The Institute for Family Health
The Institute for Family Health was paid $15.21M by Medicaid between Aug 2018 and Nov 2024, across 4 billing codes. Its largest line is G9005, Coordinated care fee, risk adjusted maintenance — 63% of everything it billed.
NEW PALTZ, NY 12561
Next to other Clinical Social Worker providers in New York
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 201 | $45K | |
| 2019 | 2,850 | $817K | |
| 2020 | 7,689 | $2.27M | |
| 2021 | 8,408 | $2.74M | |
| 2022 | 7,984 | $2.81M | |
| 2023 | 9,879 | $3.47M | |
| 2024incomplete | 9,947 | $3.06M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9005 | Coordinated care fee, risk adjusted maintenance | 63% | 27,490 | 27,398 | $9.53M |
| T1016 | Case management, each 15 minutes | 34% | 17,844 | 17,839 | $5.20M |
| T2022 | Case management, per month | 3.0% | 1,384 | 1,384 | $458K |
| G9001 | Coordinated care fee, initial rate | <1% | 240 | 240 | $17K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| The Institute for Family Health | New York, NY | $80.80M |
| The Institute for Family Health | New York, NY | $6.27M |
| The Institute for Family Health | Bronx, NY | $4.99M |
| The Institute for Family Health | Bronx, NY | $4.85M |
| The Institute for Family Health | Kingston, NY | $4.47M |
| The Institute for Family Health | Ellenville, NY | $1.98M |
| The Institute for Family Health | New York, NY | $1.35M |
| The Institute for Family Health | New Paltz, NY | $1.33M |
| The Institute for Family Health | Brooklyn, NY | $1.26M |
| The Institute for Family Health | Bronx, NY | $1.00M |
| The Institute for Family Health | Bronx, NY | $964K |
| The Institute for Family Health | Bronx, NY | $927K |
| The Institute for Family Health | Hyde Park, NY | $659K |
| The Institute for Family Health | New York, NY | $576K |
| The Institute for Family Health | Kingston, NY | $478K |
| The Institute for Family Health | New York, NY | $139K |
| The Institute for Family Health | Bronx, NY | $111K |
| The Institute for Family Health | New York, NY | $16K |
| The Institute for Family Health | New York, NY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.