Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

The Fifth Avenue Counseling Center, INC.

The Fifth Avenue Counseling Center, INC. was paid $8.13M by Medicaid between Jan 2019 and Sep 2024, across 6 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 88% of everything it billed.

33Billing provider infoTHE FIFTH AVENUE COUNSELING CENTER, INC.
NEW YORK, NY 10003
33aNPI1801037270assigned 03/16/2009
28Total paid$8.13M
24GClaims67,210
24DCodes billed6
24AFirst – last monthJan 2019 – Sep 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in New York

Rank by total paid#41 of 235
Median peer was paid$1.02M
This provider vs. median7.9×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
20194,884$561K
202016,169$1.81M
202113,853$1.53M
202214,459$1.91M
202312,817$1.66M
2024incomplete5,028$652K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 88% 53,072 15,780 $7.16M
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 7.5% 5,767 4,765 $611K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3.3% 4,362 3,817 $270K
99051 <1% 3,750 1,947 $48K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 176 175 $31K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 83 51 $9K

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 officialRIVERA, YOLANDA (DIRECTOR OF BILLING AND OFFICE SERV)