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

The ST. Lukes Roosevelt Hospital Center

The ST. Lukes Roosevelt Hospital Center was paid $3.86M by Medicaid between Sep 2018 and Feb 2021, across 3 billing codes. Its largest line is T2022, Case management, per month — 99% of everything it billed.

33Billing provider infoTHE ST. LUKES ROOSEVELT HOSPITAL CENTER
NEW YORK, NY 10025
33aNPI1811368368assigned 10/09/2015
28Total paid$3.86M
24GClaims7,581
24DCodes billed3
24AFirst – last monthSep 2018 – Feb 2021
Compared with peers

Next to other Substance Use Disorder Rehabilitation Hospital Unit providers in New York

Rank by total paid#1 of 8
Median peer was paid$153K
This provider vs. median25×

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.

Single-Code Concentration99% of spending on code T2022 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201813$5K
20191,742$888K
20205,195$2.62M
2021631$340K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2022 Case management, per month 99% 7,242 7,242 $3.80M
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 1.4% 327 327 $53K
G9001 Coordinated care fee, initial rate <1% 12 12 $935.00

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 officialDAKIS, KATHYRN (VICE PRESIDENT)
Parent organizationMOUNT SINAI HEALTH HOME SERVING CHILDREN