Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW YORK › HERITAGE HEALTH AND HOUSING, INC

HERITAGE HEALTH AND HOUSING, INC

NPI: 1851414965 · NEW YORK, NY 10031 · Clinic/Center · NPI assigned 04/06/2007

$8.59M
Total Medicaid Paid
153,570
Total Claims
104,380
Beneficiaries
101
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMONS, ALVARO (CEO)
NPI Enumeration Date04/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 25,438 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 55,472 35,678 $4.04M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,337 8,454 $1.16M
90834 Psychotherapy, 45 minutes with patient 7,758 2,794 $837K
90832 Psychotherapy, 30 minutes with patient 4,434 2,005 $450K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,144 3,684 $364K
90863 3,859 2,747 $357K
D1110 Prophylaxis - adult 5,287 2,838 $237K
D0150 Comprehensive oral evaluation - new or established patient 3,977 1,333 $171K
D0140 Limited oral evaluation - problem focused 2,355 1,272 $120K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,322 857 $113K
90792 Psychiatric diagnostic evaluation with medical services 759 584 $96K
90837 Psychotherapy, 53 minutes with patient 753 265 $94K
D0120 Periodic oral evaluation - established patient 3,105 1,974 $87K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 858 400 $52K
D0210 Intraoral - complete series of radiographic images 1,188 1,067 $47K
D0274 Bitewings - four radiographic images 1,201 785 $34K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 314 201 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 290 186 $26K
90791 Psychiatric diagnostic evaluation 187 122 $26K
D0220 Intraoral - periapical first radiographic image 1,698 1,529 $23K
3028F 1,008 714 $23K
D9110 347 188 $22K
D5899 113 77 $18K
D2391 Resin-based composite - one surface, posterior, primary or permanent 221 105 $16K
82962 3,913 3,409 $16K
D1120 Prophylaxis - child 230 130 $11K
99215 Prolong outpt/office vis 136 76 $11K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 82 44 $7K
36415 Collection of venous blood by venipuncture 5,713 5,616 $7K
97802 2,388 2,231 $6K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 53 30 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 107 77 $6K
96127 3,490 2,938 $5K
99205 Prolong outpt/office vis 74 27 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,110 1,092 $5K
99386 49 28 $4K
92551 363 272 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 96 75 $4K
90688 416 415 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 50 36 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 140 131 $4K
93000 551 550 $4K
0011A 369 362 $3K
90685 294 294 $3K
96160 178 169 $3K
0012A 226 226 $3K
0013A 71 71 $3K
99385 21 12 $2K
D7140 Extraction, erupted tooth or exposed root 45 12 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 656 621 $2K
0002A 41 40 $2K
4004F 100 77 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 106 104 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 34 27 $1K
0001A 28 28 $1K
0004A 30 30 $1K
D1206 Topical application of fluoride varnish 45 45 $1K
90746 28 28 $877.50
92250 35 30 $870.98
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14 12 $842.76
H0001 Alcohol and/or drug assessment 223 218 $783.98
0134A 16 16 $600.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 26 14 $569.28
86703 558 555 $540.38
99173 205 205 $464.74
D0230 Intraoral - periapical each additional radiographic image 71 67 $453.94
99000 1,438 1,417 $435.12
D0270 25 25 $416.82
D1208 Topical application of fluoride, excluding varnish 38 37 $361.50
90460 Immunization administration through 18 years of age via any route, first or only component 77 77 $335.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 193 189 $311.36
86318 23 23 $270.82
11721 12 12 $247.48
90686 48 48 $186.78
3008F 10,099 9,112 $168.55
97803 138 119 $140.17
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 400 399 $123.30
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 17 16 $80.68
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 45 40 $58.60
3074F 28 28 $52.50
3078F 43 43 $45.00
99406 14 14 $34.66
81003 28 28 $31.97
1159F 59 56 $25.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 141 141 $15.16
1126F 137 130 $14.00
1160F 38 37 $10.00
91301 552 533 $0.39
91313 15 15 $0.10
91300 89 85 $0.04
86704 27 27 $0.01
86706 27 27 $0.01
87340 28 28 $0.01
H0033 Oral medication administration, direct observation 43 33 $0.01
99001 465 461 $0.00
3077F 47 46 $0.00
1000F 56 55 $0.00
2010F 691 660 $0.00
94760 73 73 $0.00
3079F 30 30 $0.00
3080F 18 17 $0.00