Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

New York City Health and Hospitals Corporation

Internal Medicine·New York, NY·NPI: 1073535027Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $176.3M is at the 75th percentile among 26 Internal Medicine providers.

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

Total Paid

$176.3M

$176,327,486

Total Claims

3.4M

Beneficiaries

2.9M

1.2 claims/patient

Avg Cost/Claim

$51

#549 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 New York, NY. From the 2018–2024 period, this provider received $176.3M in Medicaid payments across 3.4M claims.

Why This Matters

This provider received $176.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,040 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 9175% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$306K
+2769%
2019
$8.8M
+197%
2020
$26.1M
+47%
2021
$38.3M
+9%
2022
$41.8M
-22%
2023
$32.7M
-13%
2024
$28.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90791 (Psychiatric diagnostic evaluation)) accounts for 9% of total spending.

90791Top 1%

Psychiatric diagnostic evaluation

$15.8M

16K claims · 9.0%

Your Cost: $1,018.22/claim|Median: $99.21
10.3× median
99213Top 5%

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

$15.8M

175K claims · 9.0%

Your Cost: $90.46/claim|Median: $37.81
2.4× median
99283Top 10%

Emergency dept visit, moderate complexity

$13.0M

78K claims · 7.3%

Your Cost: $166.47/claim|Median: $42.48
3.9× median
99284Top 10%

Emergency dept visit, high complexity

$11.4M

63K claims · 6.5%

Your Cost: $181.94/claim|Median: $69.51
2.6× median
99214Top 10%

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

$9.6M

90K claims · 5.4%

Your Cost: $106.11/claim|Median: $53.41
2.0× median
J9271Top 25%

Injection, pembrolizumab, 1 mg

$7.1M

737 claims · 4.0%

Your Cost: $9,663.60/claim|Median: $5,391.55
1.8× median
H0020Normal range

Alcohol/drug services; methadone administration

$3.6M

91K claims · 2.0%

Your Cost: $39.46/claim|Median: $18.95
2.1× median
36415Top 5%

Collection of venous blood by venipuncture

$3.6M

246K claims · 2.0%

Your Cost: $14.56/claim|Median: $1.57
9.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$3.6M

58K claims · 2.0%

Your Cost: $62.00/claim|Median: $63.08
1.0× median
90832Top 5%

Psychotherapy, 30 minutes

$3.4M

26K claims · 1.9%

Your Cost: $129.58/claim|Median: $41.28
3.1× median
90834Top 5%

Psychotherapy, 45 minutes

$3.3M

19K claims · 1.9%

Your Cost: $172.75/claim|Median: $63.65
2.7× median
99282Top 5%

Emergency dept visit, low complexity

$3.2M

16K claims · 1.8%

Your Cost: $195.57/claim|Median: $37.72
5.2× median
99204Top 10%

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

$2.8M

18K claims · 1.6%

Your Cost: $154.69/claim|Median: $84.03
1.8× median
99203Top 5%

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

$2.7M

22K claims · 1.5%

Your Cost: $120.92/claim|Median: $57.85
2.1× median
99212Top 10%

Office/outpatient visit, low complexity

$2.3M

36K claims · 1.3%

Your Cost: $63.23/claim|Median: $25.06
2.5× median
99215Top 25%

Office/outpatient visit, high complexity

$2.3M

16K claims · 1.3%

Your Cost: $143.99/claim|Median: $74.09
1.9× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$2.2M

36K claims · 1.2%

Your Cost: $60.82/claim|Median: $22.44
2.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.9M

28K claims · 1.1%

Your Cost: $68.75/claim|Median: $69.35
1.0× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.9M

38K claims · 1.1%

Your Cost: $48.81/claim|Median: $35.43
1.4× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$1.8M

22K claims · 1.0%

Your Cost: $81.45/claim|Median: $32.55
2.5× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$1.8M

14K claims · 1.0%

Your Cost: $131.41/claim|Median: $75.28
1.8× median
70450Top 10%

CT head/brain without contrast

$1.7M

9K claims · 1.0%

Your Cost: $188.70/claim|Median: $45.53
4.1× median
D0999Normal range

Unspecified diagnostic procedure, by report

$1.6M

10K claims · 0.9%

Your Cost: $159.75/claim|Median: $101.33
1.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.6M

9K claims · 0.9%

Your Cost: $185.42/claim|Median: $85.65
2.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$1.5M

71K claims · 0.8%

Your Cost: $21.03/claim|Median: $12.93
1.6× median
D9999Top 25%

Unspecified adjunctive procedure, by report

$1.2M

8K claims · 0.7%

Your Cost: $142.48/claim|Median: $37.60
3.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.1M

6K claims · 0.6%

Your Cost: $190.35/claim|Median: $65.76
2.9× median
J2426Normal range

$980K

844 claims · 0.6%

Your Cost: $1,160.98/claim|Median: $625.59
1.9× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$969K

10K claims · 0.5%

Your Cost: $100.88/claim|Median: $54.77
1.8× median
96361Normal range

IV infusion, hydration, each additional hour

$963K

10K claims · 0.5%

Your Cost: $96.97/claim|Median: $38.92
2.5× median

Other Top Providers in New York

View all →

Public Partnerships LLC

Supports Brokerage

$7.18B

Freedom Care LLC

Home Health

$3.03B

American Business Institute Corp

Home Health

$1.68B

Premier Home Health Care Services INC

Home Health

$1.48B

Assistcarehome Healthcare Services

Home Health

$1.44B

Similar Providers

Other top providers in Internal Medicine

New York City Health and Hospitals Corporation

Bronx, NY

$217.7M

Community Physicians of Indiana INC

Indianapolis, IN

$185.3M

New York City Health and Hospitals Corporation

Brooklyn, NY

$178.8M

Prisma Health University Medical Group

Greenville, SC

$172.2M

New York City Health and Hospitals Corporation

Bronx, NY

$160.3M

← All providersAll providers in New York →How we detect fraud →