Behavioral
The Institute for Family Health
The Institute for Family Health was paid $80.80M by Medicaid between Jan 2018 and Dec 2024, across 155 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoTHE INSTITUTE FOR FAMILY HEALTH
NEW YORK, NY 10035
NEW YORK, NY 10035
33aNPI1972877017assigned 03/07/2012
33bProvider typeClinical Social Worker
28Total paid$80.80M
24GClaims1,436,129
24DCodes billed155
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in New York
Rank by total paid#1 of 882
Median peer was paid$53K
This provider vs. median1,526×
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.
Entity ProliferationAuthorized official GAYLE, ERIC controls 19+ related entities in our dataset. Read more
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 | 158,346 | $9.57M | |
| 2019 | 181,714 | $9.43M | |
| 2020 | 205,239 | $10.89M | |
| 2021 | 246,283 | $13.40M | |
| 2022 | 245,498 | $14.25M | |
| 2023 | 239,660 | $13.71M | |
| 2024incomplete | 159,389 | $9.56M |
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 | 26% | 295,735 | 276,143 | $20.95M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 22% | 122,071 | 77,080 | $17.60M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 16% | 85,090 | 49,625 | $12.97M |
| 99499 | 13% | 89,812 | 74,802 | $10.54M | |
| 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 | 4.8% | 57,946 | 55,556 | $3.91M |
| D7999 | 3.6% | 110,778 | 24,399 | $2.92M | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.6% | 12,587 | 12,089 | $2.09M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 25,643 | 24,593 | $1.55M |
| D1110 | Prophylaxis - adult | <1% | 19,874 | 19,782 | $679K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 3,317 | 3,294 | $603K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 22,258 | 21,623 | $470K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12,355 | 12,354 | $399K |
143 more codes
| D0274 | Bitewings - four radiographic images | <1% | 18,504 | $342K |
| 99442 | <1% | 4,817 | $288K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 30,692 | $274K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 14,268 | $270K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29,860 | $235K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,374 | $211K |
| 90839 | <1% | 1,236 | $198K | |
| 90674 | <1% | 12,195 | $196K | |
| G9005 | Coordinated care fee, risk adjusted maintenance | <1% | 593 | $194K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,152 | $188K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 3,112 | $176K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,861 | $169K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 8,038 | $161K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,839 | $155K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,060 | $151K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,858 | $144K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,698 | $142K |
| D1351 | Sealant - per tooth | <1% | 2,592 | $132K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 18,759 | $115K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 10,018 | $115K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,159 | $107K |
| 99441 | <1% | 2,341 | $102K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,084 | $100K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,237 | $92K |
| D0140 | Limited oral evaluation - problem focused | <1% | 8,298 | $89K |
| 3074F | <1% | 85,238 | $82K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,988 | $74K |
| D0272 | Bitewings - two radiographic images | <1% | 5,484 | $69K |
| 90677 | <1% | 411 | $67K | |
| 0012A | <1% | 2,056 | $67K | |
| 91322 | <1% | 574 | $60K | |
| 0064A | <1% | 1,609 | $60K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 10,148 | $57K |
| 36415 | Collection of venous blood by venipuncture | <1% | 41,150 | $54K |
| 0011A | <1% | 2,082 | $52K | |
| 59426 | <1% | 1,179 | $52K | |
| 90461 | <1% | 2,585 | $48K | |
| D0330 | Panoramic radiographic image | <1% | 2,581 | $47K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 6,260 | $47K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 478 | $46K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,089 | $44K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 493 | $44K |
| 90715 | <1% | 1,187 | $43K | |
| 82947 | <1% | 17,155 | $40K | |
| T2022 | Case management, per month | <1% | 117 | $37K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 583 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 930 | $35K |
| 99385 | <1% | 336 | $33K | |
| 0134A | <1% | 976 | $30K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,083 | $28K |
| 3078F | <1% | 68,065 | $28K | |
| D4341 | <1% | 788 | $27K | |
| 90756 | <1% | 1,632 | $26K | |
| D0270 | <1% | 2,695 | $24K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 387 | $24K |
| 98960 | <1% | 757 | $23K | |
| 90661 | <1% | 1,083 | $22K | |
| 92551 | <1% | 5,375 | $19K | |
| 99201 | <1% | 96 | $19K | |
| 81025 | <1% | 3,828 | $19K | |
| 90480 | <1% | 560 | $18K | |
| 90732 | <1% | 200 | $16K | |
| 99000 | <1% | 32,039 | $16K | |
| 86703 | <1% | 1,928 | $15K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,591 | $15K |
| D9110 | <1% | 984 | $14K | |
| 93000 | <1% | 1,034 | $13K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,117 | $13K |
| 99443 | <1% | 276 | $11K | |
| 80305 | <1% | 2,965 | $11K | |
| 86701 | <1% | 1,671 | $10K | |
| 85018 | <1% | 5,289 | $8K | |
| 3079F | <1% | 19,275 | $7K | |
| 90651 | <1% | 130 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 51 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 84 | $6K |
| D9310 | <1% | 115 | $5K | |
| G0467 | Community health center visit, returning patient | <1% | 224 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 90 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 84 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 441 | $4K |
| 0071A | <1% | 92 | $4K | |
| D0240 | <1% | 480 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 62 | $4K |
| 99173 | <1% | 5,366 | $4K | |
| 90686 | <1% | 1,845 | $4K | |
| 97802 | <1% | 85 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 16 | $4K |
| 1170F | <1% | 8,453 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 77 | $3K |
| 99383 | <1% | 33 | $3K | |
| 99406 | <1% | 212 | $3K | |
| 97803 | <1% | 55 | $3K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 31 | $3K |
| 3077F | <1% | 3,196 | $3K | |
| 99460 | <1% | 26 | $2K | |
| 90746 | <1% | 40 | $2K | |
| 81002 | <1% | 1,039 | $2K | |
| 99386 | <1% | 16 | $2K | |
| 0031A | <1% | 60 | $2K | |
| G9001 | Coordinated care fee, initial rate | <1% | 26 | $2K |
| 3075F | <1% | 5,261 | $2K | |
| 99384 | <1% | 13 | $2K | |
| D1354 | <1% | 105 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $1K |
| 0072A | <1% | 29 | $1K | |
| 11721 | <1% | 54 | $1K | |
| 99462 | <1% | 14 | $1K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 14 | $990.00 |
| 3008F | <1% | 5,113 | $915.42 | |
| 90694 | <1% | 62 | $844.56 | |
| 90734 | <1% | 116 | $720.00 | |
| D4342 | <1% | 35 | $648.97 | |
| 83655 | <1% | 165 | $515.71 | |
| D1330 | <1% | 6,320 | $407.16 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 187 | $390.00 |
| 86580 | <1% | 41 | $292.37 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $287.50 |
| 0502F | <1% | 1,266 | $276.31 | |
| D0160 | <1% | 12 | $235.75 | |
| 90670 | <1% | 237 | $230.83 | |
| 90653 | <1% | 13 | $187.40 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 13 | $144.30 |
| D4921 | <1% | 175 | $114.24 | |
| 1159F | <1% | 1,306 | $97.75 | |
| 3080F | <1% | 1,851 | $55.00 | |
| T1016 | Case management, each 15 minutes | <1% | 38 | $22.50 |
| 3044F | <1% | 1,056 | $20.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 29 | $5.19 |
| 3051F | <1% | 390 | $0.02 | |
| 90744 | 0% | 24 | $0.00 | |
| 1126F | 0% | 161 | $0.00 | |
| 3052F | 0% | 177 | $0.00 | |
| 91301 | 0% | 328 | $0.00 | |
| 90698 | 0% | 78 | $0.00 | |
| 90656 | 0% | 58 | $0.00 | |
| 91306 | 0% | 166 | $0.00 | |
| 3046F | 0% | 708 | $0.00 | |
| 1160F | 0% | 425 | $0.00 | |
| 97813 | 0% | 17 | $0.00 | |
| A4550 | Surgical trays | 0% | 24 | $0.00 |
| 90633 | 0% | 57 | $0.00 | |
| 91313 | 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 officialGAYLE, ERIC (PRESIDENT AND CEO)
Parent organizationTHE INSTITUTE FOR FAMILY HEALTH
| Provider | Location | Paid |
|---|---|---|
| The Institute for Family Health | New Paltz, NY | $15.21M |
| 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.