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New York City Health and Hospitals Corporation

Internal Medicine·Elmhurst, NY·NPI: 1063426377Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $146.6M is at the 75th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$146.6M

$146,568,058

Total Claims

3.5M

Beneficiaries

2.8M

1.2 claims/patient

Avg Cost/Claim

$42

#738 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

New York City Health and Hospitals Corporation is a Internal Medicine provider based in Elmhurst, NY. From the 2018–2024 period, this provider received $146.6M in Medicaid payments across 3.5M claims.

Why This Matters

This provider received $146.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,321 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 4682% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$428K
+1939%
2019
$8.7M
+162%
2020
$22.8M
+55%
2021
$35.4M
-2%
2022
$34.8M
-31%
2023
$23.9M
-15%
2024
$20.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 11% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$15.6M

80K claims · 10.6%

Your Cost: $194.35/claim|Median: $42.48
4.6× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$13.3M

197K claims · 9.1%

Your Cost: $67.47/claim|Median: $37.81
1.8× median
99282Top 5%

Emergency dept visit, low complexity

$9.7M

45K claims · 6.6%

Your Cost: $217.89/claim|Median: $37.72
5.8× median
99284Top 10%

Emergency dept visit, high complexity

$8.1M

42K claims · 5.5%

Your Cost: $190.93/claim|Median: $69.51
2.8× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$7.5M

67K claims · 5.1%

Your Cost: $111.20/claim|Median: $53.41
2.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$7.3M

110K claims · 5.0%

Your Cost: $66.75/claim|Median: $63.08
1.1× median
36415Top 5%

Collection of venous blood by venipuncture

$5.0M

327K claims · 3.4%

Your Cost: $15.26/claim|Median: $1.57
9.7× median
90791Top 1%

Psychiatric diagnostic evaluation

$4.9M

10K claims · 3.4%

Your Cost: $489.57/claim|Median: $99.21
4.9× median
H0020Normal range

Alcohol/drug services; methadone administration

$4.4M

124K claims · 3.0%

Your Cost: $35.62/claim|Median: $18.95
1.9× median
90832Top 5%

Psychotherapy, 30 minutes

$4.4M

33K claims · 3.0%

Your Cost: $130.79/claim|Median: $41.28
3.2× median
99212Top 25%

Office/outpatient visit, low complexity

$3.0M

54K claims · 2.0%

Your Cost: $55.55/claim|Median: $25.06
2.2× median
90834Top 5%

Psychotherapy, 45 minutes

$2.6M

16K claims · 1.8%

Your Cost: $162.18/claim|Median: $63.65
2.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$2.0M

109K claims · 1.4%

Your Cost: $18.27/claim|Median: $12.93
1.4× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$1.8M

10K claims · 1.2%

Your Cost: $183.32/claim|Median: $148.53
1.2× median
81408Top 5%

Molecular pathology procedure, level nine

$1.6M

1K claims · 1.1%

Your Cost: $1,381.29/claim|Median: $158.72
8.7× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$1.6M

10K claims · 1.1%

Your Cost: $162.28/claim|Median: $84.03
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.6M

45K claims · 1.1%

Your Cost: $34.18/claim|Median: $69.35
0.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.5M

40K claims · 1.0%

Your Cost: $38.18/claim|Median: $39.70
1.0× median
70450Top 10%

CT head/brain without contrast

$1.2M

6K claims · 0.8%

Your Cost: $206.44/claim|Median: $45.53
4.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.2M

25K claims · 0.8%

Your Cost: $45.66/claim|Median: $35.43
1.3× median
81420Top 10%

Fetal chromosomal aneuploidy genomic sequence analysis

$1.2M

2K claims · 0.8%

Your Cost: $710.93/claim|Median: $358.21
2.0× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$1.1M

10K claims · 0.8%

Your Cost: $112.58/claim|Median: $58.55
1.9× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$1.1M

10K claims · 0.8%

Your Cost: $112.17/claim|Median: $57.85
1.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.0M

6K claims · 0.7%

Your Cost: $181.19/claim|Median: $85.65
2.1× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$983K

15K claims · 0.7%

Your Cost: $63.70/claim|Median: $3.42
18.6× median
G0396Top 10%

Alcohol/substance abuse structured assessment, 15-30 minutes

$965K

8K claims · 0.7%

Your Cost: $122.45/claim|Median: $40.58
3.0× median
81220Top 10%

CFTR gene analysis, common variants

$964K

2K claims · 0.7%

Your Cost: $443.67/claim|Median: $183.31
2.4× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$953K

47K claims · 0.7%

Your Cost: $20.49/claim|Median: $15.76
1.3× median
99215Top 10%

Office/outpatient visit, high complexity

$878K

6K claims · 0.6%

Your Cost: $154.23/claim|Median: $74.09
2.1× median
90853Top 25%

Group psychotherapy

$874K

15K claims · 0.6%

Your Cost: $59.85/claim|Median: $25.02
2.4× median

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