Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONTEFIORE MEDCIAL CENTER

NPI: 1962849869 · BRONX, NY 10466 · Clinic/Center · NPI assigned 05/31/2013

$1.09M
Total Medicaid Paid
9,408
Total Claims
2,828
Beneficiaries
18
Codes Billed
2019-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialDOWLING, MICHAEL (CHIEF ADMINISTRATIVE OFFICER)
NPI Enumeration Date05/31/2013

Related Entities

Other providers sharing the same authorized official: DOWLING, MICHAEL

ProviderCityStateTotal Paid
MONTEFIORE NORTH AMBULATORY CARE CENTER INC BRONX NY $569K
GUN HILL MRI PC BRONX NY $302K
MONTEFIORE MEDICAL CENTER BRONX NY $14K
MONTEFIORE MEDICAL CENTER BRONX NY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,941 $527K
2020 472 $86K
2022 5,995 $474K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 2,427 662 $434K
S9131 Physical therapy; in the home, per diem 934 255 $170K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 788 404 $170K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 3,874 532 $131K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 520 338 $85K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 483 294 $60K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 109 83 $14K
S9127 Social work visit, in the home, per diem 52 41 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor 18 18 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 13 $3K
80053 Comprehensive metabolic panel 37 37 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 15 15 $1K
80061 Lipid panel 24 24 $337.00
84443 Thyroid stimulating hormone (TSH) 19 19 $126.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 56 55 $101.44
81001 13 13 $19.02
83735 12 12 $10.06
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 13 13 $0.00