Montefiore Medical Center
General Acute Care Hospital
Bronx, New York
NPI: 1952476988
Risk Tier
Critical
Total Paid
$961.1M
$961,141,901
Total Claims
17.1M
Beneficiaries
14.7M
Avg Cost/Claim
$56.17
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (5)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $167.04 per claim for 99214 (Office/outpatient visit, est. patient, mod-high complexity), which is 3.1× the national median of $53.41.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $24.1M (2018) to $74.5M (2019) — a 209% swing with $50.4M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 320 procedure codes: 99213 at 4.2× median, 99214 at 3.1× median.
Unusually High Spending
This provider's total payments are significantly above the median for their specialty.
High Cost Per Claim
Average payment per claim is much higher than peers billing the same procedures.
Advanced Detection Signals
Billing Velocity
9259.9 claims per working day — may exceed physically possible volume for a single provider.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024