Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BRONX › SBH PHYSICIANS, PC

SBH PHYSICIANS, PC

NPI: 1740595917 · BRONX, NY 10457 · Optometrist · NPI assigned 08/12/2010

$31.66M
Total Medicaid Paid
702,063
Total Claims
616,759
Beneficiaries
194
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGROCHOWSKI, MARY (SR. VP / CFO)
NPI Enumeration Date08/12/2010

Related Entities

Other providers sharing the same authorized official: GROCHOWSKI, MARY

ProviderCityStateTotal Paid
ST. BARNABAS HOSPITAL BRONX NY $163.59M
ST. BARNABAS HOSPITAL BRONX NY $4.72M
SBH PHYSICIANS, PC BRONX NY $4.39M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 118,508 $4.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 83,254 81,240 $7.93M
99232 Subsequent hospital care, per day, moderate complexity 88,171 32,088 $4.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 51,157 49,605 $3.24M
99283 Emergency department visit for the evaluation and management, moderate severity 58,696 58,033 $3.12M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 17,341 16,982 $2.21M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,370 31,033 $1.46M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 9,034 5,502 $1.42M
99222 Initial hospital care, per day, moderate complexity 14,329 13,313 $1.22M
99282 Emergency department visit for the evaluation and management, low to moderate severity 32,483 32,118 $1.09M
99238 Hospital discharge day management, 30 minutes or less 14,509 14,335 $714K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,020 7,690 $367K
98929 6,542 5,789 $335K
70450 Computed tomography, head or brain; without contrast material 10,004 9,506 $289K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,046 4,039 $246K
90792 Psychiatric diagnostic evaluation with medical services 1,697 1,687 $224K
71045 Radiologic examination, chest; single view 27,603 23,434 $199K
76641 5,285 4,002 $183K
99239 Hospital discharge day management, more than 30 minutes 2,323 2,302 $168K
99223 Prolong inpt eval add15 m 1,288 1,128 $155K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,474 1,457 $153K
77067 Screening mammography, bilateral, including computer-aided detection 4,632 4,620 $145K
99443 1,973 1,907 $144K
71046 Radiologic examination, chest; 2 views 14,452 14,259 $130K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,841 1,813 $120K
99221 1,972 1,712 $113K
77066 Tomosynthesis, mammo 2,721 2,695 $109K
99442 1,856 1,829 $102K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,322 1,320 $98K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,029 1,846 $96K
88307 1,316 1,254 $93K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13,028 10,867 $91K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 525 525 $72K
95810 Polysomnography; sleep staging with 4 or more additional parameters 688 687 $68K
77063 Screening digital breast tomosynthesis, bilateral 2,738 2,737 $65K
72125 Computed tomography, cervical spine; without contrast material 1,860 1,794 $63K
90961 483 483 $63K
90853 Group psychotherapy (other than of a multiple-family group) 2,652 1,332 $50K
45380 Colonoscopy, flexible; with biopsy, single or multiple 359 347 $50K
76377 1,820 1,573 $49K
99218 808 802 $47K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,581 1,292 $46K
77065 Tomosynthesis, mammo 1,363 1,331 $44K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,059 2,016 $43K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,246 1,238 $39K
76830 Ultrasound, transvaginal 1,364 1,361 $37K
77062 1,852 1,844 $37K
99217 816 805 $36K
88141 1,818 1,818 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,372 1,325 $33K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 646 641 $23K
90962 221 221 $22K
93458 108 106 $22K
99243 260 257 $19K
99309 Subsequent nursing facility care, per day, low to moderate complexity 387 349 $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 324 322 $18K
88304 1,307 1,270 $18K
93298 1,428 1,086 $18K
99215 Prolong outpt/office vis 167 165 $17K
74176 Computed tomography, abdomen and pelvis; without contrast material 273 264 $16K
70486 481 463 $16K
73630 2,513 2,227 $16K
99406 2,346 2,249 $16K
99233 Prolong inpt eval add15 m 199 114 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,547 1,424 $15K
92002 298 297 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 138 138 $11K
99225 228 219 $11K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 320 313 $11K
92134 683 661 $10K
73130 1,436 1,248 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 232 223 $9K
73610 1,396 1,242 $9K
90791 Psychiatric diagnostic evaluation 66 66 $9K
71250 208 206 $8K
99254 65 64 $8K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 28 28 $8K
73562 1,044 925 $7K
88300 1,955 1,930 $7K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 63 63 $7K
97803 276 275 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 449 430 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 108 107 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 89 88 $5K
98926 169 162 $5K
77061 273 273 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 394 393 $5K
92083 261 259 $4K
99244 Office or other outpatient consultation, moderate to high complexity 37 37 $4K
94060 434 433 $4K
70551 Magnetic resonance imaging, brain; without contrast material 79 79 $4K
93970 146 131 $4K
98927 89 87 $3K
76775 143 142 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,076 1,058 $3K
99152 290 264 $3K
93016 195 194 $3K
76937 573 503 $3K
90686 197 197 $3K
72170 421 415 $3K
94727 291 291 $3K
73560 342 293 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 53 53 $2K
93283 67 61 $2K
92202 282 276 $2K
73030 342 318 $2K
72100 227 225 $2K
94729 285 285 $2K
93018 195 194 $2K
92133 152 150 $2K
99441 75 73 $2K
77080 308 307 $2K
99385 26 26 $2K
73110 252 213 $2K
92020 127 123 $2K
36415 Collection of venous blood by venipuncture 2,958 2,857 $2K
93976 43 43 $2K
93297 144 108 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 51 51 $1K
99201 67 67 $1K
99242 27 27 $1K
90935 Hemodialysis procedure with single evaluation by a physician 28 13 $1K
76536 56 56 $1K
0001A 29 27 $1K
36569 12 12 $1K
73590 181 164 $1K
99253 15 14 $1K
74018 122 101 $871.84
99407 49 48 $870.83
88104 53 49 $860.34
90460 Immunization administration through 18 years of age via any route, first or only component 33 33 $851.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $767.37
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $751.27
98925 39 35 $722.10
71275 Computed tomographic angiography, chest, with contrast material 14 14 $685.19
98928 13 13 $498.98
3078F 6,096 6,009 $495.00
71260 Computed tomography, thorax, diagnostic; with contrast material 13 13 $461.88
3074F 5,685 5,588 $420.00
90658 30 30 $386.06
3079F 2,666 2,632 $332.50
93308 14 14 $265.37
3077F 2,220 2,169 $242.50
76857 13 13 $228.46
93272 37 33 $225.62
72040 24 24 $194.19
92283 14 14 $167.30
88311 15 14 $159.77
36410 160 144 $140.37
73503 12 12 $137.07
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 594 568 $124.15
92551 15 15 $117.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 15,547 15,058 $106.85
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 208 208 $72.54
1160F 16,999 16,520 $64.74
1159F 17,138 16,654 $52.82
76514 14 13 $44.25
3080F 586 565 $32.50
3075F 594 590 $30.00
1170F 648 643 $25.00
1126F 9,739 9,606 $17.84
81025 168 164 $16.56
81002 105 102 $8.67
3008F 18,163 17,853 $7.49
1036F 10,021 9,840 $2.49
3725F 8,559 8,489 $2.49
91300 63 63 $0.24
G9243 Documentation of viral load less than 200 copies/ml 38 38 $0.03
G8754 Most recent diastolic blood pressure < 90 mmhg 293 290 $0.00
1125F 1,639 1,619 $0.00
3044F 1,345 1,335 $0.00
0513F 2,004 1,966 $0.00
1034F 139 137 $0.00
99024 137 81 $0.00
3066F 113 112 $0.00
3011F 202 202 $0.00
3052F 58 54 $0.00
3014F 68 68 $0.00
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 12 12 $0.00
3017F 55 53 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 15 15 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 13 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 249 247 $0.00
4013F 1,827 1,819 $0.00
3046F 411 391 $0.00
1158F 121 115 $0.00
3051F 155 150 $0.00
4040F 95 92 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 424 411 $0.00
3023F 129 124 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 23 22 $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) 12 12 $0.00
99080 75 24 $0.00
99173 15 15 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 15 15 $0.00