Clinic
Bronxcare Health System
Bronxcare Health System was paid $13.04M by Medicaid between Apr 2021 and Dec 2024, across 48 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 22% of everything it billed.
33Billing provider infoBRONXCARE HEALTH SYSTEM
BRONX, NY 10456
BRONX, NY 10456
33aNPI1801428222assigned 02/05/2020
33bProvider typeMethadone Clinic
28Total paid$13.04M
24GClaims162,084
24DCodes billed48
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Methadone Clinic providers in New York
Rank by total paid#7 of 21
Median peer was paid$4.89M
This provider vs. median2.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DEMARCO, VICTOR controls 17+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 16,581 | $1.11M | |
| 2022 | 67,859 | $6.96M | |
| 2023 | 54,469 | $3.91M | |
| 2024incomplete | 23,175 | $1.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 22% | 107,256 | 6,760 | $2.89M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 16% | 6,878 | 5,754 | $2.15M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 15% | 10,820 | 3,047 | $1.90M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 14% | 1,726 | 1,553 | $1.81M |
| 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 | 12% | 6,619 | 6,074 | $1.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 3,349 | 3,050 | $752K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 4.8% | 6,799 | 4,197 | $624K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 3.7% | 1,542 | 1,137 | $476K |
| S9485 | Crisis intervention mental health services, per diem | 1.8% | 178 | 162 | $240K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.2% | 399 | 337 | $158K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.1% | 393 | 391 | $148K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 698 | 628 | $52K |
36 more codes
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,868 | $46K |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | <1% | 389 | $40K |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | <1% | 598 | $32K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,695 | $22K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 168 | $19K |
| 90839 | <1% | 36 | $14K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 673 | $14K |
| 80053 | Comprehensive metabolic panel | <1% | 940 | $12K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 50 | $10K |
| 80061 | Lipid panel | <1% | 1,138 | $9K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 135 | $8K |
| 99051 | <1% | 196 | $3K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 53 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 996 | $257.76 |
| 83655 | <1% | 35 | $75.00 | |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 49 | $65.78 |
| 84439 | <1% | 720 | $50.96 | |
| J1631 | Injection, haloperidol decanoate, per 50 mg | <1% | 451 | $41.78 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,131 | $36.61 |
| 81025 | <1% | 122 | $19.14 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 376 | $0.00 |
| 84702 | 0% | 51 | $0.00 | |
| 80164 | 0% | 202 | $0.00 | |
| 80076 | 0% | 15 | $0.00 | |
| 82746 | 0% | 591 | $0.00 | |
| 82607 | 0% | 620 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 298 | $0.00 |
| 80178 | 0% | 113 | $0.00 | |
| 80320 | 0% | 396 | $0.00 | |
| 84480 | 0% | 108 | $0.00 | |
| 86592 | 0% | 611 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 202 | $0.00 |
| 84436 | 0% | 92 | $0.00 | |
| J0401 | Injection, aripiprazole (abilify maintena), 1 mg | 0% | 264 | $0.00 |
| 86803 | 0% | 28 | $0.00 | |
| 82550 | 0% | 17 | $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 officialDEMARCO, VICTOR (SVP CFO)
| Provider | Location | Paid |
|---|---|---|
| Bronxcare Health System | Bronx, NY | $348.43M |
| Bronxcare Health System | Bronx, NY | $62.38M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $60.39M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $7.31M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $6.55M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $6.04M |
| Bronxcare Health System | Bronx, NY | $4.30M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $3.14M |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $511K |
| Bronxcare Health System | Bronx, NY | $420K |
| Bronxcare Health System | Bronx, NY | $403K |
| Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | $392K |
| Bronxcare Health System | Bronx, NY | $13K |
| Bronxcare Health System | Bronx, NY | $12K |
| Bronxcare Special Care Center | Bronx, NY | $6K |
| Bronxcare Health System | Bronx, NY | $2K |
| Bronxcare Health System | Bronx, NY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.