THE ST. LUKES ROOSEVELT HOSPITAL CENTER
NPI: 1811368368
· NEW YORK, NY 10025
· Substance Use Disorder Rehabilitation Hospital Unit
· NPI assigned 10/09/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T2022 with only 3 total codes billed. Highly concentrated billing profile.
$3.86M
Total Medicaid Paid
Provider Details
| Authorized Official | DAKIS, KATHYRN (VICE PRESIDENT) |
| Parent Organization | MOUNT SINAI HEALTH HOME SERVING CHILDREN |
| NPI Enumeration Date | 10/09/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$5K |
| 2019 |
1,742 |
$888K |
| 2020 |
5,195 |
$2.62M |
| 2021 |
631 |
$340K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2022 |
Case management, per month |
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) |
327 |
327 |
$53K |
| G9001 |
Coordinated care fee, initial rate |
12 |
12 |
$935.00 |