1% | 8,559 | $2.49 | |
| 91300 | <1% | 63 | $0.24 | |
| G9243 | Documentation of viral load less than 200 copies/ml | <1% | 38 | $0.03 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 293 | $0.00 |
| 1125F | 0% | 1,639 | $0.00 | |
| 3044F | 0% | 1,345 | $0.00 | |
| 0513F | 0% | 2,004 | $0.00 | |
| 1034F | 0% | 139 | $0.00 | |
| 99024 | 0% | 137 | $0.00 | |
| 3066F | 0% | 113 | $0.00 | |
| 3011F | 0% | 202 | $0.00 | |
| 3052F | 0% | 58 | $0.00 | |
| 3014F | 0% | 68 | $0.00 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 12 | $0.00 |
| 3017F | 0% | 55 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 15 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 13 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 249 | $0.00 |
| 4013F | 0% | 1,827 | $0.00 | |
| 3046F | 0% | 411 | $0.00 | |
| 1158F | 0% | 121 | $0.00 | |
| 3051F | 0% | 155 | $0.00 | |
| 4040F | 0% | 95 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 424 | $0.00 |
| 3023F | 0% | 129 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 23 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 12 | $0.00 |
| 99080 | 0% | 75 | $0.00 | |
| 99173 | 0% | 15 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 15 | $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 officialGROCHOWSKI, MARY (SR. VP / CFO)
| Provider | Location | Paid |
|---|---|---|
| ST. Barnabas Hospital | Bronx, NY | $163.59M |
| ST. Barnabas Hospital | Bronx, NY | $4.72M |
| SBH Physicians, PC | Bronx, NY | $4.39M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.