Heritage Health and Housing, INC

Heritage Health and Housing, INC was paid $8.59M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoHERITAGE HEALTH AND HOUSING, INC
NEW YORK, NY 10031

33aNPI1851414965assigned 04/06/2007

33bProvider typeClinic/Center

28Total paid$8.59M

24GClaims153,570

24DCodes billed101

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in New York

Rank by total paid#39 of 235

Median peer was paid$630K

This provider vs. median14×

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

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
2018	14,878	$782K
2019	12,337	$798K
2020	20,512	$1.35M
2021	31,692	$1.88M
2022	23,522	$826K
2023	25,191	$1.22M
2024incomplete	25,438	$1.73M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	47%	55,472	35,678	$4.04M
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	13%	14,337	8,454	$1.16M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	9.7%	7,758	2,794	$837K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	5.2%	4,434	2,005	$450K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.2%	5,144	3,684	$364K
90863		4.2%	3,859	2,747	$357K
D1110	Prophylaxis - adult	2.8%	5,287	2,838	$237K
D0150	Comprehensive oral evaluation - new or established patient	2.0%	3,977	1,333	$171K
D0140	Limited oral evaluation - problem focused	1.4%	2,355	1,272	$120K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.3%	1,322	857	$113K
90792	Psychiatric diagnostic evaluation with medical services	1.1%	759	584	$96K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	1.1%	753	265	$94K

89 more codes

D0120	Dental checkup, returning patient	1.0%	3,105	$87K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	858	$52K
D0210	Intraoral - complete series of radiographic images	<1%	1,188	$47K
D0274	Bitewings - four radiographic images	<1%	1,201	$34K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	314	$30K
99204	Doctor's office visit, new patient (more involved)	<1%	290	$26K
90791	Psychiatric diagnostic evaluation	<1%	187	$26K
D0220	Intraoral - periapical first radiographic image	<1%	1,698	$23K
3028F		<1%	1,008	$23K
D9110		<1%	347	$22K
D5899		<1%	113	$18K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	221	$16K
82962		<1%	3,913	$16K
D1120	Dental cleaning, child	<1%	230	$11K
99215	Doctor's office visit, returning patient (complex)	<1%	136	$11K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	82	$7K
36415	Collection of venous blood by venipuncture	<1%	5,713	$7K
97802		<1%	2,388	$6K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	53	$6K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	107	$6K
96127		<1%	3,490	$5K
99205	Prolong outpt/office vis	<1%	74	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,110	$5K
99386		<1%	49	$4K
92551		<1%	363	$4K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	96	$4K
90688		<1%	416	$4K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	50	$4K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	140	$4K
93000		<1%	551	$4K
0011A		<1%	369	$3K
90685		<1%	294	$3K
96160		<1%	178	$3K
0012A		<1%	226	$3K
0013A		<1%	71	$3K
99385		<1%	21	$2K
D7140	Extraction, erupted tooth or exposed root	<1%	45	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	656	$2K
0002A		<1%	41	$2K
4004F		<1%	100	$2K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	106	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	34	$1K
0001A		<1%	28	$1K
0004A		<1%	30	$1K
D1206	Topical application of fluoride varnish	<1%	45	$1K
90746		<1%	28	$877.50
92250		<1%	35	$870.98
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	14	$842.76
H0001	Alcohol and/or drug assessment	<1%	223	$783.98
0134A		<1%	16	$600.00
G0467	Community health center visit, returning patient	<1%	26	$569.28
86703		<1%	558	$540.38
99173		<1%	205	$464.74
D0230	Intraoral - periapical each additional radiographic image	<1%	71	$453.94
99000		<1%	1,438	$435.12
D0270		<1%	25	$416.82
D1208	Topical application of fluoride, excluding varnish	<1%	38	$361.50
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	77	$335.00
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	193	$311.36
86318		<1%	23	$270.82
11721		<1%	12	$247.48
90686		<1%	48	$186.78
3008F		<1%	10,099	$168.55
97803		<1%	138	$140.17
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	400	$123.30
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	17	$80.68
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	45	$58.60
3074F		<1%	28	$52.50
3078F		<1%	43	$45.00
99406		<1%	14	$34.66
81003		<1%	28	$31.97
1159F		<1%	59	$25.00
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	141	$15.16
1126F		<1%	137	$14.00
1160F		<1%	38	$10.00
91301		<1%	552	$0.39
91313		<1%	15	$0.10
91300		<1%	89	$0.04
86704		<1%	27	$0.01
86706		<1%	27	$0.01
87340		<1%	28	$0.01
H0033	Oral medication administration, direct observation	<1%	43	$0.01
99001		0%	465	$0.00
3077F		0%	47	$0.00
1000F		0%	56	$0.00
2010F		0%	691	$0.00
94760		0%	73	$0.00
3079F		0%	30	$0.00
3080F		0%	18	$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 officialSIMMONS, ALVARO (CEO)