medicaid electronic health records incentive program
TRANSCRIPT
Provider Type Eligible Hospital NameEligible Practitioner First
Name
PHYSICIAN ANDREW
PHYSICIAN KAUSHIK
PHYSICIAN THRESIAMMA
NURSE PRACTITIONER ELLEN
PHYSICIAN VIPLOV
PHYSICIAN ELIZABETH
CERTIFIED NURSE MIDWIFE NICHOLE
PHYSICIAN LATHA
PHYSICIAN ROMAN
PHYSICIAN KRISTEN
PHYSICIAN ANTHONY
PHYSICIAN COLBY
NURSE PRACTITIONER HEE JOUNG
PHYSICIAN GUNJEET
PHYSICIAN PARESH
PHYSICIAN DAVID
Page 1 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
Eligible Practitioner LastName
Provider NPI Payee NPI Payment Date
GITKIND 1477731636 1063525152 03/11/2019
DOSHI 1336397629 1184670465 08/21/2017
THANJAN 1790747343 1790747343 04/23/2018
KAGAN 1629147590 1063426377 07/17/2017
MEHTA 1760590236 1760590236 02/25/2019
JALKUT 1346415767 1467469023 08/31/2020
SAMUEL 1831489780 1467469023 06/21/2021
CHANDRAN 1407894397 1083660575 10/28/2019
PEREZ-SOLER 1316027808 1063525152 06/22/2020
MARKS 1255421426 1952332801 12/23/2019
CATERINA 1265424899 1265424899 10/28/2019
PREVITE 1801805320 1184668311 07/31/2017
PARK 1316317605 1366418709 06/12/2017
SAHNI 1437131323 1437131323 09/10/2018
KOTHARY 1699812305 1346380870 10/25/2019
JOSEPH 1902840614 1063426377 08/23/2021
Page 2 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
Payment Amount Payment Year Participation Year Provider Zip Code County
8500 2017 5 10467 BRONX
8500 2015 2 11418 QUEENS
8500 2016 4 10468 BRONX
21250 2015 1 10038 NEW YORK
8500 2017 2 11213 KINGS
8500 2019 2 10038 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2018 4 11733 SUFFOLK
8500 2019 6 10467 BRONX
8500 2018 5 10032 NEW YORK
5667 2018 3 14127 ERIE
8500 2015 5 14642 MONROE
21250 2016 1 10453 BRONX
8500 2016 6 10032 NEW YORK
21250 2014 1 11212 KINGS
8500 2021 6 10038 NEW YORK
Page 3 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
Payee Name Location #New York Zip
CodesCounties
NYS SenateDistricts
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
THANJAN THRESIAMMA GEORGE MD (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MEHTA VIPLOV K MD (40.65642, -73.950691) 809 2090 31
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
CATERINA ANTHONY MICHAEL (42.888143, -78.795544) 62 2041 63
STRONG OB GYN GROUP (43.161748, -77.620143) 1666 2093 56
ESSEN MEDICAL ASSOCIATES PC (40.85589, -73.868294) 675 2032 52
SAHNI GUNJEET MANDVI MD (40.726966, -74.005966) 737 2095 50
BROOKDALE HSP MED CTR (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 4 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LocalWaterfront
RevitalizationProgram(LWRP)
Communities
School Districts2016.shp
37 176
37 111
37 176
37 108
37 27
37 108
37 108
137
37 176
37 108
646
50 844
37 176
37 108
37 27
37 108
Page 5 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MICHELE
PHYSICIAN GINA
PHYSICIAN MARINA
PHYSICIAN FERN
PHYSICIAN MICHAEL
PHYSICIAN JEANNETTE
PHYSICIAN MARISE
NURSE PRACTITIONER SARAH
PHYSICIAN MARLON
PHYSICIAN MARGARET
PHYSICIAN JOHN
DENTIST GAIL
CERTIFIED NURSE MIDWIFE CHRISTINA
PHYSICIAN MOHAMMED
PHYSICIAN ESTHER
NURSE PRACTITIONER JANET
PHYSICIAN LING
PHYSICIAN SONALI
NURSE PRACTITIONER MARIA
PHYSICIAN NEELA
PHYSICIAN JULIA
PHYSICIAN ROBERT
Page 6 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PAOLUCCI 1699834119 1013924372 09/06/2021
BADALATO 1932363546 1700824315 09/30/2019
ROYZMAN 1568410710 1619341716 11/27/2017
JUSTER 1154322550 1467454967 12/25/2017
WEISS 1417937335 1093777492 03/12/2018
JAKUS 1477711422 1043224355 12/25/2017
D'SOUZA 1992937098 1467454967 05/04/2020
KIM 1972891117 1073535027 07/13/2020
BREWER 1821015835 1063426377 08/12/2019
KRAUSE 1023091162 1194832477 06/11/2018
MYCEK 1104804947 1104804947 12/10/2018
SCHUPAK 1194728196 1164555124 11/22/2021
KOCIS 1437192788 1538114723 01/21/2019
NIZAM 1407895089 1033124961 03/08/2021
BUTLER 1528146446 1073535027 12/09/2019
DIFALCO 1356384168 1083660575 08/21/2017
CHENG 1184673105 1255635652 03/26/2018
MANTOO 1649481565 1033124961 09/04/2017
SERRANO 1013097666 1063525152 02/18/2019
PATEL 1013017193 1013017193 04/16/2018
WATTACHERIL 1811180359 1265598783 11/27/2017
PETRUCELLI 1548420508 1073535027 07/13/2020
Page 7 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 4 10038 NEW YORK
8500 2018 3 10032 NEW YORK
21250 2016 1 11220 KINGS
8500 2016 3 10532 WESTCHESTER
8500 2016 2 11219 KINGS
21250 2016 1 10038 NEW YORK
8500 2019 4 10532 WESTCHESTER
8500 2019 5 10038 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2016 5 10032 NEW YORK
8500 2017 5 12078 FULTON
8500 2021 3 10010 NEW YORK
8500 2017 5 11733 SUFFOLK
8500 2020 4 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2015 3 11794 SUFFOLK
8500 2015 3 10013 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2017 2 10467 BRONX
8500 2016 3 11427 QUEENS
8500 2015 4 10032 NEW YORK
8500 2019 3 10038 NEW YORK
Page 8 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
MYCEK JOHN A MD (43.06014, -74.331296) 1227 2085 42
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
LING O CHENG MD PC (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PATEL NEELA K MD (40.749338, -73.789673) 828 2137 11
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 9 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 27
224
37 27
37 108
224
37 108
37 108
37 108
830
37 108
137
37 108
37 108
137
37 108
37 108
37 176
37 111
37 108
37 108
Page 10 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ILENE
PHYSICIAN KEVIN
PHYSICIAN THOMAS
NURSE PRACTITIONER EFRAT
PHYSICIAN XIAOGUANG
PHYSICIAN JOHN
PHYSICIAN DIVEY
NURSE PRACTITIONER MARISSA
PHYSICIAN ROBERT
PHYSICIAN SAYED
PHYSICIAN MOHINDER
PHYSICIAN FREDERICK
DENTIST ALEXANDER
PHYSICIAN FRANK
PHYSICIAN FARSHID
PHYSICIAN JOEL
PHYSICIAN BARBARA
PHYSICIAN MAHMOOD
PHYSICIAN SAMAR
PHYSICIAN SERGIO
Page 11 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FENNOY 1770575862 1447518550 08/07/2017
FIORI 1386901882 1063525152 10/18/2021
MELE 1235244419 1194832477 08/14/2017
HALEVI 1023443116 1023443116 09/23/2019
LIU 1386851251 1033124961 03/08/2021
LEO 1003986217 1063525152 11/27/2017
MANOCHA 1932486545 1063468239 12/25/2017
ROSLYN-CLARK 1679734941 1952332801 07/31/2017
LEONARDO 1164466637 1376590828 06/18/2018
WAHEZI 1073750741 1063525152 09/04/2017
GURAM 1871546812 1336578772 03/05/2018
KASKEL 1699851535 1063525152 11/11/2019
ROCK 1821136367 1295997724 08/05/2019
RATZKEN 1942295613 1124032982 05/18/2020
RADPARVAR 1366537656 1801803903 10/04/2021
MCFARLAND 1154363190 1255360517 06/18/2018
MCLEAN 1871645697 1437231693 05/07/2018
KARIMI 1801979752 1801979752 08/28/2017
YAZIGI 1780771345 1619341716 03/22/2021
SOKOL 1356398713 1356398713 01/28/2019
Page 12 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 10032 NEW YORK
8500 2021 5 10451 BRONX
8500 2015 3 10032 NEW YORK
8500 2018 3 10314 RICHMOND
8500 2020 4 10038 NEW YORK
8500 2015 2 10801 WESTCHESTER
8500 2016 2 13210 ONONDAGA
21250 2016 1 10065 NEW YORK
21250 2016 1 11203 KINGS
8500 2015 5 10467 BRONX
8500 2015 3 10041 NEW YORK
8500 2018 5 10467 BRONX
8500 2018 4 11753 NASSAU
8500 2019 4 10038 NEW YORK
8500 2021 6 10038 NEW YORK
8500 2016 5 14621 MONROE
8500 2016 3 10458 BRONX
8500 2015 5 07677 OUT OF STATE
8500 2020 6 11220 KINGS
8500 2017 3 11516 NASSAU
Page 13 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
HALEVI EFRAT (40.566763, -74.148102) 609 2139 47
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
UNIVERSITY PHYS BROOKLYN INC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
KARIMI MAHMOOD M MD
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
SOKOL SERGIO MD (40.715749, -73.601185) 1455 2094 6
Page 14 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 108
37 7
37 108
224
755
37 108
37 27
37 176
37 108
37 176
93
37 108
37 108
50 844
37 176
37 27
93
Page 15 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN CASEY
PHYSICIAN HILLARY
DENTIST BHARAT
PHYSICIAN BARRETT
PHYSICIAN IGOR
ACUTE CARE HOSPITALS GENEVA GENERAL HOSPITAL, INC.
PHYSICIAN MIN
PHYSICIAN MICHAEL
PHYSICIAN RASHEDA
PHYSICIAN JONAH
PHYSICIAN WALTER
PHYSICIAN ARLENE
PHYSICIAN BORIS
CERTIFIED NURSE MIDWIFE SUSAN
NURSE PRACTITIONER ALETHEA
PHYSICIAN CYNTHIA
PHYSICIAN DAVID
PHYSICIAN MIRIAM
PHYSICIAN NADIA
PHYSICIAN JAMES
PHYSICIAN ISABEL
PHYSICIAN DANIELLE
Page 16 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ROSEN-CAROLE 1164608329 1821029463 09/30/2019
CLARKE 1487665485 1124032982 09/13/2021
JOSHI 1629072186 1164555124 11/22/2021
KATZ 1750478830 1063525152 01/08/2018
RUBINSHTEYN 1235292574 1124032982 02/04/2019
1952418352 09/18/2017
CAI 1003813676 1003813676 10/01/2018
VITTI 1699857854 1063525152 10/02/2017
PRESCOTT 1174685028 1619341716 09/23/2019
GREEN 1891702742 1467469023 07/20/2020
PEGOLI 1114954252 1740205566 08/14/2017
SOLOMON 1932297207 1841224508 04/23/2018
MASHALOV 1972691012 1023024882 09/13/2021
DUMMITT 1912088220 1184694291 10/14/2019
SHEPARDSON 1881783280 1063525152 08/14/2017
WONG 1871519645 1467469023 06/01/2020
YOHAI 1134186109 1063426377 04/06/2020
SCHECHTER 1962587329 1063525152 10/02/2017
JOHN 1225284946 1194966291 08/28/2017
MARIADASON 1366526667 1013924372 01/25/2021
RODRIGUEZ 1285707778 1063525152 06/22/2020
BAJAKIAN 1659470219 1265598783 04/30/2018
Page 17 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
5667 2018 5 14642 MONROE
8500 2021 6 10038 NEW YORK
8500 2021 5 10010 NEW YORK
8500 2016 5 10467 BRONX
8500 2017 2 10038 NEW YORK
74636 2015 3 14456 ONTARIO
8500 2017 4 11355 QUEENS
8500 2015 3 10461 BRONX
8500 2018 6 11220 KINGS
8500 2019 2 10038 NEW YORK
8500 2015 5 14642 MONROE
8500 2016 5 12603 DUTCHESS
8500 2021 3 10038 NEW YORK
8500 2018 4 10453 BRONX
8500 2015 3 10467 BRONX
8500 2019 2 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2015 5 10461 BRONX
8500 2015 3 11590 NASSAU
8500 2020 3 10038 NEW YORK
8500 2019 3 10461 BRONX
8500 2016 6 10032 NEW YORK
Page 18 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
GENEVA GENERAL HOSPITAL (42.894571, -77.252045) 178 2133 54
CAI MIN (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
UNIVERSITY OF ROCHESTER SURG (43.161748, -77.620143) 1666 2093 56
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MICHAEL J EVEROSKI MD PC (40.715749, -73.601185) 1455 2094 6
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
Page 19 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 108
37 108
37 176
37 108
691
37 111
37 176
37 27
37 108
50 844
63
37 108
37 176
37 176
37 108
37 108
37 176
93
37 108
37 176
37 108
Page 20 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CERTIFIED NURSE MIDWIFE MELISSA
PHYSICIAN TAMARA
NURSE PRACTITIONER MARIAH
PHYSICIAN RUBEN
PHYSICIAN SHEHLA
PHYSICIAN JOHN
PHYSICIAN TIMOTHY
NURSE PRACTITIONER JOSEPHINE
PHYSICIAN STEVEN
PHYSICIAN DAVOOD
NURSE PRACTITIONER CALVIN
PHYSICIAN JONNA
PHYSICIAN RUTH
PHYSICIAN RAFAY
PHYSICIAN HUACHEN
DENTIST MARIA
PHYSICIAN CLAUDIA
NURSE PRACTITIONER PAMELA
DENTIST LUCRETIA
NURSE PRACTITIONER LISA
PHYSICIAN ALEKSANDR
Page 21 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CREIGHTON 1255749313 1023024882 08/26/2019
MAGLOIRE 1174586721 1184670465 05/14/2018
GREINER 1619347010 1366473183 07/31/2017
PORTNOY 1740320951 1588611842 03/12/2018
SHABNAM 1730332420 1487973228 08/02/2021
FISHER 1457440703 1063525152 10/28/2019
WILKIN 1740334978 1952332801 12/30/2019
LOBUE 1407115900 1063525152 10/28/2019
ROTHMAN 1972534485 1518907096 09/09/2019
JOHARI 1700081619 1043224355 10/04/2021
LEE 1003117136 1265598783 04/30/2018
MERCADO 1811214422 1013924372 11/15/2021
BARROW 1851428379 1194832477 12/16/2019
LATIF 1093086282 1033124961 10/09/2017
WEI 1235167313 1477891901 11/25/2019
LUCIA 1740358175 1740358175 03/19/2018
WILSON 1205888120 1043224355 12/09/2019
ELLIOTT 1710184346 1578612412 01/28/2019
DEPAOLA-CEFOLA 1225133010 1164555124 11/22/2021
RENO 1356740716 1255360517 10/09/2017
FUKS 1346323805 1801803903 08/03/2020
Page 22 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
8500 2016 5 11418 QUEENS
21250 2016 1 14222 ERIE
21250 2016 1 11229 KINGS
8500 2021 3 11746 SUFFOLK
8500 2018 5 10467 BRONX
8500 2018 5 10032 NEW YORK
8500 2018 4 10467 BRONX
8500 2018 4 13210 ONONDAGA
8500 2021 3 10038 NEW YORK
21250 2016 1 10032 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2018 6 10032 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2018 3 11373 QUEENS
8500 2015 2 13088 ONONDAGA
8500 2018 2 10038 NEW YORK
8500 2017 2 11212 KINGS
8500 2021 5 10010 NEW YORK
21250 2016 1 14607 MONROE
8500 2019 2 10038 NEW YORK
Page 23 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
INTERBOROUGH DEV/CONSULT CTRS (40.65642, -73.950691) 809 2090 31
NOOR MEDICAL CARE PLLC (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
DR WW DERMATOLOGY PLLC (40.749338, -73.789673) 828 2137 11
LUCIA MARIA DDS PLLC (43.065629, -76.168033) 713 2132 43
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 24 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
646
37 27
137
37 176
37 108
37 176
755
37 108
37 108
37 108
37 108
37 108
37 111
755
37 108
37 27
37 108
50 844
37 108
Page 25 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN FARHANA
NURSE PRACTITIONER ELAINE
PHYSICIAN HONG JUN
CERTIFIED NURSE MIDWIFE RANI
PHYSICIAN ELLA
PHYSICIAN JAMES
PHYSICIAN YIN
PHYSICIAN JOHN
PHYSICIAN MIRABAI
PHYSICIAN ALBERT
PHYSICIAN ALAN
DENTIST MATTHEW
DENTIST BIJAN
PHYSICIAN EVE
PHYSICIAN TINA
PHYSICIAN FAHD
PHYSICIAN HOWARD
PHYSICIAN ADEOLA
PHYSICIAN LINDA
NURSE PRACTITIONER KAMILAH
PHYSICIAN PHILIP
Page 26 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ASIM 1366763666 1609946821 09/25/2017
MATOS 1972881357 1063525152 08/21/2017
CHEN 1871536060 1871536060 11/25/2019
SHANKAR 1457502080 1417959701 11/27/2017
ZAVOLUNOVA 1659469260 1043480593 11/19/2018
GARVIN 1518933092 1447518550 08/07/2017
WIN 1316109002 1316109002 08/05/2019
SHIMKUS 1295827681 1568534766 08/06/2018
BATRA 1659474708 1619341716 02/04/2019
JEN 1326093543 1326093543 08/14/2017
NISSENBAUM 1295879120 1295879120 12/09/2019
MALEK 1447531231 1164555124 07/05/2021
MOGHADAM 1528270139 1164555124 02/25/2019
KARKOWSKY 1306918263 1063525152 11/15/2021
URPANISHVILI 1033359757 1063525152 11/04/2019
ALI 1194993105 1376590117 08/21/2017
MOSKOWITZ 1104082825 1063525152 02/12/2018
AYODEJI 1689660201 1689669079 11/27/2017
MOERCK 1487784849 1164896346 02/04/2019
HEYWOOD-GREGORY 1366676066 1467454967 09/20/2021
CRUZ 1780642009 1477505220 05/07/2018
Page 27 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 13601 JEFFERSON
8500 2015 2 10461 BRONX
8500 2018 6 11354 QUEENS
8500 2016 2 10012 NEW YORK
8500 2017 4 11372 QUEENS
8500 2015 5 10032 NEW YORK
8500 2018 6 10013 NEW YORK
8500 2016 5 11788 SUFFOLK
8500 2017 4 10036 NEW YORK
8500 2015 4 11354 QUEENS
8500 2018 4 11229 KINGS
8500 2020 5 10010 NEW YORK
8500 2017 2 10010 NEW YORK
8500 2021 5 10461 BRONX
8500 2018 3 11203 KINGS
8500 2015 4 13210 ONONDAGA
8500 2016 3 10467 BRONX
8500 2016 5 12518 ORANGE
5667 2017 2 11731 SUFFOLK
8500 2021 5 10532 WESTCHESTER
8500 2016 4 11418 QUEENS
Page 28 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NORTH COUNTRY CHILDRENS CLIN (44.019295, -75.898971) 1466 2089 41
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JEAN CHEN MEDICAL (40.749338, -73.789673) 828 2137 11
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
FIRST CHOICE PEDIATRICS PC (40.749338, -73.789673) 828 2137 11
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
WIN YIN YIN (40.726966, -74.005966) 737 2095 50
AMB MEDICAL SERVICES PC (40.820237, -73.119032) 1421 2179 3
LUTHERAN MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
JEN ALBERT SUN MD (40.749338, -73.789673) 828 2137 11
NISSENBAUM ALAN L MD (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.65642, -73.950691) 809 2090 31
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
NORTHPORT PEDIATRICS PLLC (40.820237, -73.119032) 1421 2179 3
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
Page 29 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
705
37 176
37 111
37 108
37 111
37 108
37 108
137
37 108
37 111
37 27
37 108
37 108
37 176
37 27
755
37 176
76
137
224
37 111
Page 30 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN OLEG
DENTIST MIJIN
NURSE PRACTITIONER SHERI
PHYSICIAN MOHSEN
PHYSICIAN DANIEL
PHYSICIAN AHMED
PHYSICIAN RICARDO
PHYSICIAN HETTY
CERTIFIED NURSE MIDWIFE CYNTHIA
PHYSICIAN KIMBERLY
PHYSICIAN ILYA
DENTIST FARSHID
NURSE PRACTITIONER VALERIE
PHYSICIAN ASM
PHYSICIAN ROBERT
NURSE PRACTITIONER JACQUELINE
PHYSICIAN INESSA
PHYSICIAN LAURIE
PHYSICIAN JOHN
Page 31 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KATCHER 1598701468 1598701468 10/16/2017
CHOI 1962661728 1164555124 07/05/2021
KLASS 1235161290 1740595917 08/14/2017
HABIB 1053498865 1124032982 05/11/2020
CONTRACTOR 1669495768 1124032982 09/13/2021
HAIDER 1154407310 1992049076 09/25/2017
MORA 1194053272 1467469023 11/22/2021
CUNNINGHAM 1447225016 1194832477 08/07/2017
FRIEDMAN 1043240971 1083639587 08/05/2019
GILBERT 1740458819 1063468239 03/12/2018
TARASCIN 1346552338 1396059499 02/01/2021
ASSADERAGHI 1053539650 1053539650 08/13/2018
MICHAUD 1457598005 1619341716 09/23/2019
CHOWDHURY 1356418511 1356418511 11/27/2017
GROSSBERG 1538259338 1063525152 01/22/2018
NICOLAS 1366848038 1386711497 07/17/2017
GENDLINA 1851663660 1063525152 11/15/2021
HIRSH 1871561357 1023024882 06/08/2020
YIU 1740440155 1689009854 02/25/2019
Page 32 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 11229 KINGS
8500 2020 5 10010 NEW YORK
21250 2016 1 10457 BRONX
8500 2019 4 10038 NEW YORK
8500 2021 2 10004 NEW YORK
8500 2015 2 10461 BRONX
8500 2021 4 10038 NEW YORK
8500 2015 4 10032 NEW YORK
8500 2018 6 12534 COLUMBIA
8500 2016 5 13202 ONONDAGA
8500 2020 6 11575 NASSAU
-21250 2013 1 11218 KINGS
8500 2018 3 11220 KINGS
8500 2015 4 11208 KINGS
8500 2016 6 10467 BRONX
21250 2016 1 11550 NASSAU
8500 2021 4 10461 BRONX
8500 2019 2 10038 NEW YORK
8500 2017 5 11220 KINGS
Page 33 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KATCHER OLEG MD (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
PREFERRED MEDICAL CARE NY PC (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
ASSADERAGHI FARSHID DDA (40.65642, -73.950691) 809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
CHOWDHURY A S M SHAH ALAM MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
54 MAIN STREET MEDICAL PRACTICE PC (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
EXCELSIOR INTEGRATED MEDICAL
GROUP
(40.65642, -73.950691) 809 2090 31
Page 34 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 108
37 176
37 108
37 108
37 176
37 108
37 108
388
755
93
37 27
37 27
37 27
37 176
93
37 176
37 108
37 27
Page 35 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MELANIE
DENTIST ALAN
PHYSICIAN CHANDAK
PHYSICIAN SONIA
PHYSICIAN KHATUNA
PHYSICIAN MARIA
CERTIFIED NURSE MIDWIFE GABRIELA
PHYSICIAN MAGDY
PHYSICIAN ROSA
PHYSICIAN NICOLE
PHYSICIAN SUDHAKAR
PHYSICIAN CATHERINE
PHYSICIAN CAROLINE
PHYSICIAN PRIYANKA
DENTIST MARIA
PHYSICIAN ELLIOT
PHYSICIAN SEPIDEH
PHYSICIAN PETER
PHYSICIAN OUSSEINY
NURSE PRACTITIONER NAFIJA
PHYSICIAN MONA
PHYSICIAN STEPHEN
Page 36 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WIJETUNGA 1841459005 1801803903 08/17/2020
WINIK 1659584084 1386714228 03/26/2018
GHOSH 1336221886 1801803903 10/04/2021
JAMIL 1003182833 1467680751 09/18/2017
KADEISHVILI 1235239633 1013924372 04/13/2020
KASSAB 1194974162 1427063270 12/09/2019
DIAZ 1982001947 1013928159 01/20/2020
MOHAMMED 1366461923 1114298932 11/06/2017
GAMUNDI 1407967516 1407967516 07/23/2018
NEVADUNSKY 1619131430 1063525152 01/22/2018
PRABHU 1922142348 1124032982 05/18/2020
DELSIGNORE 1639496417 1013928159 02/11/2019
HALVERSTAM 1215132147 1063525152 10/21/2019
PATNAIK 1932360799 1942294467 05/21/2018
KAROUNOS 1720202708 1619969458 12/25/2017
CHAREN 1245492255 1144581182 01/06/2020
MEHRI 1407002272 1073535027 06/07/2021
WINKELSTEIN 1568420677 1366473183 02/19/2018
COULIBALY 1881793479 1033124961 10/11/2021
MUSOVIC 1760539258 1073535027 06/01/2020
GANGAR 1679700629 1063525152 06/29/2020
ASIEDU 1245548114 1245548114 11/04/2019
Page 37 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 4 10038 NEW YORK
8500 2016 5 10595 WESTCHESTER
8500 2021 5 10038 NEW YORK
21250 2016 1 11426 QUEENS
8500 2019 2 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2018 3 12801 WARREN
8500 2015 5 11103 QUEENS
8500 2016 5 10032 NEW YORK
8500 2016 6 10467 BRONX
8500 2019 4 10038 NEW YORK
8500 2017 2 12804 WARREN
8500 2018 4 10461 BRONX
8500 2016 6 14203 ERIE
8500 2016 2 12501 DUTCHESS
8500 2018 5 10003 NEW YORK
8500 2020 2 10038 NEW YORK
21250 2015 1 14222 ERIE
8500 2021 6 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2019 4 10467 BRONX
-21250 2015 1 10452 BRONX
Page 38 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -73.805386) 1440 2185 53
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
CROSS COUNTY MEDICAL CARE PC (40.749338, -73.789673) 828 2137 11
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
BETTER CARE INC (40.749338, -73.789673) 828 2137 11
GAMUNDI-JOAQUIN ROSA E MD (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FAMILY MEDICINE FACULTY ASSOC (42.888143, -78.795544) 62 2041 63
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ASIEDU STEPHEN (40.85589, -73.868294) 675 2032 52
Page 39 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 108
37 111
37 108
37 108
522
37 111
37 108
37 176
37 108
522
37 176
646
63
37 108
37 108
646
37 108
37 108
37 176
37 176
Page 40 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN RAKESH
PHYSICIAN ERNEST
NURSE PRACTITIONER TARYN
PHYSICIAN CAROL
PHYSICIAN GEORGE
PHYSICIAN MANJU
DENTIST SEUNG-HEE
DENTIST YERANEN
PHYSICIAN SUSAN
PHYSICIAN JENNIFER
PHYSICIAN HUACHEN
PHYSICIAN PAUL
NURSE PRACTITIONER MARCIA
PHYSICIAN LAWRENCE
NURSE PRACTITIONER ERIN
DENTIST ELHAM
PHYSICIAN OSMOND
PHYSICIAN AMY
PHYSICIAN MANUELA
PHYSICIAN LEVON
PHYSICIAN VALENTIN
Page 41 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KHANNA 1326278458 1003062043 08/28/2017
MONRAD 1942399266 1063525152 03/18/2019
SINGER 1538570668 1669470019 12/16/2019
EPSTEIN 1548204993 1740595917 11/18/2019
MARTIN 1386743961 1801803903 09/25/2017
CHANDRA 1841366127 1952325367 01/08/2018
RHEE 1487675963 1164555124 07/31/2017
SHABTAI 1144328154 1295997724 01/01/2018
OLENDER 1013025253 1194832477 01/28/2019
STRATTON 1487668968 1013928159 08/07/2017
WEI 1235167313 1477891901 04/26/2021
SALADINO 1306951736 1306951736 01/28/2019
FULLWOOD 1164601225 1013924372 03/05/2018
REICH 1194745042 1063426377 08/16/2021
SWEPSTON 1831493485 1619341716 02/04/2019
SHADPOUR 1548519960 1396059499 04/16/2018
QUIAH 1629241393 1467469023 07/20/2020
BROWN 1083857585 1467454967 11/25/2019
ORJUELA 1720055288 1447518550 12/17/2018
AGDERE 1356308548 1083045090 01/04/2021
KOLEV 1700070380 1467865063 07/27/2020
Page 42 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 13210 ONONDAGA
8500 2017 4 10461 BRONX
8500 2018 2 10977 ROCKLAND
8500 2018 2 10457 BRONX
21250 2016 1 10038 NEW YORK
8500 2016 2 11501 NASSAU
21250 2016 1 10010 NEW YORK
8500 2016 2 11753 NASSAU
8500 2017 6 10032 NEW YORK
8500 2015 4 12804 WARREN
8500 2020 5 11373 QUEENS
8500 2017 2 12550 ORANGE
21250 2016 1 10038 NEW YORK
8500 2021 6 10038 NEW YORK
8500 2017 2 11220 KINGS
8500 2016 3 11575 NASSAU
8500 2019 2 10038 NEW YORK
8500 2018 3 10532 WESTCHESTER
8500 2017 6 10032 NEW YORK
8500 2019 4 11215 KINGS
8500 2019 6 10003 NEW YORK
Page 43 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UPSTATE UROLOGY, INC (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
DR WW DERMATOLOGY PLLC (40.749338, -73.789673) 828 2137 11
SALADINO PAUL I MD (41.422459, -74.241929) 1496 2134 32
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
WELL CARE NEUROLOGY PLLC (40.65642, -73.950691) 809 2090 31
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
Page 44 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
755
37 176
154
37 176
37 108
93
37 108
93
37 108
522
37 111
76
37 108
37 108
37 27
93
37 108
224
37 108
37 27
37 108
Page 45 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST NATALIA
PHYSICIAN CYNTHIA
PHYSICIAN ERIC
PHYSICIAN NILESH
PHYSICIAN JAN
PHYSICIAN TEJINDER
PHYSICIAN MARC
PHYSICIAN ANITA
PHYSICIAN DEBRA
PHYSICIAN DAVID
PHYSICIAN FONTINE
NURSE PRACTITIONER CLAUDIANUS
PHYSICIAN DONJETA
PHYSICIAN LISA
PHYSICIAN AARON
PHYSICIAN ROMAN
PHYSICIAN JOSEPH
PHYSICIAN NARAYAN
NURSE PRACTITIONER NICOLE
DENTIST TZIRI
PHYSICIAN FARRAH
Page 46 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PIERATOS 1801209044 1306898432 06/26/2017
BOAKYE 1932294832 1467469023 11/22/2021
SILVER 1730206814 1447518550 11/06/2017
PATEL 1033179080 1184670465 05/07/2018
WALKER 1346253986 1255360517 06/18/2018
SINGH 1588650725 1548290455 09/04/2017
LEVIN 1235131749 1295729408 08/07/2017
SACHDEVA 1073533923 1063426377 01/14/2019
EHRIG 1952397283 1598722159 10/30/2017
RAY 1972539856 1386689248 09/21/2020
ZHANG 1093730335 1548208127 06/12/2017
BOURNE 1851646541 1396711982 01/14/2019
SULAJ 1477799807 1063525152 01/29/2018
NATHAN 1578724084 1063525152 04/12/2021
WALFISH 1982659181 1063426377 01/14/2019
PEREZ-SOLER 1316027808 1063525152 01/22/2018
GIAMELLI 1164650644 1467454967 11/25/2019
SUNDARESAN 1194815142 1124032982 09/27/2021
BARON 1043536808 1447518550 12/17/2018
SALAMON 1043469885 1720177066 09/04/2017
LAZARE 1932361961 1952325367 01/07/2019
Page 47 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10011 NEW YORK
8500 2021 4 10038 NEW YORK
8500 2016 6 10032 NEW YORK
8500 2016 5 11418 QUEENS
8500 2016 5 14589 WAYNE
8500 2015 5 12208 ALBANY
8500 2015 4 10003 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2015 4 14141 ERIE
8500 2019 2 12208 ALBANY
21250 2015 1 10038 NEW YORK
8500 2017 2 12307 SCHENECTADY
21250 2016 1 10709 WESTCHESTER
8500 2020 4 10461 BRONX
8500 2017 2 10038 NEW YORK
8500 2016 4 10467 BRONX
8500 2018 4 10532 WESTCHESTER
8500 2021 4 10038 NEW YORK
8500 2017 3 10032 NEW YORK
8500 2015 4 11249 KINGS
8500 2017 5 11501 NASSAU
Page 48 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SPRINGVILLE PEDIATRICS LLP (42.888143, -78.795544) 62 2041 63
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
Page 49 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 111
809
1 573
37 108
37 108
646
1 573
37 108
617
224
37 176
37 108
37 176
224
37 108
37 108
37 27
93
Page 50 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER SHEFALI
PHYSICIAN KATIA
CERTIFIED NURSE MIDWIFE KRISTINE
PHYSICIAN RHONDA
PHYSICIAN SERAFIN
PHYSICIAN GOPAL
PHYSICIAN GUSTAVO
PHYSICIAN ROBERT
PHYSICIAN PAUL
PHYSICIAN CLAUDE
DENTIST JOEL
PHYSICIAN BORIS
PHYSICIAN ANNE
PHYSICIAN SARA
NURSE PRACTITIONER GARRETT
NURSE PRACTITIONER ELIZABETH
PHYSICIAN JOHANNA
PHYSICIAN KIM
PHYSICIAN JENNIFER
NURSE PRACTITIONER IBRAHIM
Page 51 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PATEL 1467757336 1508266347 02/18/2019
PAPALEZOVA 1205094737 1063525152 08/21/2017
SABATINO 1497706303 1164464921 08/07/2017
OSBORNE 1558391946 1376590828 07/02/2018
SALES 1730103615 1124032982 07/16/2018
NARASIMHAN 1174732663 1265667026 11/19/2018
MORALES 1851524706 1265596548 08/07/2017
GROSSBERG 1538259338 1063525152 08/28/2017
RISKA 1245274364 1063525152 08/28/2017
OFFORD 1801992672 1578612412 03/26/2018
GREEN 1952561219 1679587679 10/09/2017
FATAKHOV 1871571448 1043224355 09/04/2017
HARDART 1104827583 1922411065 09/25/2017
STORCH 1487649992 1487691481 11/11/2019
STROUD 1154770824 1255360517 10/09/2017
KAHN 1669694956 1417959701 02/18/2019
CABASSA 1982003380 1063525152 04/12/2021
POLI 1629017629 1386689248 06/04/2018
WOO BAIDAL 1346570892 1447518550 11/25/2019
THABET 1700189552 1063468239 09/02/2019
Page 52 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 5 10032 NEW YORK
8500 2015 4 10467 BRONX
8500 2015 2 14220 ERIE
21250 2016 1 11203 KINGS
21250 2016 1 10038 NEW YORK
8500 2017 6 10033 NEW YORK
21250 2016 1 10459 BRONX
8500 2015 5 10467 BRONX
8500 2015 4 10467 BRONX
8500 2016 2 11212 KINGS
21250 2016 1 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2015 2 10019 NEW YORK
8500 2018 3 11501 NASSAU
21250 2016 1 14607 MONROE
8500 2017 6 10012 NEW YORK
8500 2020 2 10461 BRONX
8500 2016 5 12208 ALBANY
8500 2018 4 10032 NEW YORK
8500 2018 6 13210 ONONDAGA
Page 53 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
UNIVERSITY PHYS BROOKLYN INC (40.65642, -73.950691) 809 2090 31
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
WASHINGTON HEIGHTS GI PC (40.726966, -74.005966) 737 2095 50
URBAN HEALTH PLAN INC (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
OB-GYN CONTEMPORARY CARE (40.715749, -73.601185) 1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
Page 54 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
646
37 27
37 108
37 108
37 176
37 176
37 176
37 27
37 108
37 108
37 108
93
50 844
37 108
37 176
1 573
37 108
755
Page 55 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN FAYE
PHYSICIAN ADRIAN
PHYSICIAN WAYNE
PHYSICIAN JULIA
CERTIFIED NURSE MIDWIFE BETH
PHYSICIAN BRENDA
PHYSICIAN NINA
PHYSICIAN LARRY
PHYSICIAN CONSTANTINOS
PHYSICIAN AGUSTINE
PHYSICIAN CHAN
PHYSICIAN SHELLY
PHYSICIAN NANCY
NURSE PRACTITIONER ROSEMARY
PHYSICIAN ISMAILA
PHYSICIAN IGOR
PHYSICIAN RODNEY
DENTIST RICHARD
PHYSICIAN GANGACHARAN
NURSE PRACTITIONER IRIS
PHYSICIAN CHERILYN
PHYSICIAN SHARON
Page 56 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KOKOTOS 1962572164 1063525152 09/11/2017
MARCHIDANN 1790935294 1477500916 05/28/2018
LEE 1871639666 1063525152 03/18/2019
KELTZ 1457639395 1063525152 07/31/2017
TOLY-HUGHES 1083017636 1457395766 09/25/2017
LEVY 1053639765 1063525152 01/01/2018
BLACHMAN 1902033137 1073535027 10/09/2017
BERNSTEIN 1851380950 1063525152 10/07/2019
CONSTANTATOS 1871558437 1801857172 05/18/2020
AKALONU 1275699878 1275699878 06/11/2018
MA 1487642120 1487642120 09/16/2019
SHI 1992721104 1992721104 09/03/2018
MANZIONE 1306943139 1063525152 08/28/2017
GRIFFITH 1871658104 1285701672 08/06/2018
ADIATU 1215991989 1043224355 12/09/2019
ZAKHAROV 1043389539 1043389539 06/12/2017
WRIGHT 1639259195 1063525152 08/28/2017
GOCHMAN 1346246733 1417027558 05/07/2018
DUBEY 1477547669 1124032982 09/04/2017
RUBIN 1336265826 1689669079 08/21/2017
WHITE 1578541926 1043374853 10/30/2017
KRIKHELY 1235360041 1235360041 08/23/2021
Page 57 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 10467 BRONX
21250 2016 1 11203 KINGS
8500 2017 3 10467 BRONX
21250 2016 1 10467 BRONX
21250 2016 1 14420 MONROE
8500 2016 3 10457 BRONX
21250 2016 1 10038 NEW YORK
8500 2018 2 11375 QUEENS
8500 2019 3 11554 NASSAU
8500 2016 3 10466 BRONX
8500 2018 4 10013 NEW YORK
8500 2016 4 10013 NEW YORK
8500 2015 5 10461 BRONX
8500 2016 2 10532 WESTCHESTER
8500 2018 2 10038 NEW YORK
21250 2016 1 11229 KINGS
8500 2015 5 10461 BRONX
8500 2016 2 10457 BRONX
21250 2016 1 10038 NEW YORK
8500 2015 4 12518 ORANGE
8500 2015 4 13045 CORTLAND
8500 2021 2 11375 QUEENS
Page 58 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY PHYS BROOKLYN INC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNITY HOSPITAL ROCHESTER (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.749338, -73.789673) 828 2137 11
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
AKALONU AUGUSTINE T MD (40.85589, -73.868294) 675 2032 52
MA CHAN MAN MD (40.726966, -74.005966) 737 2095 50
SHI SHELLY MD (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PLANNED PRTD HUDSON-PECONIC I (41.039278, -73.805386) 1440 2185 53
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ZAKHAROV IGOR BORISOVICH DO (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
FAMILY HLTH NETWRK CENTRAL NY (42.597101, -76.143291) 362 620 44
KRIKHELY SHARON (40.749338, -73.789673) 828 2137 11
Page 59 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
37 176
37 176
50 844
37 176
37 108
37 111
93
37 176
37 108
37 108
37 176
224
37 108
37 27
37 176
37 176
37 108
76
537
37 111
Page 60 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SUSAN
PHYSICIAN KEVIN
PHYSICIAN DAVID
PHYSICIAN MARIA PAZ
PHYSICIAN CHIOMA
PHYSICIAN JERRY
PHYSICIAN ASHLEY
PHYSICIAN VICTORIA
PHYSICIAN MICHAEL
PHYSICIAN NIR
PHYSICIAN ALEXANDER
PHYSICIAN ESTHER
PHYSICIAN RICHARD
NURSE PRACTITIONER MARJORIE
PHYSICIAN BIRENDRA
PHYSICIAN KEVIN
PHYSICIAN JEDAN
NURSE PRACTITIONER CANDACE
DENTIST RAJ
PHYSICIAN SUDHA
Page 61 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GRAHAM 1871608398 1366473183 01/14/2019
BECKER 1023275633 1093777492 12/25/2017
KAUFMAN 1124103817 1063525152 06/15/2020
DUABAN 1740263466 1740263466 08/02/2021
NDUBISI 1164687497 1194832477 12/16/2019
WATMAN 1700861135 1124032982 11/18/2019
HIZA 1750331054 1548217763 08/21/2017
VAPNYAR 1740556133 1063525152 11/15/2021
ADAMS 1518071463 1013928159 08/07/2017
BARZILAI 1235228727 1063525152 06/15/2020
SELIOUTSKI 1851360606 1619072204 03/26/2018
LANGER 1891760559 1073535027 11/08/2021
NOCELLA 1861539843 1467593202 02/18/2019
WEIS 1093076424 1750352381 10/30/2017
SAH 1417111287 1063468239 08/21/2017
LIAO 1144534876 1700979317 11/06/2017
PHILLIPS 1659317956 1982659470 03/26/2018
JEFFRES 1235263195 1083664221 12/16/2019
MOHAN 1568558997 1568558997 01/18/2019
VARMA 1922040914 1336578772 09/23/2019
Page 62 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 14203 ERIE
8500 2016 3 11219 KINGS
8500 2019 5 10467 BRONX
8500 2021 6 11209 KINGS
8500 2018 3 10032 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2015 3 11355 QUEENS
8500 2021 2 10038 NEW YORK
8500 2015 4 12803 SARATOGA
8500 2019 6 10461 BRONX
8500 2016 6 14757 CHAUTAUQUA
8500 2021 4 10004 NEW YORK
8500 2017 3 13329 FULTON
21250 2016 1 10065 NEW YORK
8500 2015 4 13202 ONONDAGA
8500 2015 2 11354 QUEENS
8500 2016 4 11733 SUFFOLK
8500 2018 4 13326 OTSEGO
-21250 2014 1 11238 KINGS
8500 2018 6 10041 NEW YORK
Page 63 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
DUABAN MARIA PAZ MD PC (40.65642, -73.950691) 809 2090 31
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
FLUSHING HOSPITAL & MED CTR (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.00894, -73.786779) 1148 2141 42
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FAMILY HEALTH MEDICAL SERVICES PLLC (42.246904, -79.315313) 1743 2035 57
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LITTLE FALLS HOSPITAL (43.06014, -74.331296) 1227 2085 42
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
XIAOXIA ZHANG MD PC (40.749338, -73.789673) 828 2137 11
STONY BROOK FAMILY MED GRP UFPC (40.820237, -73.119032) 1421 2179 3
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
MOHAN RAJ DDS (40.65642, -73.950691) 809 2090 31
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
Page 64 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
646
37 27
37 176
37 27
37 108
37 108
37 111
37 108
733
37 176
447
37 108
830
37 108
755
37 111
137
529
37 27
37 108
Page 65 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SHAHID
PHYSICIAN LISA
PHYSICIAN HOWARD
PHYSICIANS ASSISTANT STEVEN
PHYSICIAN NANCI
PHYSICIAN INNA
PHYSICIAN PHAT
PHYSICIAN DIONISIO
PHYSICIAN ANTONIO
PHYSICIAN VALSA
PHYSICIAN KATHRYN
PHYSICIAN SOPHIA
PHYSICIAN MARK
PHYSICIAN BINA
PHYSICIAN MICHAEL
DENTIST NORMAN
PHYSICIAN ABRAHAM
PHYSICIAN MATTHEW
PHYSICIAN IAN
PHYSICIAN LAURA
Page 66 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PARVEZ 1265434922 1467454967 06/18/2018
LAI 1003135310 1376590117 03/15/2021
FOYE 1720191141 1821029463 03/26/2018
JACOBS 1063488799 1689629032 12/11/2019
LEVINE 1437239902 1063525152 01/22/2018
HUGHES 1255455648 1184725525 11/12/2018
TRAN 1790708238 1063426377 11/18/2019
TREJO 1730394792 1467487637 03/12/2018
ALFONSO 1598760670 1538116082 01/01/2018
MADHAVA 1992820930 1295729408 08/14/2017
KIRCHOFF 1326201245 1063525152 01/15/2018
PALMER 1265607279 1063525152 09/04/2017
BEZBATCHENKO 1710942818 1417036708 02/11/2019
CHAUDHARI-MODY 1639149396 1639149396 08/12/2019
MAZZA 1083633788 1083633788 04/16/2018
GOLD 1578616728 1275592693 09/09/2019
KRIKHELY 1861698870 1508266347 02/18/2019
MACK 1770506958 1134485840 03/19/2018
DEUTCHKI 1316153539 1740220698 11/12/2018
TOMASELLI 1447266283 1184725525 11/04/2019
Page 67 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 2 10532 WESTCHESTER
8500 2020 4 13210 ONONDAGA
8500 2016 3 14642 MONROE
-21250 2015 1 11559 NASSAU
8500 2016 6 10538 WESTCHESTER
8500 2017 5 14642 MONROE
8500 2018 2 10038 NEW YORK
8500 2016 2 10562 WESTCHESTER
21250 2015 1 11203 KINGS
8500 2015 4 10035 NEW YORK
8500 2016 4 10467 BRONX
8500 2015 5 10467 BRONX
8500 2017 4 14026 ERIE
8500 2018 6 11355 QUEENS
8500 2016 5 11243 KINGS
-21250 2014 1 10007 NEW YORK
8500 2017 3 10032 NEW YORK
8500 2015 2 14619 MONROE
8500 2017 6 14642 MONROE
8500 2018 6 14642 MONROE
Page 68 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
ARSENIO MEDICAL PC (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
UNIVERSITY PHYSICIANS BKLYN (40.65642, -73.950691) 809 2090 31
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MICHAEL D TERRANOVA & MARK D
BEZBAT
(42.888143, -78.795544) 62 2041 63
CHAUDHARI-MODY BINA (40.749338, -73.789673) 828 2137 11
MAZZA MICHAEL ANTHONY MD (40.65642, -73.950691) 809 2090 31
DENTAL SPECIALTY ASSOC PC (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
HIS BRANCHES INC (43.161748, -77.620143) 1666 2093 56
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
Page 69 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
755
50 844
93
224
50 844
37 108
224
37 27
37 108
37 176
37 176
646
37 111
37 27
37 108
37 108
50 844
50 844
50 844
Page 70 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JOAN
PHYSICIAN TALITHA
PHYSICIAN IMRAN
PHYSICIAN OLGA
NURSE PRACTITIONER COURTNEY
NURSE PRACTITIONER ANDREA
PHYSICIAN PENINA
PHYSICIAN ROBERT
PHYSICIAN ENRIQUE
PHYSICIAN BHAVANA
PHYSICIAN RUBINA
PHYSICIAN JORGE
NURSE PRACTITIONER JANICE
PHYSICIAN JOSE
PHYSICIAN PAUL
PHYSICIAN LESLIE
PHYSICIAN AMARPREET
NURSE PRACTITIONER PAMELA
PHYSICIAN LUIS
PHYSICIAN ANDRE
PHYSICIAN DAVID
PHYSICIAN RUI
Page 71 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PELLEGRINO 1407876584 1770539066 08/21/2017
BRUNEY 1992968796 1063525152 11/27/2017
AHMED 1235214537 1063525152 04/08/2019
FILIPOVA 1164588554 1619341716 10/02/2017
AMEDRO 1073833737 1770539066 05/24/2021
BROWN 1144390337 1063525152 04/05/2021
TARSHISH 1669538039 1679587679 10/04/2021
BERKE 1720057599 1619072204 11/19/2018
BONFILS-ROBERTS 1437221702 1427063270 12/23/2019
JAPI 1023034295 1023034295 08/05/2019
KHOKHAR 1487751137 1063525152 11/27/2017
MEJIA CORLETTO 1326278219 1952325367 04/23/2018
AGEN 1003063827 1235170150 03/26/2018
CABASSA 1760526164 1477500916 05/28/2018
KIM 1205926003 1063525152 02/19/2018
QUINN' 1578509154 1083660575 09/11/2017
SINGH 1164502605 1033124961 11/11/2019
HERENDEEN 1811928583 1821029463 12/10/2018
MEJICO 1366400152 1518907096 03/12/2018
BROUMAS 1265592356 1013924372 06/21/2021
GOLDMAN 1730245671 1063525152 06/29/2020
YANG 1215280532 1063525152 04/05/2021
Page 72 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 13210 ONONDAGA
8500 2016 3 10461 BRONX
8500 2017 5 10467 BRONX
8500 2015 3 11220 KINGS
8500 2020 6 13210 ONONDAGA
8500 2020 3 10467 BRONX
8500 2021 2 10038 NEW YORK
8500 2017 6 14757 CHAUTAUQUA
8500 2018 2 10038 NEW YORK
8500 2018 6 11208 KINGS
8500 2016 3 10470 BRONX
21250 2015 1 11501 NASSAU
8500 2016 4 13202 ONONDAGA
21250 2016 1 11203 KINGS
8500 2016 5 10461 BRONX
8500 2015 4 11733 SUFFOLK
8500 2018 2 10038 NEW YORK
8500 2017 5 14642 MONROE
8500 2016 5 13202 ONONDAGA
8500 2020 3 10038 NEW YORK
8500 2019 4 10467 BRONX
8500 2020 5 10467 BRONX
Page 73 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
FAMILY HEALTH MEDICAL SERVICES PLLC (42.246904, -79.315313) 1743 2035 57
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
BHAVANA R JAPI PHYSICIAN PC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
UNIVERSITY PHYS BROOKLYN INC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 74 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
755
37 176
37 176
37 27
755
37 176
37 108
447
37 108
37 27
37 176
93
755
37 27
37 176
137
37 108
50 844
755
37 108
37 176
37 176
Page 75 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN LYNN
PHYSICIAN OLGA
PHYSICIAN OFEK
PHYSICIAN ALEXANDER
PHYSICIAN LIL
PHYSICIAN IVELISSE
NURSE PRACTITIONER ELIUD
PHYSICIAN DEEPIKA
NURSE PRACTITIONER BERNADETTE
PHYSICIAN SYLVIA
NURSE PRACTITIONER SALOME
PHYSICIAN KYI
PHYSICIAN MIKHAIL
PHYSICIAN ROXANA
PHYSICIAN CLELIA
PHYSICIAN YANQING
DENTIST JEFFREY
PHYSICIAN DONJETA
CERTIFIED NURSE MIDWIFE HEATHER
NURSE PRACTITIONER ANNELLE
PHYSICIAN SONA
Page 76 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BUCKVAR-KELTZ 1255487468 1073535027 12/09/2019
TSEYKO 1962468108 1962468108 11/12/2018
HAI 1710111661 1801857172 05/18/2020
SANKIN 1982866570 1063525152 04/26/2021
RODRIGUEZ 1932447414 1427063270 09/25/2017
VERRICO 1215973896 1700816626 08/21/2017
KOSGEI 1013362698 1356390918 09/11/2017
MISRA 1538253711 1386847705 08/21/2017
BALDE-DORAN 1538252275 1063426377 01/20/2020
SOSSNER 1194710368 1164456067 01/04/2021
ORDU 1568513448 1013924372 08/31/2020
YU 1427095686 1720177066 07/30/2018
TOROSOFF 1972599652 1386689248 08/28/2017
RUIZCARO-CHAVEZ 1538256268 1801803903 12/31/2018
MOLINE 1740371392 1063525152 01/29/2018
MA 1396057253 1396057253 08/05/2019
ROUSE 1073711271 1295997724 12/24/2018
SULAJ 1477799807 1063525152 10/18/2021
LIEBERMAN 1790079093 1679587679 05/25/2020
TAYLOR 1073822771 1063525152 09/25/2017
PATEL 1336437003 1063525152 10/28/2019
Page 77 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
8500 2017 6 11213 KINGS
8500 2019 3 11554 NASSAU
8500 2020 4 10461 BRONX
21250 2016 1 10038 NEW YORK
8500 2015 5 12110 ALBANY
21250 2016 1 14201 ERIE
8500 2015 3 10003 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2020 4 12208 ALBANY
8500 2019 2 10038 NEW YORK
8500 2016 2 11249 KINGS
8500 2015 5 12208 ALBANY
8500 2017 2 10038 NEW YORK
8500 2015 2 10466 BRONX
8500 2018 5 11355 QUEENS
8500 2017 3 11753 NASSAU
8500 2021 3 10709 WESTCHESTER
8500 2019 3 10038 NEW YORK
8500 2015 3 10459 BRONX
8500 2018 2 10467 BRONX
Page 78 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TSEYKO OLGA MD (40.65642, -73.950691) 809 2090 31
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
EHS, INC (42.888143, -78.795544) 62 2041 63
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
YANQING MA MD (40.749338, -73.789673) 828 2137 11
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 79 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
93
37 176
37 108
1 573
646
37 108
37 108
1 573
37 108
37 27
1 573
37 108
37 176
37 111
93
224
37 108
37 176
37 176
Page 80 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN NILOFAR
NURSE PRACTITIONER SARAH
PHYSICIAN MINDY
PHYSICIAN SONIA
PHYSICIAN MATTHEW
PHYSICIAN RONNI
PHYSICIAN RUTHANNE
PHYSICIAN DEBORA
PHYSICIAN LAURIE
PHYSICIAN LARISA
PHYSICIAN ROSEANNA
PHYSICIAN VIJAYALAKSHMI
PHYSICIAN MARY
PHYSICIAN NOAH
PHYSICIAN EDWIN
PHYSICIAN JANNETH
PHYSICIAN HEATHER
PHYSICIAN MARGARET
PHYSICIAN JAMES
NURSE PRACTITIONER SARA
Page 81 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HAVA 1023041092 1568534766 09/25/2017
HUNT 1518342351 1063468239 07/03/2017
STATTER 1952466799 1063525152 04/12/2021
PUNJ 1497999122 1003093436 10/30/2017
FERRANTINO 1700994704 1457395766 09/18/2017
LIEBERMAN 1801994637 1063426377 01/07/2019
QUEENAN 1467482505 1659315869 08/14/2017
KOGAN-LIBERMAN 1972544054 1063525152 02/05/2018
PANESAR 1528216769 1083660575 10/28/2019
KLEYMENOVA 1841325339 1801857172 07/31/2017
GUZMAN-CURTIS 1710201587 1376590117 09/16/2019
RAMPAM 1386645133 1386645133 08/06/2018
SEE 1316939150 1467454967 04/27/2020
ROBBINS 1053404277 1063525152 11/04/2019
GONZALEZ 1649247628 1801857172 07/02/2018
MONTOYA 1083708085 1083708085 02/11/2019
LAWSKY-SCHEER 1568587939 1023024882 09/13/2021
MCALOON 1932200540 1366473183 01/14/2019
ZISFEIN 1285731372 1427063270 03/29/2021
DONNELLY 1447491261 1508266347 09/23/2019
Page 82 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 11788 SUFFOLK
21250 2016 1 13206 ONONDAGA
8500 2020 4 10467 BRONX
8500 2015 4 10016 NEW YORK
21250 2016 1 14626 MONROE
8500 2017 2 10038 NEW YORK
8500 2015 5 14642 MONROE
8500 2016 6 10467 BRONX
8500 2018 6 11794 SUFFOLK
21250 2016 1 11691 QUEENS
8500 2018 3 13210 ONONDAGA
8500 2016 6 12550 ORANGE
8500 2019 5 10532 WESTCHESTER
8500 2018 6 10467 BRONX
8500 2016 2 11554 NASSAU
8500 2017 5 10710 WESTCHESTER
8500 2021 2 10038 NEW YORK
8500 2017 3 14222 ERIE
8500 2020 3 10038 NEW YORK
8500 2018 6 10032 NEW YORK
Page 83 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
AMB MEDICAL SERVICES PC (40.820237, -73.119032) 1421 2179 3
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HELP/PROJECT SAMARITAN SVCS CORP (40.726966, -74.005966) 737 2095 50
UNITY HOSPITAL ROCHESTER (43.161748, -77.620143) 1666 2093 56
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
OB PERINATOLOGY GRP OF U OF R (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
NASSAU UNIVERSITY MEDICAL CENTER (40.749338, -73.789673) 828 2137 11
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
RAMPAM VIJAYALAKSHMI MD (41.422459, -74.241929) 1496 2134 32
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MONTOYA JANNETH MD (41.039278, -73.805386) 1440 2185 53
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
Page 84 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
755
37 176
37 108
50 844
37 108
50 844
37 176
137
37 111
755
76
224
37 176
93
224
37 108
646
37 108
37 108
Page 85 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN LUCY
PHYSICIAN JAGADAMMA
PHYSICIAN MYRON
PHYSICIAN DAVID
NURSE PRACTITIONER DANIELLE
PHYSICIAN MD
PHYSICIAN BARRY
NURSE PRACTITIONER SARAH
PHYSICIAN DIANA
PHYSICIAN SARA
PHYSICIAN GEOFFREY
PHYSICIAN PATRICIA
PHYSICIAN BRIJESH
PHYSICIAN ALLEN
PHYSICIAN DAN
PHYSICIAN ANJOINETTE
NURSE PRACTITIONER A.
PHYSICIAN CHENG
NURSE PRACTITIONER JUDITH
PHYSICIANS ASSISTANT BERNICE
NURSE PRACTITIONER YOVAN
Page 86 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GORDON 1417157942 1063426377 02/08/2021
NAIR 1619932449 1063426377 09/09/2019
ZITT 1760429500 1801857172 06/26/2017
BAKER 1346276276 1538114723 09/11/2017
LEACH-MINAZZI 1689909020 1164464921 10/23/2017
ISLAM 1184822660 1184670465 09/14/2020
LEITMAN 1003871088 1073535027 09/25/2017
STEINBERG 1316009707 1467487637 01/21/2019
LOWENTHAL 1861492209 1467454967 04/27/2020
HUSS 1851553085 1811921786 03/08/2021
WEISMAN 1225107634 1801857172 05/21/2018
BURRIS-WARMOTH 1194898676 1548217763 05/07/2018
TANTUWAYA 1144355520 1144355520 07/23/2018
KAPLAN 1124056361 1417983024 03/25/2019
HANDELSMAN 1407885841 1467454967 12/24/2018
MINORS 1093127920 1679587679 05/25/2020
KORACH 1528099298 1164464921 11/26/2018
GONJON 1851364806 1851364806 12/10/2018
BURDICK 1659680064 1255360517 10/28/2019
ZIERLER 1477758225 1669470019 08/14/2017
GONZALEZ 1265795157 1548208127 09/02/2019
Page 87 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 5 10038 NEW YORK
8500 2018 3 10038 NEW YORK
21250 2016 1 11554 NASSAU
8500 2015 3 11733 SUFFOLK
8500 2016 4 14218 ERIE
8500 2019 5 11418 QUEENS
21250 2016 1 10038 NEW YORK
8500 2017 6 10562 WESTCHESTER
8500 2019 6 10532 WESTCHESTER
8500 2020 3 12208 ALBANY
21250 2016 1 11554 NASSAU
8500 2016 5 11355 QUEENS
8500 2016 5 12010 MONTGOMERY
8500 2017 6 11725 SUFFOLK
8500 2017 2 10532 WESTCHESTER
8500 2019 3 10038 NEW YORK
8500 2017 3 14204 ERIE
8500 2017 6 10040 NEW YORK
8500 2018 4 14432 ONTARIO
21250 2016 1 10977 ROCKLAND
8500 2018 2 10038 NEW YORK
Page 88 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
FLUSHING HOSPITAL & MED CTR (40.749338, -73.789673) 828 2137 11
TANTUWAYA BRIJESH KUMAR MD (42.933637, -74.341972) 1221 624 36
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
GONJON CHENG ANTONIO MD (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (42.894571, -77.252045) 178 2133 54
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
Page 89 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
93
137
646
37 111
37 108
224
224
1 573
93
37 111
699
137
224
37 108
646
37 108
691
154
37 108
Page 90 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN RENEE
PHYSICIAN SHAZIA
NURSE PRACTITIONER ANDREA
PHYSICIAN VINCENT
PHYSICIAN MAHTA
PHYSICIAN CYNTHIA
NURSE PRACTITIONER CHARLES
PHYSICIAN THOMAS
PHYSICIAN ELENA
PHYSICIAN JULIANA
NURSE PRACTITIONER JOSEPHINE
NURSE PRACTITIONER CHRISTINE
PHYSICIAN SAVITA
PHYSICIAN STEVEN
PHYSICIAN JOEL
PHYSICIAN MARGIE
PHYSICIAN RAMI
DENTIST ESTHER
PHYSICIAN SEHAR
PHYSICIAN CATALINA
NURSE PRACTITIONER MARTHA
Page 91 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BRAND 1508956863 1467454967 09/02/2019
SAMI 1902992951 1629203443 08/05/2019
JURGRAU-VOULGARIS 1710018759 1194832477 01/01/2018
CALLANAN 1134117203 1366473183 11/04/2019
MORTEZAVI 1093013781 1255360517 11/26/2018
VICTOR 1134449044 1427063270 01/29/2018
RINN 1417034679 1063576312 08/05/2019
SZALKOWSKI 1568437549 1861437279 08/06/2018
GOROKHOVSKY 1750687448 1780766964 09/11/2017
MOYLAN 1366640286 1063525152 03/18/2019
ODUME 1801102140 1063525152 10/25/2021
THRASHER 1871843193 1467432765 02/03/2020
MANGLIK 1881791275 1063525152 10/25/2021
NAPRAWA 1669436341 1699832436 09/04/2017
SELTER 1174526016 1295738003 11/25/2019
CAMPBELL 1689675225 1033124961 10/11/2021
NOUMI 1043620172 1316960289 03/26/2018
KUYINU 1518006774 1164555124 02/18/2019
EJAZ 1649567462 1801857172 12/23/2019
ALEGRE 1164414777 1083639587 06/25/2018
SMITH 1285069112 1083664221 03/26/2018
Page 92 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 3 10532 WESTCHESTER
8500 2018 5 11415 QUEENS
8500 2016 5 10032 NEW YORK
8500 2018 2 14222 ERIE
8500 2017 2 14222 ERIE
21250 2016 1 10038 NEW YORK
8500 2018 4 13210 ONONDAGA
5667 2016 3 14228 ERIE
21250 2016 1 11215 KINGS
8500 2017 4 10467 BRONX
8500 2021 6 10458 BRONX
8500 2018 2 13617 ST.LAWRENCE
8500 2021 3 10467 BRONX
21250 2016 1 13203 ONONDAGA
8500 2018 5 10901 ROCKLAND
8500 2021 5 10038 NEW YORK
8500 2016 2 11203 KINGS
8500 2017 2 10010 NEW YORK
8500 2018 3 11554 NASSAU
8500 2016 3 12414 GREENE
21250 2016 1 13326 OTSEGO
Page 93 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
SHAZIA SAMI MEDICINE PC (40.749338, -73.789673) 828 2137 11
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
ROCHESTER GENERAL HOSPITAL (42.888143, -78.795544) 62 2041 63
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MADISON IRVING PEDIATRICS PC (43.065629, -76.168033) 713 2132 43
TONAWANDA PEDIATRICS (42.888143, -78.795544) 62 2041 63
PARK SLOPE PEDIATRIC MED PC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UCPA OF THE NORTH COUNTRY (44.689468, -75.242045) 1581 2140 41
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ST JOSEPHS HOSPITAL HEALTH CENTER (43.065629, -76.168033) 713 2132 43
ALLERGY & ASTHMA CARE OF ROCKLAND (41.127287, -74.017033) 1546 628 27
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SUNY HEALTH SCIENCE CENTER AT
BKLYN
(40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
COLUMBIA MEMORIAL HOSPITAL (42.298326, -73.973376) 88 2087 36
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
Page 94 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 111
37 108
646
646
37 108
755
646
37 27
37 176
37 176
919
37 176
755
154
37 108
37 27
37 108
93
435
529
Page 95 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DOUGLAS
PHYSICIAN ROBERT
PHYSICIAN SUSAN
DENTIST PAUL
PHYSICIAN ELAINE
PHYSICIAN ALI
PHYSICIAN MARTA
PHYSICIAN BENJAMIN
PHYSICIAN SUDHANVA
PHYSICIAN RICARDO
PHYSICIAN KAREN
PHYSICIAN MAURICE
PHYSICIAN CLIFFORD
PHYSICIAN CATHY
PHYSICIAN JOHN
PHYSICIAN SUDHANVA
PHYSICIAN TABITHA
CERTIFIED NURSE MIDWIFE JO
CERTIFIED NURSE MIDWIFE ELAINE
PHYSICIAN BETHANY
PHYSICIAN MATTHEW
DENTIST LUCY
Page 96 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CANNON 1912965039 1083664221 04/16/2018
KASLOVSKY 1568455533 1750315636 06/04/2018
FRANK 1629168588 1063525152 06/29/2020
MARKEL 1396976486 1295997724 03/29/2021
PEREIRA 1578841557 1447518550 07/05/2021
MENCIN 1598718413 1447518550 07/31/2017
HERNANDEZ 1619030426 1386714228 04/16/2018
POCOCK 1205843497 1063426377 09/09/2019
HEGDE 1558559989 1073535027 07/13/2020
MORA 1194053272 1467469023 05/17/2021
VOTER 1316950272 1013952688 08/28/2017
JAZRAWI 1215984430 1467469023 11/22/2021
SOULTS 1508858572 1821093402 04/30/2018
DELERME-PAGAN 1891733713 1891733713 09/04/2017
WACENDAK 1932196284 1821266321 07/27/2020
HEGDE 1558559989 1073535027 02/01/2021
KANE 1770745168 1164456067 03/25/2019
WRONA 1821022518 1932143153 08/07/2017
CLUTTERBUCK 1124081070 1164464921 11/25/2019
MARSTON 1386656783 1205940152 03/19/2018
SULLIVAN 1750609004 1740228311 09/09/2019
TRONCOSO 1144548280 1164555124 08/17/2020
Page 97 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 5 13326 OTSEGO
8500 2016 3 12208 ALBANY
8500 2019 2 10467 BRONX
8500 2020 6 11753 NASSAU
8500 2020 3 10032 NEW YORK
8500 2015 5 10032 NEW YORK
8500 2016 2 10595 WESTCHESTER
8500 2018 3 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2015 5 14642 MONROE
8500 2021 4 10038 NEW YORK
8500 2015 3 13413 ONEIDA
8500 2015 2 11207 KINGS
8500 2019 2 13790 BROOME
8500 2020 4 10038 NEW YORK
8500 2017 6 12208 ALBANY
8500 2015 5 14642 MONROE
8500 2018 6 14204 ERIE
5667 2016 5 14642 MONROE
8500 2018 3 13057 ONONDAGA
8500 2019 4 10010 NEW YORK
Page 98 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -73.805386) 1440 2185 53
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
PEDIATRIC PULMONARY SPECIALTY (43.161748, -77.620143) 1666 2093 56
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
ST ELIZABETH MED CTR (43.149482, -75.361773) 1281 625 40
DELERME-PAGAN CATHY MD (40.65642, -73.950691) 809 2090 31
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
NURSE MIDWIFERY GRP UNIV ROCH (43.161748, -77.620143) 1666 2093 56
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY (43.161748, -77.620143) 1666 2093 56
UPSTATE ORTHOPEDICS LLP (43.065629, -76.168033) 713 2132 43
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
Page 99 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
529
1 573
37 176
93
37 108
37 108
224
37 108
37 108
37 108
50 844
37 108
794
37 27
346
37 108
1 573
50 844
646
50 844
755
37 108
Page 100 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN CELESTE
PHYSICIAN DEEPAK
PHYSICIAN DAHJEN
PHYSICIAN PHILIP
PHYSICIAN RENEE
PHYSICIAN MARTHA
PHYSICIAN ALI
PHYSICIAN ELLEN
PHYSICIAN EUGENIA
PHYSICIAN ELISSA
PHYSICIAN DANIEL
PHYSICIAN BARRIE
PHYSICIAN HOWARD
PHYSICIAN WESLEY
PHYSICIAN VITALIY
PHYSICIAN HENRY
PHYSICIAN SHERMAN
DENTIST ARNOLD
PHYSICIAN MICHAEL
PHYSICIAN NARESH
PHYSICIAN ARUNAKUMARI
Page 101 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SONG 1780843649 1740220698 07/31/2017
SANKHOLKAR 1598828808 1346261666 09/14/2020
LEE 1205932654 1841462413 11/12/2018
WEISS 1194748822 1295729408 12/17/2018
WILLIAMS 1811938574 1073535027 06/08/2020
DEXTER 1992134274 1164456067 09/21/2020
RAZA 1922326883 1427063270 05/17/2021
MORRISON 1750439485 1194832477 06/04/2018
MATHURIN 1073925996 1467469023 06/01/2020
YOZAWITZ 1316269707 1063525152 11/27/2017
LEVY 1407931280 1063525152 01/15/2018
SUSKIN 1720376494 1063525152 10/02/2017
SIMON 1497709505 1376590117 11/12/2018
CARRION 1699776617 1801857172 07/31/2017
ZHIVOTENKO 1336431907 1336431907 09/04/2017
SARDAR 1184794471 1184794471 05/21/2018
DUNN 1730109281 1124032982 09/27/2021
POLLIKOFF 1053543629 1164555124 07/05/2021
YIN 1659449742 1194832477 01/28/2019
SHARMA 1033180831 1043224355 05/31/2021
PENUMADU 1275531931 1801803903 11/18/2019
Page 102 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 14642 MONROE
8500 2019 5 11432 QUEENS
8500 2017 5 10013 NEW YORK
8500 2017 5 12401 ULSTER
8500 2019 4 10038 NEW YORK
8500 2019 5 12208 ALBANY
8500 2020 3 10038 NEW YORK
8500 2016 5 10032 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2016 3 10467 BRONX
8500 2016 4 10468 BRONX
21250 2016 1 10461 BRONX
8500 2017 5 13210 ONONDAGA
21250 2016 1 11554 NASSAU
21250 2016 1 11214 KINGS
8500 2016 5 11223 KINGS
8500 2021 6 10038 NEW YORK
8500 2020 5 10010 NEW YORK
8500 2017 4 10032 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2018 4 10038 NEW YORK
Page 103 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
ADVANCED CTR FOR PSYCHOTHERAP (40.749338, -73.789673) 828 2137 11
MARK DAH-JEN LEE SURGERY PC (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
ZHIVOTENKO VITALIY (40.65642, -73.950691) 809 2090 31
SARDAR HENRY MD (40.65642, -73.950691) 809 2090 31
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 104 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 111
37 108
198
37 108
1 573
37 108
37 108
37 108
37 176
37 176
37 176
755
93
37 27
37 27
37 108
37 108
37 108
37 108
37 108
Page 105 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ALEXANDER
CERTIFIED NURSE MIDWIFE MICHELE
PHYSICIAN MAUNG
PHYSICIAN KIMBERLY
PHYSICIAN CIGDEM
PHYSICIAN ELAINA
PHYSICIAN SUZETTE
NURSE PRACTITIONER VANISHREE
DENTIST THOMAS
NURSE PRACTITIONER PAULETTE
PHYSICIAN DEREK
PHYSICIAN DIVYA
PHYSICIAN NASRULLAH
PHYSICIAN JENNIFER
DENTIST ROBERT
PHYSICIAN SORANA
PHYSICIAN LAWRENCE
NURSE PRACTITIONER BRENDA
PHYSICIAN MALVINA
PHYSICIAN AZALEA
PHYSICIAN BRIAN
Page 106 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NACHT 1073508214 1073535027 10/02/2017
BURTNER 1003849522 1932143153 04/16/2018
MAUNG 1548219041 1922287697 08/20/2018
ANDREWS-REYNOLDS 1427396936 1922050749 09/11/2017
AKMAN 1487600953 1447518550 09/16/2019
LARUSSO 1083927925 1437255155 01/20/2020
OYEKU 1245332345 1063525152 09/18/2017
SOOPPERSAUD-BACCHUS 1619223682 1043224355 06/07/2021
MORTILLARO 1063536787 1063536787 09/07/2020
KELLY 1811188717 1750352381 10/28/2019
WAKEMAN 1649483181 1740205566 06/08/2020
REDDY 1588828370 1063525152 03/11/2019
KHAN 1457428088 1457428088 06/26/2017
STALICA 1093824674 1457395766 07/17/2017
YAN 1053710418 1982683249 09/25/2017
VRABIE-WOLF 1962700872 1023024882 07/31/2017
MCGUIRE 1013997469 1093777492 06/19/2017
LEPAGE 1790799898 1114954682 11/12/2018
ELMADJIAN DE LOS REYES 1275608150 1427063270 02/15/2021
NORONHA 1629019674 1740220698 03/19/2018
MCNEIL 1831381847 1205868528 12/16/2019
Page 107 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2016 6 14642 MONROE
8500 2016 5 11354 QUEENS
21250 2016 1 11520 NASSAU
8500 2018 4 10032 NEW YORK
8500 2018 2 10457 BRONX
8500 2015 5 10467 BRONX
8500 2020 3 10038 NEW YORK
8500 2019 3 11209 KINGS
8500 2018 3 10065 NEW YORK
8500 2019 4 14642 MONROE
8500 2017 3 10461 BRONX
21250 2016 1 11226 KINGS
21250 2016 1 14626 MONROE
21250 2016 1 11214 KINGS
21250 2015 1 10038 NEW YORK
21250 2016 1 11219 KINGS
8500 2017 3 12953 FRANKLIN
8500 2020 4 10038 NEW YORK
8500 2016 6 14642 MONROE
8500 2018 4 11203 KINGS
Page 108 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NURSE MIDWIFERY GRP UNIV ROCH (43.161748, -77.620143) 1666 2093 56
MAUNG MAUNG MD PLLC (40.749338, -73.789673) 828 2137 11
JACQUELINE DELMONT MD PC (40.715749, -73.601185) 1455 2094 6
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
UNION COMM HEALTH CTR INC (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MORTILLARO THOMAS ANTHONY DDS (40.65642, -73.950691) 809 2090 31
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
UNIVERSITY OF ROCHESTER SURG (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KHAN NASRULLAH MD (40.65642, -73.950691) 809 2090 31
UNITY HOSPITAL ROCHESTER (43.161748, -77.620143) 1666 2093 56
IRA GRONOWITZ D D S PC (40.65642, -73.950691) 809 2090 31
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
ALICE HYDE MEDICAL CENTER (44.705699, -74.340621) 278 621 35
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
SUNY HEALTH SCIENCE CENTER AT (40.65642, -73.950691) 809 2090 31
Page 109 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
50 844
37 111
93
37 108
37 176
37 176
37 108
37 27
37 108
50 844
37 176
37 27
50 844
37 27
37 108
37 27
29 926
37 108
50 844
37 27
Page 110 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER DENISE
PHYSICIAN JOANNA
PHYSICIAN NALINI
PHYSICIAN HYOUNG KYU
DENTIST TARA
PHYSICIAN SUBHASH
PHYSICIAN MARY
PHYSICIAN JOVAN
PHYSICIAN ELIZABETH
PHYSICIAN ORIT
PHYSICIAN LINGPIN
PHYSICIAN DEBORAH
NURSE PRACTITIONER JOANN
PHYSICIAN GEORGINA
PHYSICIAN GILBERTO
PHYSICIAN VIVIENNE
PHYSICIAN MARY
PHYSICIAN ERIC
PHYSICIAN AJAY
PHYSICIAN JYOTSNA
PHYSICIAN VINCENT
Page 111 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ROMNEY 1568574010 1043224355 02/26/2018
DOBROSZYCKI 1518019835 1679587679 09/27/2021
SUBRAMANYA 1942598065 1063525152 11/11/2019
OH 1861759169 1124032982 08/10/2020
BYRD 1740418714 1164555124 11/25/2019
MALHOTRA 1578576963 1578576963 11/27/2017
DUGGAN 1851461040 1063525152 01/15/2018
MILOS 1366423295 1366423295 07/30/2018
SEDLIS SINGER 1538364252 1093777492 04/16/2018
SAIGH 1447249016 1902009319 08/28/2017
HUNG 1821250036 1033468988 03/19/2018
RAIKEN 1245221274 1598729808 09/11/2017
FOGG 1679623367 1013035112 04/16/2018
OSORIO 1902976293 1659639524 08/03/2020
VELEZ 1962402156 1013924372 09/14/2020
TAYLOR 1861464372 1407892342 06/18/2018
MA 1356606263 1861836652 12/23/2019
GANZ 1346241858 1922411065 02/25/2019
CHAUDHURI 1386631851 1366473183 01/21/2019
GAUR 1770561045 1063426377 04/06/2020
CAPANELLI 1588989263 1013924372 04/13/2020
Page 112 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2021 2 10038 NEW YORK
8500 2018 3 10462 BRONX
8500 2019 2 10038 NEW YORK
8500 2018 3 10010 NEW YORK
8500 2015 4 11203 KINGS
8500 2016 4 10458 BRONX
8500 2016 4 11385 QUEENS
8500 2016 2 11219 KINGS
8500 2015 4 10003 NEW YORK
8500 2015 2 11355 QUEENS
8500 2015 5 14202 ERIE
8500 2015 4 12550 ORANGE
8500 2019 5 10003 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2016 4 13440 ONEIDA
8500 2018 3 14642 MONROE
8500 2017 4 10019 NEW YORK
8500 2017 2 14221 ERIE
8500 2019 3 10038 NEW YORK
8500 2019 3 10038 NEW YORK
Page 113 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BKLYN
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MALHOTRA SUBHASH C MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MILOS JOVAN MD (40.749338, -73.789673) 828 2137 11
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
SYOSSET MEDICAL SERVICE PLLC (40.749338, -73.789673) 828 2137 11
ALLENTOWN PED ADOLESCENT MED (42.888143, -78.795544) 62 2041 63
PP OF MID-HUDSON VALLEY INC (41.422459, -74.241929) 1496 2134 32
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ROME MEDICAL GROUP PC (43.149482, -75.361773) 1281 625 40
HIGHLANDS WOMENS HEALTH (43.161748, -77.620143) 1666 2093 56
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 114 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 176
37 108
37 108
37 27
37 176
37 111
37 27
37 108
37 111
646
76
37 108
37 108
794
50 844
37 108
646
37 108
37 108
Page 115 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SARAH
NURSE PRACTITIONER KAREN
PHYSICIAN KERRY
PHYSICIAN NANA
NURSE PRACTITIONER COLLEEN
PHYSICIAN ANIRBAN
PHYSICIAN JACQUELINE
PHYSICIAN MENO
PHYSICIAN HENNY
PHYSICIAN GARY
PHYSICIAN CHIRAG
NURSE PRACTITIONER JESSICA
PHYSICIAN VAHID
PHYSICIAN EILEEN
PHYSICIAN YIQUN
PHYSICIAN YAKOV
PHYSICIAN ARTHUR
NURSE PRACTITIONER TAINA
PHYSICIAN ROHIT
PHYSICIAN KATHLEEN
PHYSICIAN ALEXIS
Page 116 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEDDY 1336185396 1588765952 09/02/2019
WHELAN 1447321468 1063557189 08/21/2017
MURPHY 1356502595 1063525152 06/22/2020
MENSAH 1568851681 1821045485 10/28/2019
PAQUETTE 1700163409 1972604460 05/28/2018
BOSE 1245270644 1881641470 07/31/2017
PEREZ 1184727232 1619341716 09/16/2019
LUEDERS 1245386432 1427063270 03/29/2021
BILLETT 1689755001 1063525152 08/21/2017
PEARLMAN 1811071848 1811071848 11/11/2019
SHAH 1164629770 1063525152 10/28/2019
PACANNUAYAN 1932449162 1831122977 10/14/2019
RAHIMIAN 1659683902 1659683902 11/26/2018
WANG 1417154956 1508188038 09/11/2017
HUI 1538490453 1366808511 01/20/2020
YAGUDAYEV 1144380981 1144380981 09/14/2020
HARRIS 1720152424 1023024882 06/01/2020
LOPEZ 1538562061 1184694291 02/12/2018
HASIJA 1144539677 1063426377 02/08/2021
ENNABI 1427040708 1467454967 08/03/2020
BORO 1457436131 1063525152 03/11/2019
Page 117 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
5667 2018 2 14606 MONROE
8500 2015 3 13905 BROOME
8500 2019 5 10461 BRONX
8500 2018 3 11433 QUEENS
8500 2016 2 13662 ST.LAWRENCE
8500 2015 5 14642 MONROE
8500 2018 4 11211 KINGS
8500 2020 4 10038 NEW YORK
8500 2015 4 10461 BRONX
8500 2018 6 11214 KINGS
8500 2018 4 10461 BRONX
8500 2018 2 11201 KINGS
8500 2017 2 10022 NEW YORK
8500 2015 4 10003 NEW YORK
8500 2018 3 11354 QUEENS
8500 2019 4 11435 QUEENS
8500 2019 2 10038 NEW YORK
8500 2016 2 10453 BRONX
8500 2020 5 10038 NEW YORK
8500 2019 2 10532 WESTCHESTER
8500 2017 6 10467 BRONX
Page 118 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LONG POND PEDIATRICS LLP (43.161748, -77.620143) 1666 2093 56
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MEDISYS FAMILY CARE (40.749338, -73.789673) 828 2137 11
MASSENA MEMORIAL HOSPITAL (44.689468, -75.242045) 1581 2140 41
STRONG RENAL GROUP (43.161748, -77.620143) 1666 2093 56
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PEARLMAN GARY R MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HOUSING WORKS SER,INC AADC (40.65642, -73.950691) 809 2090 31
RAHIMIAN VAHID (40.726966, -74.005966) 737 2095 50
UNION SQUARE EYE CARE LLC (40.726966, -74.005966) 737 2095 50
YIQUN HUI MD PLLC (40.749338, -73.789673) 828 2137 11
YAGUDAYEV YAKOV D MD (40.749338, -73.789673) 828 2137 11
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 119 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
346
37 176
37 111
919
50 844
37 27
37 108
37 176
37 27
37 176
37 27
37 108
37 108
37 111
37 111
37 108
37 176
37 108
224
37 176
Page 120 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DONNA
PHYSICIAN MAXINE
DENTIST MICHAEL
PHYSICIAN CHANDRKANT
PHYSICIAN DAVID
NURSE PRACTITIONER URICK
PHYSICIAN CATHY
PHYSICIAN DAVID
CERTIFIED NURSE MIDWIFE MICHELE
PHYSICIAN JAMIE
PHYSICIAN PRASUNA
PHYSICIAN IRINA
PHYSICIAN MARINO
PHYSICIAN ARSHAD
PHYSICIAN NICHOLAS
PHYSICIAN MARILYN
PHYSICIAN SRINIVAS
NURSE PRACTITIONER JOSEPHINE
PHYSICIAN ROBERT
PHYSICIAN LIYE
PHYSICIAN VASILIY
Page 121 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FUTTERMAN 1982780250 1063525152 04/08/2019
ORRIS 1720040702 1720040702 02/21/2019
WILSON 1972654192 1972781375 05/31/2021
PATEL 1487996914 1720177066 10/30/2017
KANTER 1003001371 1336189919 02/26/2018
MICHEL 1780970434 1033124961 12/30/2019
CHUANG 1326116534 1679587679 06/15/2020
PARK 1629232749 1073535027 08/07/2017
HANDELMAN 1538248844 1467865063 09/18/2017
OSMAN-WAGER 1093006652 1063525152 11/04/2019
NUKALAPATI 1497744841 1497744841 04/30/2018
LUDNER 1285754432 1477505220 08/30/2021
TORRES 1093777609 1093777609 05/28/2018
ANWAR 1174635916 1326223025 09/10/2018
TYAU 1538483052 1063525152 06/29/2020
SCHARBACH 1669612313 1467454967 08/20/2018
REDDY 1093945875 1679587679 07/27/2020
ODUME 1801102140 1063525152 04/12/2021
MOORE 1710042882 1013003359 01/07/2019
LI 1538498639 1528222577 02/11/2019
STANKOVICH 1255584157 1427063270 10/25/2021
Page 122 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 10467 BRONX
-8500 2012 2 11221 KINGS
8500 2020 5 13901 BROOME
8500 2015 2 11249 KINGS
8500 2016 5 13210 ONONDAGA
8500 2018 2 10038 NEW YORK
8500 2019 3 10038 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2015 2 10003 NEW YORK
8500 2018 3 10467 BRONX
8500 2016 4 10458 BRONX
8500 2021 6 11435 QUEENS
8500 2016 4 10032 NEW YORK
8500 2016 3 11218 KINGS
8500 2019 3 10466 BRONX
8500 2016 3 10532 WESTCHESTER
8500 2019 2 10038 NEW YORK
8500 2020 5 10458 BRONX
8500 2017 5 12901 CLINTON
8500 2017 4 11220 KINGS
8500 2021 5 10038 NEW YORK
Page 123 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ORRIS MAXINE MD (40.65642, -73.950691) 809 2090 31
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
PHYSICAL MEDICINE & REHAB (43.065629, -76.168033) 713 2132 43
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NUKALAPATI PRASUNA R MD (40.85589, -73.868294) 675 2032 52
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
TORRES MARINO A MD (40.726966, -74.005966) 737 2095 50
ADVANCE MEDICAL OFFICE PC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MOUNTAIN VIEW PEDIATRICS PLLC (44.731944, -73.548883) 202 2038 35
DR YE S MEDICAL OFFICE PC (40.65642, -73.950691) 809 2090 31
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
Page 124 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
346
37 27
755
37 108
37 108
37 108
37 108
37 176
37 176
37 111
37 108
37 27
37 176
224
37 108
37 176
920
37 27
37 108
Page 125 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN KAREN
PHYSICIAN STEFAN
PHYSICIAN RONALD
PHYSICIAN ALICIA
NURSE PRACTITIONER YOKO
PHYSICIAN BARNEY
PHYSICIAN KERAH
PHYSICIAN PAOLA
PHYSICIAN AMELIA
PHYSICIAN MIRON
DENTIST ANAYO
PHYSICIAN KIM
PHYSICIAN AARON
PHYSICIAN CRAIG
PHYSICIAN JENNIFER
PHYSICIAN LAN
PHYSICIAN MANISHA
PHYSICIAN SHEILA ANN
NURSE PRACTITIONER REGINA
NURSE PRACTITIONER MAKIA
PHYSICIAN MERVAT
Page 126 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BECKERMAN 1750439014 1417027558 01/21/2019
MLOT 1962726760 1043224355 09/18/2017
DUDEK 1609956184 1063525152 01/22/2018
PEKARSKY 1285681189 1770539066 09/16/2019
ENG 1225288277 1063525152 09/04/2017
SOFTNESS 1144248519 1609894641 12/03/2018
WILLIAMS 1801022751 1851414965 12/25/2017
CARUGNO 1942278080 1427063270 06/28/2021
BLISSETT 1083946651 1467469023 12/25/2017
IOSILEVICH 1730132374 1699832436 08/28/2017
ADACHIE 1134356157 1275592693 01/15/2018
POLI 1629017629 1386689248 03/18/2019
HOFFMAN 1124248190 1366473183 07/10/2017
MULLEN 1477588168 1346285657 03/26/2018
CHUY 1174826531 1063525152 08/21/2017
HE 1659382364 1659382364 08/28/2017
JAIN 1487892626 1427063270 11/01/2021
ALAS-HUN 1801098777 1063525152 01/22/2018
LOMAGLIO 1316290117 1255360517 08/28/2017
HUGHES 1477919835 1801803903 06/14/2021
NASSEF 1063478915 1447518550 08/28/2017
Page 127 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 10456 BRONX
21250 2016 1 10038 NEW YORK
8500 2016 6 10468 BRONX
8500 2018 6 13202 ONONDAGA
8500 2015 4 10467 BRONX
8500 2017 3 10032 NEW YORK
8500 2016 2 10031 NEW YORK
8500 2020 2 10038 NEW YORK
21250 2016 1 10038 NEW YORK
21250 2016 1 13203 ONONDAGA
21250 2016 1 10007 NEW YORK
8500 2017 6 12208 ALBANY
21250 2016 1 14203 ERIE
8500 2016 5 14642 MONROE
8500 2015 3 10466 BRONX
8500 2015 3 10013 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2016 4 11427 QUEENS
8500 2015 3 14621 MONROE
8500 2020 2 10038 NEW YORK
21250 2016 1 10032 NEW YORK
Page 128 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NAOMI BERRIE DIABETES CENTER (40.726966, -74.005966) 737 2095 50
HERITAGE HEALTH AND HOUSING, INC (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
ST JOSEPHS HOSPITAL HEALTH CENTER (43.065629, -76.168033) 713 2132 43
DENTAL SPECIALTY ASSOC PC (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
STRONG MEMORIAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HE LAN MD PC (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.749338, -73.789673) 828 2137 11
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
Page 129 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 108
37 176
755
37 176
37 108
37 108
37 108
37 108
755
37 108
1 573
646
50 844
37 176
37 108
37 108
37 111
50 844
37 108
37 108
Page 130 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ROBERT
PHYSICIAN JOAN
PHYSICIAN PATRICIA
PHYSICIAN SAIQA
PHYSICIAN PRADEEP
PHYSICIAN MALA
PHYSICIAN GINA
PHYSICIAN ISABEL
PHYSICIAN LORI
DENTIST DAVID
PHYSICIAN ROBERT
DENTIST ASHLEY
PHYSICIAN MATTHEW
PHYSICIAN JOSINE
PHYSICIAN DENNIS
PHYSICIAN RACHEL
NURSE PRACTITIONER CRISTINA
PHYSICIAN HARADAYA
PHYSICIAN GEORGE
PHYSICIAN BASILISA
PHYSICIAN MUHAMMAD
Page 131 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SANFORD 1073635942 1164555124 08/17/2020
CULPEPPER-MORGAN 1114943768 1033124961 08/19/2019
CASTRO 1649430414 1043224355 09/25/2017
NABI 1053519777 1083660575 10/08/2018
SHARMA 1164480570 1164480570 09/14/2020
ASHOK 1619109956 1710226824 03/26/2018
LYNCH 1649270877 1619341716 03/04/2019
RODRIGUEZ 1285707778 1063525152 10/18/2021
ELLIS 1467687756 1083660575 12/24/2018
ARGHAVANI 1083813109 1164555124 11/18/2019
BERKENBLIT 1164515102 1063525152 11/15/2021
BEARDS 1578661153 1417027558 05/07/2018
MITTIGA 1164686192 1770539066 02/15/2021
VECA 1487627774 1487604963 04/30/2018
DOWLING 1740219377 1801857172 09/13/2021
TEHRANI 1619265170 1669470019 12/16/2019
VIRTUOSO 1770707689 1285717298 07/31/2017
HEGDE 1407894884 1043224355 05/31/2021
HAGOPIAN 1205886850 1801803903 01/14/2019
CANTO 1659471373 1063426377 07/31/2017
ABDULLAH 1053312645 1124032982 09/27/2021
Page 132 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 4 10010 NEW YORK
8500 2018 2 10038 NEW YORK
21250 2016 1 11209 KINGS
8500 2017 3 11733 SUFFOLK
8500 2019 5 11385 QUEENS
8500 2016 2 14642 MONROE
8500 2017 4 11220 KINGS
8500 2021 5 10461 BRONX
8500 2017 2 11787 SUFFOLK
8500 2018 3 10010 NEW YORK
8500 2021 4 10467 BRONX
8500 2016 2 10457 BRONX
8500 2020 6 13210 ONONDAGA
8500 2016 2 11215 KINGS
8500 2021 3 11554 NASSAU
8500 2018 2 10977 ROCKLAND
21250 2016 1 14301 NIAGARA
8500 2020 3 10038 NEW YORK
8500 2017 2 10038 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2021 6 10038 NEW YORK
Page 133 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.65642, -73.950691) 809 2090 31
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
SHARMA PRADEEP S MD (40.749338, -73.789673) 828 2137 11
UNIVERSITY OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
PARK SLOPE OB/GYN PC (40.65642, -73.950691) 809 2090 31
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
NIAGARA FALLS MEM MED CTR (43.134634, -78.856419) 1107 2131 62
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 134 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 27
137
37 111
50 844
37 27
37 176
137
37 108
37 176
37 176
755
37 27
93
154
835
37 108
37 108
37 108
37 108
Page 135 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER ELIZABETH
PHYSICIAN ROBERT
PHYSICIAN KYI
NURSE PRACTITIONER OLGA
NURSE PRACTITIONER PAMELA
PHYSICIAN MARIA
PHYSICIAN SAMANTHA
PHYSICIAN HO NING
PHYSICIAN NATALYA
DENTIST SOFIA
PHYSICIAN KRISTEN
PHYSICIAN MELISSA
PHYSICIAN JOANNE
PHYSICIAN VIJAYA
PHYSICIAN MANOLIS
CERTIFIED NURSE MIDWIFE MARYAM
PHYSICIAN MICHAEL
PHYSICIAN PIERRE
NURSE PRACTITIONER ANNE
PHYSICIAN ANDREW
DENTIST JASON
Page 136 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RYAN 1255349601 1457395766 08/21/2017
SANTOPIETRO 1467482620 1013924372 07/03/2017
YU 1427095686 1720177066 07/13/2020
BADALOVA 1962663385 1063426377 12/31/2018
LEDGISTER 1699836510 1578612412 04/16/2018
TEAIWA-RUTHERFORD 1922028794 1922411065 08/28/2017
FEDER 1467453050 1922411065 08/10/2020
LEUNG 1427324847 1528115698 11/13/2017
CHERNICHENKO 1255500906 1194772632 01/08/2018
VRATARIC 1841338225 1245498500 05/20/2021
CHRISTIAN 1861450165 1255360517 09/11/2017
STRAFFORD 1043486996 1538114723 01/21/2019
LAI 1558591164 1063426377 01/08/2018
ATLURU 1699712521 1689728107 09/25/2017
TSATSAS 1790730026 1063426377 05/04/2020
MIRZAAGHA 1417209651 1619341716 08/30/2021
TANNER 1851460018 1073535027 06/01/2020
JEAN CHARLES 1093949869 1255360517 06/18/2018
PAYETTE 1033375837 1033375837 08/27/2018
GITKIND 1477731636 1063525152 01/08/2018
LIEM 1861558736 1861558736 02/06/2018
Page 137 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 5 14611 MONROE
21250 2016 1 10038 NEW YORK
8500 2019 5 11249 KINGS
8500 2017 2 10038 NEW YORK
8500 2016 3 11212 KINGS
8500 2015 2 10019 NEW YORK
8500 2019 4 10019 NEW YORK
21250 2016 1 10013 NEW YORK
21250 2015 1 11203 KINGS
-21250 2014 1 10128 NEW YORK
8500 2015 2 14618 MONROE
8500 2017 5 11733 SUFFOLK
21250 2016 1 10038 NEW YORK
21250 2016 1 11501 NASSAU
8500 2019 4 10038 NEW YORK
8500 2021 3 11220 KINGS
8500 2019 3 10038 NEW YORK
8500 2016 5 14605 MONROE
21250 2016 1 12078 FULTON
8500 2016 4 10467 BRONX
-8500 2013 2 11204 KINGS
Page 138 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UNITY HOSPITAL ROCHESTER (43.161748, -77.620143) 1666 2093 56
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
METRO TRUE CARE MEDICAL PC (40.726966, -74.005966) 737 2095 50
UNIVERSITY PHYS BROOKLYN INC (40.65642, -73.950691) 809 2090 31
RONALD GUTMAN DMD PC (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WINTHROP CHILD NEUROLOGY ASSOC PC (40.715749, -73.601185) 1455 2094 6
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
PAYETTE ANNE CATHERINE (43.06014, -74.331296) 1227 2085 42
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LIEM JASON DDS (40.65642, -73.950691) 809 2090 31
Page 139 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 108
37 27
37 108
37 27
37 108
37 108
37 108
37 27
37 108
50 844
137
37 108
93
37 108
37 27
37 108
50 844
830
37 176
37 27
Page 140 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JINCY
NURSE PRACTITIONER MAURA
PHYSICIAN KALEEM
NURSE PRACTITIONER ELENA
PHYSICIAN KAREN
PHYSICIAN AMILCAR
PHYSICIAN MARIA
PHYSICIAN VICKI
PHYSICIAN BENJAMIN
PHYSICIAN DEBORAH
PHYSICIAN CURTIS
PHYSICIAN AYE
DENTIST MICHAEL
PHYSICIAN REKA
PHYSICIAN DEBRA
PHYSICIAN EUGENE
PHYSICIAN SOPHIE
PHYSICIAN NATELA
PHYSICIAN ELLA
CERTIFIED NURSE MIDWIFE AMY
NURSE PRACTITIONER ALEXANDRIA
Page 141 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHERIAN 1396001624 1295729408 06/19/2017
BYRNES-CASEY 1043407125 1750352381 10/07/2019
RIZVON 1952360968 1801857172 05/18/2020
WALKER 1811954738 1811954738 05/03/2021
SOREN 1831162981 1194832477 08/28/2017
RIZZO 1285812131 1124032982 02/04/2019
AJAIMY 1396901864 1063525152 01/22/2018
IANNOTTI 1972504553 1467454967 01/01/2018
PACE 1821188061 1801803903 12/31/2018
FRIEDMAN 1407897564 1467454967 04/27/2020
CHOICE 1659317626 1063525152 04/19/2021
ZAW 1922231794 1801803903 08/03/2020
WILSON 1972654192 1972781375 12/23/2019
SALGUNAN 1801007042 1679587679 10/04/2021
FERMAN 1881693216 1801803903 11/18/2019
SCHIFF 1275891608 1295729408 12/17/2018
LIN 1902093370 1013924372 12/23/2019
BABAYEVA 1801823406 1124032982 09/30/2019
ZAVOLUNOVA 1659469260 1043480593 09/06/2021
HALL 1275944894 1538114723 12/25/2017
EDWARDS 1093157166 1396059499 09/20/2021
Page 142 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 12538 DUTCHESS
8500 2018 3 10065 NEW YORK
8500 2019 3 11554 NASSAU
8500 2020 6 14225 ERIE
8500 2015 3 10032 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2016 4 11209 KINGS
8500 2016 3 10532 WESTCHESTER
8500 2017 2 10038 NEW YORK
8500 2019 5 10532 WESTCHESTER
8500 2020 2 10467 BRONX
8500 2019 4 10038 NEW YORK
8500 2018 3 13901 BROOME
8500 2021 5 10038 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2017 3 10473 BRONX
8500 2018 2 10038 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2021 6 11372 QUEENS
8500 2016 3 11716 SUFFOLK
8500 2021 5 11575 NASSAU
Page 143 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INSTITUTE FOR FAMILY HLTH (41.686216, -73.840468) 1022 2040 30
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
WALKER ELENA KOUTSOUMPAS (42.888143, -78.795544) 62 2041 63
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
FIRST CHOICE PEDIATRICS PC (40.749338, -73.789673) 828 2137 11
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
Page 144 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
63
37 108
93
646
37 108
37 108
37 27
224
37 108
224
37 176
37 108
346
37 108
37 108
37 176
37 108
37 108
37 111
137
93
Page 145 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN AMY
PHYSICIAN ADAM
PHYSICIAN SREEDHAR
PHYSICIAN SWATHI
PHYSICIAN NING
DENTIST STEPHEN
PHYSICIAN PRIYANKA
PHYSICIAN ARSEN
PHYSICIAN TAYLOR
PHYSICIAN MARIO
NURSE PRACTITIONER DEBRA
PHYSICIAN SUSAN
NURSE PRACTITIONER DANIELLE
PHYSICIAN MARY LYNN
PHYSICIAN STUART
NURSE PRACTITIONER JOYCE
DENTIST FRANK
PHYSICIAN DILSHAD
PHYSICIAN JEFFREY
PHYSICIAN ANNA
PHYSICIAN KATHLEEN
Page 146 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DEFELICE 1164499117 1447518550 07/31/2017
BINDER 1528389178 1063525152 01/29/2018
KALLAKURI 1285645028 1124032982 07/27/2020
REDDY 1851689046 1679587679 10/04/2021
CHEN 1255590378 1558318006 07/09/2018
KRUGER 1952359382 1952359382 02/17/2020
GUPTA 1962694307 1235301631 05/28/2018
STEGNJAJIC 1013088491 1063525152 11/04/2019
STARR 1689845034 1104861772 12/10/2018
GARCIA 1669567210 1063525152 09/25/2017
JOHNSTON 1053496828 1063525152 04/05/2021
LERNER 1154398576 1588937064 08/03/2020
SWIDERSKI 1720313281 1821093402 06/04/2018
NIERODZIK 1164559050 1073535027 06/08/2020
PACKER 1124059621 1063525152 06/15/2020
AMOAH 1609148204 1184694291 02/12/2018
HERAVI 1730170721 1730170721 05/30/2019
CHAGLA 1750339404 1427063270 05/25/2020
YU 1265667588 1366473183 02/19/2018
JOONG 1821382946 1447518550 02/26/2018
PANGIA 1255595641 1013928159 02/11/2019
Page 147 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 5 10032 NEW YORK
21250 2016 1 10467 BRONX
8500 2019 2 10038 NEW YORK
8500 2021 4 10038 NEW YORK
21250 2016 1 11203 KINGS
8500 2018 3 11361 QUEENS
8500 2016 3 10031 NEW YORK
8500 2018 3 10467 BRONX
5667 2017 4 14642 MONROE
8500 2015 4 10467 BRONX
8500 2020 3 10467 BRONX
8500 2019 4 10029 NEW YORK
8500 2016 5 13501 ONEIDA
8500 2019 3 10038 NEW YORK
8500 2019 6 10461 BRONX
8500 2016 2 10453 BRONX
-21250 2014 1 11040 NASSAU
8500 2019 3 10038 NEW YORK
21250 2015 1 14222 ERIE
21250 2016 1 10032 NEW YORK
8500 2017 6 12883 ESSEX
Page 148 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY PHYS BROOKLYN INC (40.65642, -73.950691) 809 2090 31
KRUGER STEPHEN R DDS (40.749338, -73.789673) 828 2137 11
139 MEDICAL FACILITY PC (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PEDIATRICS & ADOLESCENT MEDICINE (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
ST ELIZABETH MED CTR (43.149482, -75.361773) 1281 625 40
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
HERAVI FRANK MOZAFAR DDS (40.715749, -73.601185) 1455 2094 6
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (44.166026, -73.685145) 287 2084 35
Page 149 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 108
37 108
37 27
37 111
37 108
37 176
50 844
37 176
37 176
37 108
794
37 108
37 176
37 176
93
37 108
646
37 108
911
Page 150 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN LAURENCE
PHYSICIAN RUI ER
CERTIFIED NURSE MIDWIFE JEAN
PHYSICIAN VINCENT
PHYSICIAN KENNETH
NURSE PRACTITIONER MARSHA
NURSE PRACTITIONER DEVIKA
PHYSICIAN LYUDMILA
PHYSICIAN TRICIA
PHYSICIAN PRIYA
PHYSICIAN JOHN
PHYSICIAN LEONARD
NURSE PRACTITIONER MAURA
PHYSICIAN MICHAEL
PHYSICIAN CECILIA
PHYSICIAN JOSEPH
PHYSICIAN JEAN
PHYSICIAN REHAN
PHYSICIAN KIM
PHYSICIAN ZURAB
Page 151 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
REZKALLA 1962479626 1962479626 08/05/2019
TENG 1104028067 1851580492 04/23/2018
CLARKE-BROWN 1235271156 1346380870 12/30/2019
SIASOCO 1538238316 1841536554 07/16/2018
HERWIG 1205932415 1265596548 08/07/2017
PULHAMUS 1477584050 1710918305 06/11/2018
BRIJLALL 1811073182 1063525152 10/21/2019
RUBINSHTEYN 1962708263 1700037975 05/14/2018
CHAN 1326131616 1417027558 02/05/2018
NORI 1568621480 1063525152 01/08/2018
LOEHNER 1619179892 1063525152 10/21/2019
AMORUSO 1457676355 1902009319 04/16/2018
MOLONEY 1326111980 1063525152 10/18/2021
BOGAISKY 1467578724 1063525152 08/28/2017
YOON 1629124706 1952332801 12/03/2018
PAUL 1558387431 1558387431 10/16/2017
BALZORA 1033277827 1427063270 06/01/2020
KHAN 1700078649 1700078649 12/25/2017
WALLENSTEIN 1518181957 1376590117 11/12/2018
ABAYEV 1841283058 1578695995 04/23/2018
Page 152 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 6 11209 KINGS
8500 2015 4 11219 KINGS
8500 2018 2 11212 KINGS
21250 2016 1 10460 BRONX
21250 2016 1 10459 BRONX
8500 2016 5 14642 MONROE
8500 2018 3 10467 BRONX
8500 2016 2 10310 RICHMOND
8500 2015 3 10457 BRONX
21250 2016 1 10467 BRONX
8500 2018 6 10467 BRONX
8500 2016 3 10003 NEW YORK
8500 2021 2 10467 BRONX
8500 2015 5 10467 BRONX
8500 2017 5 10032 NEW YORK
8500 2015 3 11238 KINGS
8500 2019 3 10038 NEW YORK
8500 2016 2 11373 QUEENS
8500 2017 6 13210 ONONDAGA
8500 2015 4 11204 KINGS
Page 153 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
REZKALLA LAURENCE L MD (40.65642, -73.950691) 809 2090 31
NEW STAR MEDICAL PC (40.65642, -73.950691) 809 2090 31
BROOKDALE HSP MED CTR (40.65642, -73.950691) 809 2090 31
METRO COMMUNITY HEALTH CENTERS
INC
(40.85589, -73.868294) 675 2032 52
URBAN HEALTH PLAN INC (40.85589, -73.868294) 675 2032 52
PED GI NUTRITION SPEC GRP (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
AMBOY MEDICAL PRACTICE PC (40.566763, -74.148102) 609 2139 47
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
PAUL JOSEPH HUBERT MD (40.65642, -73.950691) 809 2090 31
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
KHAN REHAN (40.749338, -73.789673) 828 2137 11
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
JASTY AND MANVAR PC (40.65642, -73.950691) 809 2090 31
Page 154 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 27
37 176
37 176
50 844
37 176
37 7
37 176
37 176
37 176
37 108
37 176
37 176
37 108
37 27
37 108
37 111
755
37 27
Page 155 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN LISA
PHYSICIAN CONG
PHYSICIAN M. ZAKIR
PHYSICIAN DARLENE
DENTIST THOMAS
PHYSICIAN HENRY
PHYSICIAN MEI
PHYSICIAN SILVIA
PHYSICIAN CLEMENT
PHYSICIAN MELISSA
NURSE PRACTITIONER CHERYL
PHYSICIAN KEVIN
PHYSICIAN CHRISTA
PHYSICIAN AJENDRA
PHYSICIAN MUHAMMED
NURSE PRACTITIONER JOSEPHINE
PHYSICIAN ISMAILA
PHYSICIAN DAVID
NURSE PRACTITIONER LISA
PHYSICIAN JONATHAN
PHYSICIAN SAJJAD
Page 156 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MOONEY 1619933058 1083664221 11/26/2018
HE 1194887281 1508198508 11/25/2019
SABRY 1235184516 1013924372 04/13/2020
DZIK 1558318949 1255378493 06/18/2018
RIUTTA 1437350691 1295997724 08/05/2019
SARDAR 1184794471 1184794471 03/16/2020
CHAU 1578779807 1063525152 11/11/2019
BERCOVICI 1639184294 1124032982 09/30/2019
TAGOE 1801985197 1063525152 01/15/2018
KO 1548325707 1518907096 04/16/2018
BAKER 1205050028 1063525152 06/15/2020
FIORI 1386901882 1063525152 07/31/2017
ABRAHAM 1699936419 1548290455 08/23/2021
SOHAL 1154399111 1801857172 09/09/2019
HAQUE 1225103583 1235301631 04/30/2018
LOBUE 1407115900 1063525152 03/18/2019
ADIATU 1215991989 1043224355 01/25/2021
GLUCK 1174632293 1023024882 09/11/2017
CURTIS 1972740173 1033124961 12/09/2019
GREENBERG 1801989025 1063525152 07/06/2020
MOHAMMAD 1033290242 1063525152 11/04/2019
Page 157 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 6 13820 OTSEGO
8500 2018 5 11355 QUEENS
8500 2019 2 10038 NEW YORK
8500 2016 5 14225 ERIE
8500 2018 2 11753 NASSAU
8500 2019 6 11223 KINGS
8500 2018 2 10467 BRONX
8500 2018 3 10038 NEW YORK
8500 2016 6 10467 BRONX
8500 2016 5 13202 ONONDAGA
8500 2019 6 10461 BRONX
21250 2016 1 10451 BRONX
8500 2021 6 12208 ALBANY
8500 2018 3 11554 NASSAU
8500 2016 4 10027 NEW YORK
8500 2017 3 10467 BRONX
8500 2020 3 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2019 5 10709 WESTCHESTER
8500 2018 5 10458 BRONX
Page 158 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
FLUSHING ANESTHESIA PAIN
MANAGEMENT
(40.749338, -73.789673) 828 2137 11
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
GENESEE TRANSIT PED LLP LLC (42.888143, -78.795544) 62 2041 63
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
SARDAR HENRY MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
139 MEDICAL FACILITY PC (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 159 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
529
37 111
37 108
646
93
37 27
37 176
37 108
37 176
755
37 176
37 176
1 573
93
37 108
37 176
37 108
37 108
37 108
224
37 176
Page 160 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN CHRISTOPHER
PHYSICIAN JONATHAN
PHYSICIAN ZURAB
DENTIST ANDREW
PHYSICIAN IFFAT
NURSE PRACTITIONER RENEE
NURSE PRACTITIONER SHARON
PHYSICIAN SANDHYA
PHYSICIAN ROHIT
PHYSICIAN JIYEON
DENTIST SAMEH
PHYSICIAN JANE
PHYSICIAN MOSHE
PHYSICIAN HARTLEY
PHYSICIAN MARIE-LOURDES
NURSE PRACTITIONER RITA
DENTIST LEILA
PHYSICIAN KAREN
NURSE PRACTITIONER JIN
PHYSICIAN GHOLSON
PHYSICIAN JEREMY
DENTIST PHILIP
Page 161 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENATALE 1801025226 1073535027 09/06/2021
CHA 1548201817 1336578772 10/15/2018
ABAYEV 1841283058 1578695995 11/19/2018
BOYD 1225325830 1164555124 07/10/2017
SADIQUE 1104845155 1104845155 01/25/2021
SEVCIK 1629374863 1467454967 10/15/2018
CAMPBELL 1831411784 1831411784 11/06/2017
MURTHY 1720213572 1063525152 01/29/2018
HASIJA 1144539677 1063426377 01/14/2019
JUNG 1104075308 1790727543 11/19/2018
AKNOUK 1689787947 1689787947 12/29/2020
KRAFT 1376530105 1164464921 10/23/2017
KERSTEIN 1831269398 1295928489 01/07/2019
BANCROFT 1023163953 1467454967 09/30/2019
ROCHE 1871672766 1619341716 09/06/2021
ALL 1003222159 1013928159 02/12/2018
JAHANGIRI 1386792729 1164555124 12/23/2019
SHAHAN 1336210343 1679587679 05/25/2020
SUN 1417364795 1801803903 03/05/2018
LYON 1811910508 1760436190 07/17/2017
WINELL 1598822736 1679768261 10/30/2017
CONIGLIO 1851432793 1609915883 08/05/2019
Page 162 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 4 10038 NEW YORK
5667 2016 3 10041 NEW YORK
8500 2017 6 11204 KINGS
21250 2016 1 10010 NEW YORK
8500 2020 6 11432 QUEENS
8500 2017 2 10532 WESTCHESTER
8500 2015 2 11210 KINGS
21250 2016 1 10467 BRONX
8500 2017 2 10038 NEW YORK
8500 2017 3 14212 ERIE
-21250 2014 1 10462 BRONX
21250 2016 1 14141 ERIE
8500 2017 5 11249 KINGS
8500 2018 3 10532 WESTCHESTER
8500 2021 4 11220 KINGS
21250 2016 1 12828 SARATOGA
8500 2018 3 10010 NEW YORK
8500 2019 3 10038 NEW YORK
21250 2016 1 10038 NEW YORK
21250 2016 1 10001 NEW YORK
8500 2015 2 10003 NEW YORK
-21250 2014 1 11776 SUFFOLK
Page 163 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
JASTY AND MANVAR PC (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
SADIQUE IFFAT MD (40.749338, -73.789673) 828 2137 11
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
CAMPBELL SHARON ANN (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SISTERS OF CHARITY HOSP (42.888143, -78.795544) 62 2041 63
AKNOUK SAMEH H DDS (40.85589, -73.868294) 675 2032 52
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
BEDFORD MED FAM HEALTH CTR (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
WARRENSBURG HEALTH CENTER (43.00894, -73.786779) 1148 2141 42
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
PREMIER HEALTHCARE D & T CTR (40.726966, -74.005966) 737 2095 50
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
STEPHEN B GOLD R SERINO DDS (40.820237, -73.119032) 1421 2179 3
Page 164 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 27
37 108
37 111
224
37 27
37 176
37 108
646
37 176
646
37 27
224
37 27
733
37 108
37 108
37 108
37 108
37 108
137
Page 165 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ROBIN
PHYSICIAN DENNIS
DENTIST MARIA
PHYSICIAN FEDERICO
DENTIST GOPALSWAMY
PHYSICIAN JASON
DENTIST MARK
PHYSICIAN GIL
PHYSICIAN AMISHI
PHYSICIAN SARAH
PHYSICIAN DOUGLAS
NURSE PRACTITIONER GLORIA
PHYSICIAN BARRY
PHYSICIAN JINPENG
DENTIST STANLEY
CERTIFIED NURSE MIDWIFE MARSHA
PHYSICIAN KRISHNAKANTHAN
PHYSICIAN LEKSHMI
PHYSICIAN JOHN
PHYSICIAN PAMELA
Page 166 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ALTMAN 1295736833 1467454967 04/23/2018
KUO 1093895567 1063525152 08/21/2017
FIGUEROA 1720270424 1417027558 05/07/2018
GATTORNO 1164657003 1467469023 11/22/2021
KALYANARAMAN 1447231683 1447231683 08/17/2020
CHEN 1447496310 1447496310 04/30/2018
BORNFELD 1427050541 1164555124 08/24/2020
ASCUNCE 1023265428 1023265428 03/12/2018
SHAH 1184811580 1063525152 01/01/2018
MILLER 1235397506 1295729408 05/14/2018
BASS 1730415829 1518026905 10/01/2018
FLUELLEN 1447280235 1205084969 08/07/2017
KOHN 1497941181 1619341716 06/08/2020
PENG 1518952654 1518952654 11/26/2018
GERSCH 1235205923 1164555124 08/24/2020
FILS-AIME 1245524230 1477505220 01/14/2019
SASANKAN 1649269689 1750348322 06/25/2018
DHARMARAJAN 1215000682 1427063270 02/15/2021
MCAULIFFE 1205060068 1063525152 04/05/2021
JAKUBOWICZ 1598861510 1063525152 01/22/2018
Page 167 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 3 10532 WESTCHESTER
8500 2015 4 10461 BRONX
8500 2016 3 10457 BRONX
8500 2021 5 10038 NEW YORK
8500 2019 2 11216 KINGS
8500 2016 3 11214 KINGS
8500 2019 4 10010 NEW YORK
8500 2016 2 10010 NEW YORK
8500 2016 3 10704 WESTCHESTER
8500 2016 6 10453 BRONX
21250 2016 1 10016 NEW YORK
8500 2015 5 14642 MONROE
8500 2019 5 11220 KINGS
8500 2017 3 11220 KINGS
8500 2019 3 10010 NEW YORK
8500 2017 6 11423 QUEENS
8500 2016 3 14226 ERIE
8500 2020 4 10038 NEW YORK
8500 2020 5 10461 BRONX
21250 2016 1 10583 WESTCHESTER
Page 168 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
KALYANARAMAN GOPALSWAMY DDS (40.65642, -73.950691) 809 2090 31
CHEN JASON CHIH (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ASCUNCE GIL IGNACIO (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
PARALLAX CENTER INC (40.726966, -74.005966) 737 2095 50
UNIVERSITY OF ROCHESTER OBGYN
SUBSP
(43.161748, -77.620143) 1666 2093 56
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
PENG JINPENG MD (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
EUVILLE LLP (42.888143, -78.795544) 62 2041 63
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
Page 169 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 176
37 176
37 108
37 27
37 27
37 108
37 108
224
37 176
37 108
50 844
37 27
37 27
37 108
37 111
646
37 108
37 176
224
Page 170 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CERTIFIED NURSE MIDWIFE PATRICIA
PHYSICIAN GENEVIEVE
PHYSICIAN SHARON
PHYSICIAN TERENCE
PHYSICIAN BHAWESH
PHYSICIAN DANNY
PHYSICIAN SOWMYA
NURSE PRACTITIONER LILIANA
PHYSICIAN DAVID
PHYSICIAN JOSE
DENTIST OLIVER
PHYSICIAN LAUREN
PHYSICIAN RICHARD
PHYSICIAN MICHAEL
DENTIST JOANA
PHYSICIAN ELLEN
NURSE PRACTITIONER ALEC
NURSE PRACTITIONER HELENA
PHYSICIAN JOHN
NURSE PRACTITIONER CHERYL
PHYSICIAN KYI
PHYSICIAN ANMING
Page 171 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FOX 1225344047 1477505220 05/07/2018
JOHNSON STUBER 1316047434 1255360517 08/21/2017
PATRICK 1073587374 1063525152 04/05/2021
MCGARRY 1548274392 1063426377 01/07/2019
PATEL 1679557193 1740595917 01/20/2020
SHERWINTER 1477597581 1093777492 12/25/2017
REDDY 1568774537 1073706032 09/03/2018
LOPEZ 1467478982 1467478982 01/02/2020
TREATMAN 1952303281 1952303281 08/21/2017
FEFER 1528011103 1477958007 01/21/2019
SULLIVAN 1104924422 1437231693 11/06/2017
JEN 1538422845 1467454967 08/05/2019
XU 1851475677 1760554059 11/06/2017
STENG 1003968850 1063525152 06/15/2020
FORSEA 1417368283 1164555124 02/18/2019
TATTELMAN 1912082066 1063525152 01/22/2018
ORLICK 1962844803 1306954631 06/12/2017
DUFFY 1770664195 1063525152 11/11/2019
SAURET 1225000268 1043394745 03/26/2018
BAKER 1205050028 1063525152 10/21/2019
YU 1427095686 1720177066 09/23/2019
LUO 1821162611 1821162611 03/26/2018
Page 172 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 2 11416 QUEENS
8500 2015 4 14605 MONROE
8500 2020 5 10021 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2018 3 10457 BRONX
8500 2016 2 11219 KINGS
8500 2016 4 11704 SUFFOLK
-8500 2014 3 10977 ROCKLAND
8500 2015 5 11232 KINGS
8500 2017 3 10025 NEW YORK
21250 2016 1 10456 BRONX
8500 2018 3 10532 WESTCHESTER
8500 2015 4 11354 QUEENS
8500 2019 2 10467 BRONX
8500 2017 2 10010 NEW YORK
8500 2016 6 10458 BRONX
21250 2016 1 11224 KINGS
8500 2018 6 10461 BRONX
8500 2016 5 14305 NIAGARA
8500 2018 5 10461 BRONX
8500 2018 4 11249 KINGS
8500 2016 4 11214 KINGS
Page 173 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
FEDERATION NYS MENTALLY DISAB (40.820237, -73.119032) 1421 2179 3
LOPEZ LILIANA (41.127287, -74.017033) 1546 628 27
TREATMAN DAVID MD (40.65642, -73.950691) 809 2090 31
ST LUKES-ROOSEVELT HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
QUEENS-LONG ISLAND ONCOLOGY (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FLOATING HOSPITAL (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MOUNT ST MARY HSP HLTH CTR (43.134634, -78.856419) 1107 2131 62
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
LUO ANMING MD (40.65642, -73.950691) 809 2090 31
Page 174 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
50 844
37 108
37 108
37 176
37 27
137
154
37 27
37 108
37 176
224
37 111
37 176
37 108
37 176
37 27
37 176
835
37 176
37 27
37 27
Page 175 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MARINA
PHYSICIAN CAROLINE
PHYSICIAN PHILIP
PHYSICIAN MINDY
PHYSICIAN TIFFANY
NURSE PRACTITIONER RYAN
NURSE PRACTITIONER MICHELLE
PHYSICIAN WILLIAM
PHYSICIAN VICTORIA
PHYSICIAN HENRY
PHYSICIAN PATRICK
PHYSICIAN ROBERT
PHYSICIAN ANDREW
PHYSICIAN AMY
DENTIST SYLWIA
PHYSICIAN KATHERINE
PHYSICIAN LAUREN
NURSE PRACTITIONER ONICA
PHYSICIAN SUNITA
PHYSICIAN KATHRYN
PHYSICIAN CHRISTINA
Page 176 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ROYZMAN 1568410710 1619341716 04/29/2019
HALVERSTAM 1215132147 1063525152 06/15/2020
CRUZ 1780642009 1477505220 01/14/2019
STATTER 1952466799 1063525152 10/25/2021
PULCINO 1912919341 1740220698 08/14/2017
LITTLE 1215098025 1821266321 12/03/2018
PATRICK 1932160868 1841224508 01/07/2019
LEVIS 1073554655 1073535027 11/01/2021
BANUCHI CRESPO 1477706042 1427063270 12/16/2019
YAN 1750533428 1750533428 09/13/2021
LASALA 1700980125 1063525152 08/28/2017
LUANGKHOT 1164485421 1578741476 12/30/2019
WALLACH 1619053444 1073535027 08/26/2019
CHU-WONG 1821053299 1821053299 07/02/2018
ROSTKOWSKI 1063767267 1275592693 09/09/2019
SEIBERT 1982616991 1619969458 03/12/2018
ROSENBERG 1699815571 1801803903 05/04/2020
BRITTON 1932224458 1467469023 05/17/2021
NINGTHOUJAM 1881907376 1063525152 04/19/2021
PALOMINO 1326043381 1740228311 12/03/2018
KOIZUMI 1508965336 1417027558 01/20/2020
Page 177 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 11220 KINGS
8500 2019 5 10461 BRONX
8500 2017 5 11418 QUEENS
8500 2021 5 10467 BRONX
8500 2015 5 14642 MONROE
8500 2017 4 13790 BROOME
8500 2017 6 12603 DUTCHESS
8500 2021 4 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2021 4 11355 QUEENS
8500 2015 4 10467 BRONX
8500 2018 4 11355 QUEENS
8500 2018 2 10038 NEW YORK
8500 2016 3 10013 NEW YORK
-21250 2014 1 11030 NASSAU
8500 2016 4 12701 SULLIVAN
8500 2019 4 10038 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2020 5 10463 BRONX
8500 2017 6 13057 ONONDAGA
8500 2018 4 10456 BRONX
Page 178 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
YAN HENRY JIANN MD (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PINNACLE UROLOGY PC (40.749338, -73.789673) 828 2137 11
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHU-WONG AMY S MD (40.726966, -74.005966) 737 2095 50
DENTAL SPECIALTY ASSOC PC (40.715749, -73.601185) 1455 2094 6
HUDSON RIVER HEALTHCARE INC (41.705166, -74.711705) 1024 2180 32
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UPSTATE ORTHOPEDICS LLP (43.065629, -76.168033) 713 2132 43
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
Page 179 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 176
37 111
37 176
50 844
346
63
37 108
37 108
37 111
37 176
37 111
37 108
37 108
93
283
37 108
37 108
37 176
755
37 176
Page 180 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN STEPHEN
PHYSICIAN JED
PHYSICIAN THOMAS
PHYSICIAN CAROLINE
NURSE PRACTITIONER PAULETTE
CERTIFIED NURSE MIDWIFE AMAL
DENTIST PRABODH
PHYSICIAN PAUL
PHYSICIAN RASHIDAH
PHYSICIAN MARIA
NURSE PRACTITIONER RAHSHON
PHYSICIAN TAMER
PHYSICIAN MENO
NURSE PRACTITIONER CLAIRE
NURSE PRACTITIONER VANESSA
DENTIST AARON
PHYSICIAN FARSHAD
PHYSICIAN GURKAN
PHYSICIAN ANGELA
DENTIST BHARAT
PHYSICIAN MIN
Page 181 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SCHULTZ 1962418475 1740220698 08/14/2017
CUTLER 1548232861 1043224355 12/09/2019
OW 1891094850 1063525152 07/06/2020
MARTINEZ 1285849620 1063426377 11/11/2019
KELLY 1811188717 1750352381 10/30/2017
AMAR 1578885356 1619341716 09/06/2021
LATHIGARA 1629288568 1629288568 03/29/2018
SALADINO 1306951736 1306951736 09/14/2020
GREEN 1316380603 1063525152 03/11/2019
EMERSON 1043308430 1417027558 01/21/2019
MUHAMMAD 1194148650 1396711982 07/31/2017
AHMED 1407060866 1376590117 09/04/2017
LUEDERS 1245386432 1427063270 12/09/2019
KIEFER 1407239635 1619341716 09/16/2019
TOCCO-STEVENS 1487095360 1295729408 05/14/2018
SOEPRONO 1275610255 1164555124 12/23/2019
BAGHERI 1669431029 1184670465 04/30/2018
TAVILOGLU 1811919889 1063525152 10/28/2019
CHAO 1831296557 1801803903 04/20/2020
JOSHI 1629072186 1164555124 01/06/2020
XU 1013948314 1013948314 03/18/2019
Page 182 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 5 14642 MONROE
8500 2018 2 10038 NEW YORK
8500 2019 5 10467 BRONX
8500 2018 2 10038 NEW YORK
21250 2016 1 10065 NEW YORK
8500 2021 5 11220 KINGS
-21250 2013 1 11237 KINGS
8500 2019 4 12550 ORANGE
8500 2017 2 10463 BRONX
8500 2017 5 10457 BRONX
21250 2016 1 12307 SCHENECTADY
8500 2015 4 13210 ONONDAGA
8500 2018 2 10038 NEW YORK
8500 2018 3 11220 KINGS
8500 2016 3 12401 ULSTER
8500 2018 3 10010 NEW YORK
8500 2016 3 11418 QUEENS
8500 2018 3 10461 BRONX
8500 2019 5 10038 NEW YORK
8500 2018 3 10010 NEW YORK
8500 2017 5 11373 QUEENS
Page 183 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
LATHIGARA PRABODH M DDS (40.65642, -73.950691) 809 2090 31
SALADINO PAUL I MD (41.422459, -74.241929) 1496 2134 32
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
XU MIN MD (40.749338, -73.789673) 828 2137 11
Page 184 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 108
37 176
37 108
37 108
37 27
37 27
76
37 176
37 176
617
755
37 108
37 27
198
37 108
37 111
37 176
37 108
37 108
37 111
Page 185 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN YA
PHYSICIAN ANGEL
PHYSICIAN NICHOLAS
PHYSICIAN MACK
PHYSICIAN GEETHA
NURSE PRACTITIONER RUQAYYAH
NURSE PRACTITIONER NATALYA
PHYSICIAN VIJAY
PHYSICIAN CHANDRAPPA
PHYSICIAN ALEXANDER
PHYSICIAN MUHAMMAD
DENTIST KIMBERLY
PHYSICIAN EARL
PHYSICIAN TERYN
PHYSICIAN PUJA
PHYSICIAN MARY ANN
PHYSICIAN TAYLOR
NURSE PRACTITIONER ASHLEY
PHYSICIAN HOWARD
Page 186 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LIN 1053518548 1053518548 01/07/2019
DE LA CRUZ 1144261512 1801803903 08/14/2017
BARANCO 1669732210 1235170150 07/03/2017
LIPKIN 1700933355 1073535027 05/17/2021
GURRALA 1942262498 1811946775 09/25/2017
RIVERA COLIN 1629205547 1366473183 11/08/2021
AGEYEVA 1982863072 1386711497 06/26/2017
LAPSIA 1235325093 1144581182 11/08/2021
BALIKAI 1376628768 1063525152 06/22/2020
VAYSMAN 1396793113 1396793113 02/05/2018
PASHA 1710972971 1386689248 08/06/2018
FERGUSON 1598913337 1467487637 08/21/2017
ZIMMERMAN 1285621821 1811921786 05/03/2021
EDWARDS 1437317625 1467487637 07/05/2021
SINGH 1598803876 1841224508 08/28/2017
FLYNN GAMENG 1255531000 1467454967 09/20/2021
STARR 1689845034 1104861772 10/22/2018
KNUTSON 1942683297 1235301631 12/09/2019
GEYER 1235298688 1063525152 08/21/2017
Page 187 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 3 11355 QUEENS
21250 2016 1 10038 NEW YORK
21250 2016 1 13210 ONONDAGA
8500 2020 4 10038 NEW YORK
5667 2015 2 12304 SCHENECTADY
8500 2021 3 14209 ERIE
21250 2016 1 10003 NEW YORK
8500 2021 4 10029 NEW YORK
8500 2019 2 10467 BRONX
8500 2016 5 11691 QUEENS
8500 2016 4 12203 ALBANY
8500 2015 2 10562 WESTCHESTER
8500 2020 4 12208 ALBANY
8500 2020 3 10562 WESTCHESTER
8500 2015 4 12603 DUTCHESS
8500 2021 6 10532 WESTCHESTER
5667 2016 3 14642 MONROE
8500 2018 3 10027 NEW YORK
8500 2015 5 10461 BRONX
Page 188 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LIN YA LI (40.749338, -73.789673) 828 2137 11
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CAPITALCARE MEDICAL GROUP LLC (42.809233, -73.946838) 74 2142 42
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
54 MAIN STREET MEDICAL PRACTICE PC (40.726966, -74.005966) 737 2095 50
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
VAYSMAN ALEXANDER MD (40.749338, -73.789673) 828 2137 11
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
PEDIATRICS & ADOLESCENT MEDICINE (43.161748, -77.620143) 1666 2093 56
139 MEDICAL FACILITY PC (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 189 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
755
37 108
617
646
37 108
37 108
37 176
37 111
1 573
224
1 573
224
63
224
50 844
37 108
37 176
Page 190 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CERTIFIED NURSE MIDWIFE AMAL
PHYSICIAN WINIFRED
DENTIST THIERRY
PHYSICIAN ROBERT
DENTIST OLGA
PHYSICIAN MARILYN
PHYSICIAN KATHLEEN
PHYSICIAN BUDDHADEV
PHYSICIAN MAURICE
PHYSICIAN WINGTAT
PHYSICIAN NANA
PHYSICIAN JAN
NURSE PRACTITIONER HEATHER
PHYSICIAN RAVICHAND
PHYSICIAN GEORGE
PHYSICIAN MOHAMMED
NURSE PRACTITIONER CALVIN
PHYSICIAN JEFFREY
NURSE PRACTITIONER ANGELA
PHYSICIAN BELLA
PHYSICIAN ALEXANDRA
PHYSICIAN REBA
Page 191 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
AMAR 1578885356 1619341716 09/16/2019
EGBUNA 1356499875 1134137375 02/01/2021
ABITBOL 1407919400 1295997724 02/15/2021
MARION 1770669616 1063525152 09/18/2017
CELLERI-PINCUS 1144232877 1396059499 03/09/2020
FABBRI 1972527570 1063426377 01/07/2019
PANGIA 1255595641 1013928159 08/07/2017
MANVAR 1629061833 1578695995 11/12/2018
RACINE 1013011006 1013928159 09/17/2018
MUI 1497837090 1356732374 06/08/2020
JINJOLAVA 1205172061 1740595917 11/11/2019
QUAEGEBEUR 1982644779 1265598783 11/27/2017
MULLIN 1124461116 1770539066 08/21/2017
OODAL 1679594311 1184670465 05/07/2018
AGLIALORO 1770506727 1619341716 08/13/2018
KHAN 1710950662 1063577831 09/25/2017
LEE 1003117136 1508266347 02/18/2019
GERSHEL 1538231584 1679587679 09/11/2017
EHLINGER 1336222447 1306909957 11/25/2019
ABULOFF 1407169253 1053688572 01/08/2018
SPADOLA 1063464915 1235170150 10/30/2017
WILLIAMS 1053386003 1235147497 06/08/2020
Page 192 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 4 11220 KINGS
8500 2020 3 10038 NEW YORK
8500 2020 6 11753 NASSAU
8500 2015 3 10467 BRONX
8500 2019 3 11575 NASSAU
8500 2017 2 10038 NEW YORK
8500 2015 4 12883 ESSEX
8500 2017 6 11204 KINGS
8500 2016 4 12919 CLINTON
8500 2019 6 10013 NEW YORK
8500 2018 2 10457 BRONX
8500 2015 4 10032 NEW YORK
8500 2015 3 13210 ONONDAGA
8500 2016 2 11418 QUEENS
8500 2016 3 11209 KINGS
21250 2016 1 10038 NEW YORK
8500 2017 2 10032 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2018 5 14605 MONROE
21250 2016 1 11590 NASSAU
8500 2015 4 13202 ONONDAGA
8500 2019 2 10038 NEW YORK
Page 193 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
SEGUNDO RUIZ BELVIS D & T CTR (40.726966, -74.005966) 737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (44.166026, -73.685145) 287 2084 35
JASTY AND MANVAR PC (40.65642, -73.950691) 809 2090 31
WARRENSBURG HEALTH CENTER (44.731944, -73.548883) 202 2038 35
WINGTAT MUI MD PLLC (40.726966, -74.005966) 737 2095 50
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
EAST NY D & T CTR (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
PLANNED PARENTHOOD OF NIAG CO (43.161748, -77.620143) 1666 2093 56
NORTH SHORE-LIJ MEDICAL PC (40.715749, -73.601185) 1455 2094 6
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
RENAISSANCE HLTH CARE NETWORK (40.726966, -74.005966) 737 2095 50
Page 194 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 108
93
37 176
93
37 108
911
37 27
920
37 108
37 176
37 108
755
37 111
37 27
37 108
37 108
37 108
50 844
93
755
37 108
Page 195 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN KARINA
PHYSICIAN NINA
PHYSICIAN MICHAEL
PHYSICIAN MICHAEL
PHYSICIAN NATASHA
DENTIST MAIRE
PHYSICIAN CHIOMA
PHYSICIAN JODY
PHYSICIAN MICHELLE
NURSE PRACTITIONER MARY
PHYSICIAN ANDREW
PHYSICIAN EMILE
PHYSICIAN NALINI
NURSE PRACTITIONER NADA
PHYSICIAN SUZANNE
PHYSICIAN THAN
PHYSICIAN AUBREY
NURSE PRACTITIONER KARLENE
PHYSICIAN KAREN
DENTIST SRINIVAS
PHYSICIAN AMY
Page 196 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GRITSENKO 1982842787 1063525152 03/19/2018
BICKELL 1487673554 1659639524 05/14/2018
ROSS 1851321368 1063525152 10/25/2021
THORPY 1134204456 1063525152 03/18/2019
TZAGOLOFF 1871519322 1841224508 01/07/2019
LACARRIERE 1639364722 1548229958 09/09/2019
LAZZ 1285672709 1356406136 06/28/2021
DIGIACOMO 1063449551 1801857172 05/03/2021
DRILON 1922391754 1063557189 07/23/2018
NORTON 1255411849 1386689248 03/18/2019
KERR 1083773196 1679587679 06/14/2021
BACHA 1396856159 1265598783 11/27/2017
SUBRAMANYA 1942598065 1063525152 01/08/2018
FARHAT 1245399419 1861907321 04/26/2021
BLOOD 1831103555 1013928159 08/14/2017
THAN 1982898805 1619969458 09/04/2017
CLARKE 1962410043 1033124961 04/13/2020
DALE 1750343513 1427063270 11/01/2021
LEE 1629124045 1265793517 08/12/2019
IRAGAVARAPU 1316225683 1316225683 09/13/2019
CHU-WONG 1821053299 1821053299 11/12/2018
Page 197 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 4 10467 BRONX
8500 2015 5 10029 NEW YORK
8500 2021 4 10029 NEW YORK
8500 2017 4 10467 BRONX
8500 2017 5 12603 DUTCHESS
-21250 2014 1 11226 KINGS
8500 2020 2 10038 NEW YORK
8500 2020 4 11554 NASSAU
8500 2016 4 13905 BROOME
8500 2017 3 12208 ALBANY
8500 2020 2 10038 NEW YORK
8500 2015 4 10032 NEW YORK
8500 2016 2 10462 BRONX
8500 2020 4 10032 NEW YORK
8500 2015 5 12804 WARREN
8500 2015 4 12586 ORANGE
8500 2019 2 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2018 5 11373 QUEENS
-21250 2015 1 10457 BRONX
8500 2017 4 10013 NEW YORK
Page 198 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
METROPOLITAN DENTAL ASSOC DDS (40.65642, -73.950691) 809 2090 31
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TRUSTEES OF COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
HUDSON RIVER HEALTHCARE INC (41.422459, -74.241929) 1496 2134 32
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
ADVANCED QUALITY MEDICAL PC (40.749338, -73.789673) 828 2137 11
IRAGAVARAPU SRINIVAS (40.85589, -73.868294) 675 2032 52
CHU-WONG AMY S MD (40.726966, -74.005966) 737 2095 50
Page 199 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 108
37 108
37 176
63
37 27
37 108
93
346
1 573
37 108
37 108
37 176
37 108
522
76
37 108
37 108
37 111
37 176
37 108
Page 200 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER IVION
PHYSICIAN ASHA
PHYSICIAN MICHAEL
PHYSICIAN LISEL
PHYSICIAN CHAVA
PHYSICIAN SHANI
NURSE PRACTITIONER AKOSUA
PHYSICIAN JORGE
PHYSICIAN VICTOR
NURSE PRACTITIONER ANDREA
PHYSICIAN ALEXANDER
PHYSICIAN JULIA
PHYSICIAN ALFREDO
PHYSICIAN SCOTT
PHYSICIAN PAUL
PHYSICIAN LEROY
PHYSICIAN RHONDA
PHYSICIAN JONATHAN
PHYSICIAN MUGDHA
PHYSICIAN JENNIFER
PHYSICIAN PETER
Page 201 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DAVIS 1881710267 1578612412 05/04/2020
MITTAL 1851469746 1972848307 12/03/2018
GRIECO 1982838520 1073535027 05/17/2021
HOPE 1508835711 1043224355 05/31/2021
SHEFER 1063485472 1013018324 04/30/2018
LOWE 1811158769 1063525152 07/03/2017
ABANKWAH 1619281748 1295729408 07/31/2017
CARRILLO 1255592945 1184668311 03/26/2018
FERASTRAOARU 1851689798 1063525152 04/12/2021
GREEN 1831335058 1801803903 06/12/2017
SCHWARTZMAN 1356329072 1538116082 01/01/2018
ARNSTEN 1174655591 1063525152 10/18/2021
GARCIA 1356355515 1467454967 02/22/2021
VAN GORDER 1790892644 1790892644 01/05/2018
KIM 1205926003 1063525152 09/18/2017
HERBERT 1285635953 1033124961 01/25/2021
CAMBRIDGE PHILLIP 1346305364 1043224355 05/31/2021
SCHWARTZ 1215945738 1063525152 01/29/2018
SANTRA 1861691727 1063426377 09/09/2019
STANGER 1366840787 1376590117 11/12/2018
ALPERT 1104916907 1063525152 02/26/2018
Page 202 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 4 11212 KINGS
8500 2017 3 11224 KINGS
8500 2020 4 10038 NEW YORK
8500 2020 2 10038 NEW YORK
8500 2016 2 11234 KINGS
21250 2016 1 10451 BRONX
8500 2015 3 10035 NEW YORK
8500 2016 4 14642 MONROE
8500 2020 5 10467 BRONX
21250 2015 1 10038 NEW YORK
21250 2015 1 11203 KINGS
8500 2021 6 10467 BRONX
8500 2020 5 10532 WESTCHESTER
-8500 2013 2 13142 OSWEGO
8500 2015 4 10461 BRONX
8500 2020 4 10038 NEW YORK
8500 2020 2 10038 NEW YORK
8500 2016 4 10467 BRONX
8500 2018 3 10038 NEW YORK
8500 2017 3 13210 ONONDAGA
8500 2016 2 10467 BRONX
Page 203 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
MERMAID HEALTH CENTER (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PARK SLOPE PHYSICIAN GRP PC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
STRONG OB GYN GROUP (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
UNIVERSITY PHYSICIANS BKLYN (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
VAN GORDER SCOTT C DO (43.39123, -76.31133) 623 2135 41
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 204 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 27
37 108
37 108
37 27
37 176
37 108
50 844
37 176
37 108
37 27
37 176
224
533
37 176
37 108
37 108
37 176
37 108
755
37 176
Page 205 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN KAREN
PHYSICIAN KYI
PHYSICIAN BINGJING
PHYSICIAN LINGLING
PHYSICIAN MAGDALENA
PHYSICIAN LIJUN
PHYSICIAN SUNIT
PHYSICIAN EUN
PHYSICIAN BORIS
PHYSICIAN GABRIEL
DENTIST GURINDER
PHYSICIAN PETER
PHYSICIAN GINA
PHYSICIAN PAMELA
PHYSICIAN JONATHAN
PHYSICIAN GALINA
PHYSICIAN SABISH
DENTIST MICHAEL
PHYSICIAN AHMED
PHYSICIAN SAULIUS
PHYSICIAN DANIELLE
Page 206 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WOODBURN-HOURIE 1003844309 1336578772 02/05/2018
YU 1427095686 1720177066 01/14/2019
ROBERTS 1184629503 1992946180 04/16/2018
ZENG 1457397994 1457397994 11/12/2018
PLASILOVA 1841456985 1346380870 08/07/2017
SONG 1194700989 1801803903 01/14/2019
JARIWALA 1447411814 1063525152 10/21/2019
LEE 1063524619 1255360517 09/25/2017
ABAYEV 1700808466 1093743197 04/30/2018
ADRIEN 1669557658 1669557658 03/26/2018
WADHWA 1013001460 1831303569 09/29/2021
HONG 1396707014 1801857172 05/10/2021
BASELLO 1144282757 1477505220 01/14/2019
JAKUBOWICZ 1598861510 1063525152 04/12/2021
ROSS 1568724896 1063525152 01/08/2018
KHARASH 1275554495 1124032982 10/07/2019
BALAN 1962638577 1033124961 08/19/2019
PROOTHI 1124279856 1053482067 10/16/2017
SALEH 1124331137 1093777492 07/10/2017
SKEIVYS 1619013463 1619013463 11/12/2018
BONNEVIE 1891951497 1861437279 05/28/2018
Page 207 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 3 10041 NEW YORK
8500 2017 3 11249 KINGS
8500 2016 5 10013 NEW YORK
8500 2017 5 11354 QUEENS
21250 2016 1 11212 KINGS
8500 2017 2 10038 NEW YORK
8500 2018 6 10461 BRONX
8500 2015 3 14625 MONROE
8500 2016 5 11374 QUEENS
8500 2016 2 11236 KINGS
-21250 2014 1 12205 ALBANY
8500 2020 5 11554 NASSAU
8500 2017 5 11418 QUEENS
8500 2020 3 10583 WESTCHESTER
21250 2016 1 10467 BRONX
8500 2018 3 10038 NEW YORK
8500 2018 3 10038 NEW YORK
21250 2016 1 11794 SUFFOLK
21250 2016 1 11219 KINGS
8500 2017 5 11377 QUEENS
5667 2016 3 14228 ERIE
Page 208 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
BINGJING ROBERTS MD PLLC (40.726966, -74.005966) 737 2095 50
ZENG LINGLING MD (40.749338, -73.789673) 828 2137 11
BROOKDALE HSP MED CTR (40.65642, -73.950691) 809 2090 31
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
PAIN MGT & REHABILITATION SVCS (40.749338, -73.789673) 828 2137 11
ADRIEN GABRIEL MD (40.65642, -73.950691) 809 2090 31
ADIRONDACK ORAL MAXILLOFACIAL (42.678066, -73.814233) 40 2030 34
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SUNY AT STONY BROOK (40.820237, -73.119032) 1421 2179 3
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
SKEIVYS SAULIUS J MD (40.749338, -73.789673) 828 2137 11
TONAWANDA PEDIATRICS (42.888143, -78.795544) 62 2041 63
Page 209 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
37 108
37 111
37 27
37 108
37 176
50 844
37 111
37 27
1 573
93
37 111
224
37 176
37 108
37 108
137
37 27
37 111
646
Page 210 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MANUELA
PHYSICIAN ERIN
NURSE PRACTITIONER ALINTHIA
PHYSICIAN NITIN
PHYSICIAN MADHAVI
NURSE PRACTITIONER MYUNG HWA
PHYSICIAN LAURA
PHYSICIAN JONATHAN
PHYSICIAN RICHARD
PHYSICIAN PETER
NURSE PRACTITIONER BETH
PHYSICIAN WILBERT
PHYSICIAN ROBERT
DENTIST SEEMA
PHYSICIAN ALAN
PHYSICIAN SOFYA
PHYSICIAN ANNE
NURSE PRACTITIONER ANN
PHYSICIAN DEBORAH
PHYSICIAN SIKANDER
PHYSICIAN VIVIAN
Page 211 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ORJUELA 1720055288 1447518550 09/25/2017
MORAN-ATKIN 1720223910 1063525152 11/11/2019
ALLWOOD-GALLAGHER 1316101637 1679587679 09/27/2021
CHITRE 1841404829 1124032982 11/15/2021
SHAH 1366555666 1619969458 01/21/2019
KIM 1932446234 1992758361 03/26/2018
KAPLAN-WEISMAN 1215228861 1295729408 08/07/2017
SAMUELS 1679699177 1740595917 11/15/2021
HOLMES 1225121452 1063525152 08/28/2017
KIM 1205943511 1679587679 08/28/2017
KEATING 1891172227 1528093242 07/10/2017
MANIEGO 1356392427 1356392427 09/04/2017
BERKENBLIT 1164515102 1063525152 06/15/2020
MALIK 1720287964 1720287964 09/05/2018
LEVINE 1447252317 1063525152 07/31/2017
MASLYANSKAYA 1245491307 1063525152 10/09/2017
FERRIS 1245236553 1447518550 12/17/2018
WALSH 1639298524 1073535027 02/01/2021
SHERMAN 1073602389 1063525152 01/29/2018
ZULQARNAIN 1366751257 1043224355 09/20/2021
GAHTAN 1518911619 1376590117 03/12/2018
Page 212 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 10032 NEW YORK
8500 2018 3 10467 BRONX
8500 2021 3 10038 NEW YORK
8500 2021 3 10038 NEW YORK
8500 2017 2 10705 WESTCHESTER
21250 2016 1 11201 KINGS
8500 2015 2 10453 BRONX
8500 2021 3 10457 BRONX
8500 2015 5 10463 BRONX
21250 2016 1 10038 NEW YORK
21250 2016 1 11743 SUFFOLK
8500 2015 3 11040 NASSAU
8500 2019 2 10467 BRONX
-21250 2013 1 10457 BRONX
21250 2016 1 10462 BRONX
21250 2016 1 10467 BRONX
8500 2017 6 10032 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2016 5 10461 BRONX
8500 2021 4 10038 NEW YORK
8500 2016 5 13210 ONONDAGA
Page 213 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
HUDSON RIVER HEALTHCARE INC (41.039278, -73.805386) 1440 2185 53
ADDICTION RESEARCH & TRTMNT C (40.65642, -73.950691) 809 2090 31
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
FAMILY SVC LEAGUE SUFFOLK CTY (40.820237, -73.119032) 1421 2179 3
MANIEGO WILBERT BAGUYO MD (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MALIK SEEMA DDS (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
Page 214 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 108
37 108
224
37 27
37 176
37 176
37 176
37 108
137
93
37 176
37 176
37 176
37 176
37 108
37 108
37 176
37 108
755
Page 215 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN STEVEN
PHYSICIAN STACY
PHYSICIAN DANIELA
DENTIST JOANA
PHYSICIAN TARIKA
NURSE PRACTITIONER LORRAINE
PHYSICIAN LEELAMMA
PHYSICIAN MICHAEL
PHYSICIAN FARSHAD
PHYSICIAN VIGNESWARAN
NURSE PRACTITIONER SUSAN
PHYSICIAN NEERAV
PHYSICIAN ALEXANDER
PHYSICIAN RUBIN
DENTIST NAIDA
NURSE PRACTITIONER JILL
PHYSICIAN ERIN
CERTIFIED NURSE MIDWIFE CRYSTAL
PHYSICIAN JEDAN
PHYSICIAN ERICA
Page 216 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FEIN 1639161771 1386689248 07/09/2018
DE-LIN 1124345392 1417959701 09/04/2017
RAFII 1639322944 1093777492 03/26/2018
FORSEA 1417368283 1164555124 12/23/2019
JAMES 1174703516 1396059499 09/23/2019
VON EEDEN 1609946805 1063525152 10/25/2021
SAMUEL 1205122512 1205122512 04/30/2018
LEIT 1952361578 1255360517 09/16/2019
HANNANIAN 1902840119 1568534766 08/05/2019
KANDIAH 1124017249 1821093402 04/16/2018
MERGUERIAN 1801097274 1285701672 12/31/2018
SHUKLA 1437363470 1750352381 09/30/2019
GOZMAN 1861725756 1750315636 05/28/2018
SILVERMAN 1639165996 1215151774 11/08/2021
HENRIQUEZ 1770645640 1467487637 08/19/2019
HILDICK 1316128028 1922073774 08/21/2017
MORAN-ATKIN 1720223910 1063525152 04/12/2021
PETERSON 1932444965 1013924372 07/31/2017
PHILLIPS 1659317956 1982659470 08/21/2017
FISH 1265689798 1013928159 12/23/2019
Page 217 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 5 12208 ALBANY
21250 2016 1 10012 NEW YORK
8500 2016 2 11219 KINGS
8500 2018 3 10010 NEW YORK
8500 2018 6 11575 NASSAU
8500 2021 6 10467 BRONX
8500 2016 2 11550 NASSAU
8500 2018 6 14621 MONROE
8500 2018 6 11385 QUEENS
8500 2015 4 13323 ONEIDA
8500 2017 3 10532 WESTCHESTER
8500 2018 3 10065 NEW YORK
8500 2016 2 12208 ALBANY
8500 2021 2 10457 BRONX
8500 2018 4 10562 WESTCHESTER
8500 2015 3 14207 ERIE
8500 2020 5 10467 BRONX
21250 2015 1 10038 NEW YORK
8500 2015 3 11733 SUFFOLK
8500 2018 5 12208 ALBANY
Page 218 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SAMUEL LEELAMMA (40.715749, -73.601185) 1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
AMB MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ST ELIZABETH MED CTR (43.149482, -75.361773) 1281 625 40
PLANNED PRTD HUDSON-PECONIC I (41.039278, -73.805386) 1440 2185 53
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
CARDIOLOGY PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
ELMWOOD HEALTH CENTER (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
STONY BROOK FAMILY MED GRP UFPC (40.820237, -73.119032) 1421 2179 3
WARRENSBURG HEALTH CENTER (42.678066, -73.814233) 40 2030 34
Page 219 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
1 573
37 108
37 27
37 108
93
37 176
93
50 844
37 111
794
224
37 108
1 573
37 176
224
646
37 176
37 108
137
1 573
Page 220 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DAVID
PHYSICIAN KRISTIN
PHYSICIAN ADEDAYO
PHYSICIAN IVELISSE
DENTIST CHANDRA
DENTIST STEPHEN
PHYSICIAN DANIEL
PHYSICIAN ALBERTO
DENTIST JANET
NURSE PRACTITIONER DIANA
PHYSICIAN JERRY
NURSE PRACTITIONER MARY
PHYSICIAN EVIA
PHYSICIAN OSCAR
PHYSICIAN SENDHAN
PHYSICIAN VIJAYA DEEPIKA
PHYSICIAN CANDICE
PHYSICIAN DAVID
PHYSICIAN ROBERT
PHYSICIAN MARY
PHYSICIAN POUYAN
Page 221 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GLOTZER 1881826469 1164555124 02/18/2019
SWEDISH 1245464239 1063525152 03/19/2018
OJO 1992022651 1356406136 02/01/2021
VERRICO 1215973896 1700816626 06/04/2018
KAUSHIK 1023160124 1295997724 02/24/2020
GELFMAN 1760590467 1679587679 03/08/2021
LASSER 1811084999 1124032982 02/04/2019
ROZO 1295796464 1922017789 03/26/2018
BOZZONE 1689737231 1467487637 08/19/2019
CARPENTER 1629185087 1083664221 08/21/2017
CHAO 1609036201 1063525152 10/25/2021
CALLAN 1063428571 1740220698 03/26/2018
ALIKAJ NANO 1497824619 1679587679 01/08/2018
PELAEZ 1942308788 1063426377 01/14/2019
RAJAMANICKAM 1508108192 1255360517 09/04/2017
PERUGU 1669756649 1437231693 12/23/2019
KWAN 1386804748 1073535027 05/10/2021
HOLUB 1265467989 1740220698 03/26/2018
PETRUCELLI 1548420508 1073535027 08/14/2017
GALVIN 1922067818 1922067818 11/06/2017
GOHARI 1629210141 1801857172 09/09/2019
Page 222 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 10010 NEW YORK
8500 2016 2 10466 BRONX
8500 2020 4 10038 NEW YORK
8500 2016 6 12110 ALBANY
8500 2019 5 11753 NASSAU
8500 2020 3 10038 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2015 4 11372 QUEENS
8500 2018 5 10562 WESTCHESTER
8500 2015 3 13326 OTSEGO
8500 2021 3 10467 BRONX
8500 2016 6 14642 MONROE
21250 2015 1 10038 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2015 3 14621 MONROE
8500 2018 3 10456 BRONX
8500 2020 4 10038 NEW YORK
8500 2016 6 14642 MONROE
21250 2015 1 10038 NEW YORK
8500 2015 2 10301 RICHMOND
8500 2018 2 11554 NASSAU
Page 223 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
QUEENS MEDICAL OFFICE PC (40.749338, -73.789673) 828 2137 11
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
GALVIN MARY BERNADETTE MD (40.566763, -74.148102) 609 2139 47
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
Page 224 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 108
1 573
93
37 108
37 108
37 111
224
529
37 176
50 844
37 108
37 108
50 844
37 176
37 108
50 844
37 108
37 7
93
Page 225 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN NOGA
PHYSICIAN SAMUEL
PHYSICIAN BELLA
PHYSICIAN BRIAN
PHYSICIAN JEANINE
PHYSICIAN RODNEY
PHYSICIAN SCOTT
PHYSICIAN SUSAN
PHYSICIAN JACK
PHYSICIAN ERWIN
PHYSICIAN LISA
PHYSICIAN SAROJ
PHYSICIAN DONALD
PHYSICIAN PETER
PHYSICIAN ORIT
PHYSICIAN ALFREDO
PHYSICIAN AYCAN
PHYSICIAN CATHY
PHYSICIAN NIRIKSHA
PHYSICIAN JOHN
PHYSICIAN ELIZABETH
Page 226 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHALEV 1003994930 1194832477 08/07/2017
JEAN-BAPTISTE 1932286150 1508812892 11/04/2019
SILECCHIA 1639130776 1801857172 06/12/2017
JOHNSON 1528026119 1881084820 08/21/2017
MORELLI 1447354659 1982659470 12/17/2018
BECHER 1538165634 1568534766 11/13/2017
STERN 1376504753 1609946821 11/25/2019
COUPEY 1700962073 1063525152 06/25/2018
RESNICK 1003894429 1437382298 01/20/2020
TING 1114968120 1548208127 02/26/2018
NATHAN 1578724084 1063525152 10/25/2021
GUPTA 1396749214 1396749214 02/12/2018
PHILLIBERT 1417129792 1679587679 05/17/2021
CRONKRIGHT 1144260928 1063468239 11/12/2018
OPPENHEIMER 1164623500 1467454967 08/26/2019
ASTUA 1134358609 1063426377 08/12/2019
TURKMEN 1639199953 1124032982 09/13/2021
CHUANG 1326116534 1063525152 10/18/2021
CHANDRANI 1477562478 1063426377 12/31/2018
FOLK 1851325336 1235170150 12/24/2018
KITSIS 1174692040 1063525152 09/11/2017
Page 227 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 10032 NEW YORK
8500 2018 6 11418 QUEENS
21250 2016 1 11554 NASSAU
8500 2015 4 13210 ONONDAGA
8500 2017 4 11794 SUFFOLK
8500 2015 4 11788 SUFFOLK
8500 2018 4 13612 JEFFERSON
8500 2016 6 10467 BRONX
8500 2018 5 10044 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2021 5 10461 BRONX
8500 2015 4 11432 QUEENS
8500 2020 5 10038 NEW YORK
8500 2017 5 13202 ONONDAGA
8500 2018 3 10532 WESTCHESTER
8500 2018 3 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2017 6 13202 ONONDAGA
8500 2015 2 10461 BRONX
Page 228 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
JAMAICA ANESTHESIA PC (40.749338, -73.789673) 828 2137 11
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
PSYCHIATRY FACULTY PRACTICE INC (43.065629, -76.168033) 713 2132 43
STONY BROOK FAMILY MED GRP UFPC (40.820237, -73.119032) 1421 2179 3
AMB MEDICAL SERVICES PC (40.820237, -73.119032) 1421 2179 3
NORTH COUNTRY CHILDRENS CLIN (44.019295, -75.898971) 1466 2089 41
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
EMPIRE STATE MEDICAL ASSOCIATES PC (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GUPTA SAROJ MD (40.749338, -73.789673) 828 2137 11
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 229 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
93
755
137
137
705
37 176
37 108
37 108
37 176
37 111
37 108
755
224
37 108
37 108
37 108
37 108
755
37 176
Page 230 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ADAM
PHYSICIAN SWATI
PHYSICIAN HARRIET
PHYSICIAN JOSIREE
NURSE PRACTITIONER MARITZA
NURSE PRACTITIONER MARIANNE
NURSE PRACTITIONER BERNADETTE
NURSE PRACTITIONER LORI
PHYSICIAN RAMA KRISHNA
PHYSICIAN CHRISTOPHER
PHYSICIAN JOSHUA
PHYSICIAN INAMULHAQUE
PHYSICIAN MARY
PHYSICIAN YAKOV
PHYSICIAN JOHN
PHYSICIAN ALESSANDRA
PHYSICIAN ROB
DENTIST ARNOLD
PHYSICIAN LISA
PHYSICIAN SCOTT
PHYSICIAN KENNETH
PHYSICIAN PEYMAN
Page 231 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CRITCHFIELD 1831481001 1194832477 01/28/2019
MEHTA 1063789865 1386689248 03/25/2019
WIEDER 1518014349 1467454967 04/27/2020
OCHOTORENA 1669575221 1861589384 07/30/2018
DOMINGUEZ 1457339202 1396059499 03/26/2018
SCHULER 1841444221 1881789014 11/13/2017
BALDE-DORAN 1538252275 1063426377 04/13/2020
MARSHALL 1801249594 1508850280 01/14/2019
KARIBANDI 1982760567 1982760567 10/02/2017
SPRINGER 1093706657 1508835398 03/12/2018
STERN 1174727960 1063525152 10/21/2019
SABOOR 1891867859 1033380902 11/26/2018
CATALETTO 1861415168 1952325367 02/12/2018
PERPER 1841280997 1841280997 03/12/2018
MCMENAMY 1194929174 1073535027 10/09/2017
SCALMATI 1790855906 1063525152 07/06/2020
SHELLY 1306926126 1669568465 04/23/2018
LIEBMAN 1609960525 1164555124 08/24/2020
IPP 1215024393 1952332801 04/16/2018
BEEGLE 1437159837 1386689248 03/05/2018
WALD 1700870904 1629145370 06/25/2018
ALAGHBAND 1356610281 1124032982 02/11/2019
Page 232 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 10032 NEW YORK
8500 2017 2 12208 ALBANY
8500 2019 4 10532 WESTCHESTER
8500 2016 4 13601 JEFFERSON
8500 2016 4 11575 NASSAU
21250 2016 1 14207 ERIE
8500 2019 4 10038 NEW YORK
8500 2017 2 13069 OSWEGO
8500 2015 4 11221 KINGS
8500 2016 3 14220 ERIE
8500 2018 2 10461 BRONX
8500 2017 4 11423 QUEENS
8500 2016 4 11501 NASSAU
8500 2015 4 11102 QUEENS
21250 2016 1 10038 NEW YORK
8500 2019 3 10475 BRONX
8500 2015 5 14456 ONTARIO
8500 2019 4 10010 NEW YORK
8500 2016 4 10032 NEW YORK
8500 2015 4 12208 ALBANY
8500 2016 2 10075 NEW YORK
8500 2017 2 10038 NEW YORK
Page 233 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
CHILD & ADOLESCENT HLTH ASSOC (44.019295, -75.898971) 1466 2089 41
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
NORTHWEST BUFFALO COMM H C (42.888143, -78.795544) 62 2041 63
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
KARIBANDI RAMAKRISHNA V MD (40.65642, -73.950691) 809 2090 31
KIDS ALLIANCE PED GRP LLC (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SABOOR WAIZUN MEDICAL PC (40.749338, -73.789673) 828 2137 11
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
PERPER YAKOV MD (40.749338, -73.789673) 828 2137 11
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FINGER LAKES MIGRANT HLTH (42.894571, -77.252045) 178 2133 54
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
RETINA ASSOC OF NY PC (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 234 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
1 573
224
705
93
646
37 108
533
37 27
646
37 176
37 111
93
37 111
37 108
37 176
691
37 108
37 108
1 573
37 108
37 108
Page 235 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN LUISE
PHYSICIAN NINAN
PHYSICIAN NICOLE
PHYSICIAN ANTHONY
PHYSICIAN JOHN
PHYSICIAN JONNA
PHYSICIAN XIN
CERTIFIED NURSE MIDWIFE HEATHER
PHYSICIAN JIANQIANG
PHYSICIAN KEITH
CERTIFIED NURSE MIDWIFE ELHAM
PHYSICIAN SUSHMA
PHYSICIAN ELIZABETH
PHYSICIAN ELI
PHYSICIAN JENNIFER
PHYSICIAN SWAPNA
PHYSICIAN AKASH
PHYSICIAN NNAEMEKA
PHYSICIAN SARA
PHYSICIAN ANJALI
NURSE PRACTITIONER EMILY
Page 236 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WEINSTEIN 1952498024 1952332801 03/12/2018
KOSHY 1063401842 1770823551 08/03/2020
NEMETH 1588868160 1679587679 06/14/2021
NAPPI 1457541583 1386689248 07/30/2018
WELTER 1235139684 1467454967 12/25/2017
MERCADO 1811214422 1013924372 04/26/2021
TAN 1235117979 1235117979 10/02/2017
LIEBERMAN 1790079093 1679587679 06/14/2021
AN 1780842351 1780842351 12/25/2017
CHU 1821223769 1619341716 03/22/2021
SALEHIMANESH 1265533491 1417027558 01/28/2019
NAKRA 1952321242 1124032982 05/17/2021
PHILLIPS 1952482119 1063525152 07/17/2017
INZLICHT-SPREI 1275586687 1609129402 02/18/2019
DURPHY 1295927952 1811921786 12/21/2020
NALGONDA 1225204431 1194832477 01/28/2019
FERDAUS 1548510795 1548510795 05/04/2020
ANYADIKE 1265614366 1063426377 08/12/2019
STORCH 1487649992 1487691481 02/11/2019
SHARMA 1033193313 1063525152 03/18/2019
SMITH 1962819680 1417959701 07/31/2017
Page 237 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 10032 NEW YORK
8500 2019 5 10019 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2016 5 12208 ALBANY
8500 2016 3 10532 WESTCHESTER
8500 2020 4 10038 NEW YORK
8500 2015 5 11355 QUEENS
8500 2020 4 10038 NEW YORK
8500 2016 2 11355 QUEENS
8500 2020 3 11220 KINGS
8500 2017 3 10456 BRONX
8500 2020 5 10038 NEW YORK
21250 2016 1 10801 WESTCHESTER
8500 2017 4 11230 KINGS
8500 2020 3 12208 ALBANY
8500 2017 3 10032 NEW YORK
8500 2019 4 11218 KINGS
8500 2018 3 10038 NEW YORK
8500 2017 2 11501 NASSAU
8500 2017 4 11203 KINGS
21250 2015 1 10451 BRONX
Page 238 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TAN XIN MD (40.749338, -73.789673) 828 2137 11
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
AN JIANQIANG MD (40.749338, -73.789673) 828 2137 11
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
PREMIUM HEALTH INC (40.65642, -73.950691) 809 2090 31
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
FERDAUS AKASH (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
OB-GYN CONTEMPORARY CARE (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.65642, -73.950691) 809 2090 31
MARGARET SANGER CTR (40.85589, -73.868294) 675 2032 52
Page 239 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
1 573
224
37 108
37 111
37 108
37 111
37 27
37 176
37 108
224
37 27
1 573
37 108
37 27
37 108
93
37 27
37 176
Page 240 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ERIC
PHYSICIAN GARY
PHYSICIAN EVA
PHYSICIAN MAHENDRARAY
PHYSICIAN KEVIN
PHYSICIAN BARBARA
PHYSICIAN KAREN
PHYSICIAN NATHALIE
PHYSICIAN TATIANA
PHYSICIAN RUBINA
NURSE PRACTITIONER JEANNE
PHYSICIAN FABREENA
PHYSICIAN FRANCES
PHYSICIAN JEAN
PHYSICIAN NASEEM
PHYSICIAN CARYL
NURSE PRACTITIONER ALISON
NURSE PRACTITIONER MARY ELLEN
PHYSICIAN SALONI
PHYSICIAN JANE
PHYSICIAN CHRISTINA
Page 241 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
YARBROUGH 1881860930 1306898432 09/25/2017
MYERS 1063428548 1184725525 08/07/2017
RYNJAH 1093890444 1063525152 08/21/2017
DAVE 1144391251 1417027558 06/19/2017
ALBERT 1285605857 1285605857 09/10/2018
BEYER 1255449997 1467454967 04/20/2020
MORICE 1245404458 1063525152 03/11/2019
BURG 1023022233 1063426377 08/09/2021
RICKETTS 1972843944 1467469023 05/25/2020
BHATIA 1942387360 1467454967 03/08/2021
FLYNN 1942502455 1295729408 06/19/2017
NAPIER 1881801637 1063525152 10/28/2019
IMMORDINO 1700853108 1184694291 02/12/2018
POULARD 1699869370 1801803903 05/07/2018
HUSSAINI 1306872221 1396059499 04/08/2019
BJORSETH 1306857297 1255360517 08/21/2017
JOSEPH 1710394051 1548290455 03/01/2021
XAVIER FLANAGAN 1710115415 1508850280 08/28/2017
WADIA 1700117058 1346261666 05/14/2018
SWEDLER 1174547772 1952325367 01/08/2018
SHENKO 1841424124 1295729408 05/14/2018
Page 242 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 10011 NEW YORK
8500 2015 5 14642 MONROE
8500 2015 4 10468 BRONX
21250 2016 1 10457 BRONX
8500 2016 4 12180 RENSSELAER
8500 2019 3 10532 WESTCHESTER
8500 2017 5 10467 BRONX
8500 2021 6 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2020 4 10532 WESTCHESTER
21250 2016 1 10003 NEW YORK
8500 2018 5 10467 BRONX
8500 2016 3 10453 BRONX
8500 2016 2 10038 NEW YORK
8500 2017 4 11575 NASSAU
8500 2015 4 14513 WAYNE
8500 2020 3 12208 ALBANY
8500 2015 4 13142 OSWEGO
8500 2016 3 11432 QUEENS
8500 2016 2 11501 NASSAU
8500 2016 4 10035 NEW YORK
Page 243 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -74.005966) 737 2095 50
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
ALBERT KEVIN CONSTANTINE MD (42.70098, -73.628669) 38 2138 33
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
ADVANCED CTR FOR PSYCHOTHERAP (40.749338, -73.789673) 828 2137 11
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
Page 244 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
50 844
37 176
37 176
40 473
224
37 176
37 108
37 108
224
37 108
37 176
37 176
37 108
93
809
1 573
533
37 111
93
37 108
Page 245 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN NICHOLAS
PHYSICIAN AMY
PHYSICIAN JED
PHYSICIAN CLIFFORD
DENTIST JUNG-HUN
DENTIST JEFFREY
PHYSICIAN YOKE HLEN
PHYSICIAN SHARON
PHYSICIAN ANILA
PHYSICIAN SCOTT
PHYSICIAN TRAN
NURSE PRACTITIONER SUJITHA
PHYSICIAN MARY
PHYSICIAN ALEXANDRA
PHYSICIAN VIVIAN
NURSE PRACTITIONER MARY LIZETTE
PHYSICIAN KAMRAN
PHYSICIAN CARRIE
PHYSICIAN STANLEY
PHYSICIAN KOJI
CERTIFIED NURSE MIDWIFE JANET
Page 246 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TYAU 1538483052 1063525152 04/26/2021
SANDERS 1710154000 1518907096 10/29/2018
CUTLER 1548232861 1043224355 10/04/2021
YOUNG 1437161114 1942364286 12/10/2018
KIM 1568518066 1568518066 08/05/2019
MARGOLIN 1376663674 1164555124 08/24/2020
WONG 1487632279 1487632279 01/22/2018
PATRICK 1073587374 1063525152 06/15/2020
SIDDIQI 1376624544 1801803903 04/20/2020
SCHURMAN 1821038548 1770539066 11/05/2018
HUYNH 1154603363 1801857172 09/13/2021
THOTTAM 1487956140 1801803903 07/31/2017
O'SULLIVAN 1962495788 1942433891 09/18/2017
GOLANT 1831498039 1467486449 07/22/2019
TANG 1952564866 1093777492 03/12/2018
CABICO 1992044614 1194832477 01/28/2019
RAHMANI 1003950593 1063525152 10/28/2019
MAHOWALD 1346445913 1073535027 02/19/2018
SHAPSHAY 1255391124 1548290455 09/14/2020
TAKEDA 1942573290 1265598783 12/29/2020
WILLIAMS 1992880900 1023024882 09/13/2021
Page 247 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 4 10466 BRONX
8500 2017 6 13210 ONONDAGA
8500 2021 4 10038 NEW YORK
8500 2017 4 11236 KINGS
-8500 2014 2 10001 NEW YORK
8500 2019 4 10010 NEW YORK
8500 2016 3 10013 NEW YORK
8500 2019 4 10021 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2017 5 13210 ONONDAGA
8500 2021 6 11554 NASSAU
21250 2015 1 10038 NEW YORK
8500 2015 2 10025 NEW YORK
8500 2018 3 10035 NEW YORK
21250 2016 1 11219 KINGS
8500 2017 3 10033 NEW YORK
8500 2018 2 10025 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2019 6 12208 ALBANY
-21250 2015 1 10032 NEW YORK
8500 2021 5 10038 NEW YORK
Page 248 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CITI MEDICAL OF CANARSIE PC (40.65642, -73.950691) 809 2090 31
KIM JUNG-HUN DDS (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
WONG YOKE HLEN MD (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
SLRHC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
EAST HARLEM COUNCIL HUM SERV (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
Page 249 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
755
37 108
37 27
37 108
37 108
37 108
37 108
37 108
755
93
37 108
37 108
37 108
37 27
37 108
37 108
37 108
1 573
37 108
37 108
Page 250 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JAE
NURSE PRACTITIONER ANEMARI
PHYSICIAN SHEIRA
PHYSICIAN HILARY
NURSE PRACTITIONER SUSAN
PHYSICIAN PETER
PHYSICIAN FRANCO
PHYSICIAN ANTHONY
PHYSICIAN VIJAYA
PHYSICIAN MUHAMMAD
PHYSICIAN MELANIE
PHYSICIAN JASMINE
PHYSICIAN CATHERINE
PHYSICIAN CHARLES
PHYSICIAN JAMES
PHYSICIAN CHUI FAN
DENTIST WILLIAM
NURSE PRACTITIONER MARY
NURSE PRACTITIONER ANNALISA
PHYSICIAN RAKESH
Page 251 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RYU 1942379052 1184670465 05/07/2018
CHARLES 1467648154 1043224355 10/02/2017
SCHLAIR 1467668624 1063525152 09/04/2017
SMITH 1780750398 1205922473 09/18/2017
GERBERS 1467419507 1366473183 08/14/2017
HILDEBRAND 1033186796 1508188038 07/22/2019
FALCONE 1740431204 1043224355 06/07/2021
LOIZIDES 1134205073 1063525152 01/08/2018
REDDI 1417925553 1417027558 01/20/2020
ZAMAN 1568473841 1124032982 05/11/2020
COMITO 1932152782 1770539066 12/25/2017
DAVE 1891701843 1063426377 08/12/2019
LEE-MCBRIEN 1619949559 1043224355 09/06/2021
NUSS 1629177753 1194832477 06/11/2018
SULZER 1255531240 1841224508 04/30/2018
WONG 1467400572 1437255155 07/05/2021
LEICHT 1992730758 1598707812 09/18/2017
WHITE 1083864433 1285893719 10/01/2018
MACALUSO 1386028595 1194832477 01/28/2019
GUPTA 1366495780 1366495780 08/28/2017
Page 252 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 4 11355 QUEENS
21250 2016 1 10038 NEW YORK
8500 2015 5 10461 BRONX
8500 2015 2 10801 WESTCHESTER
21250 2016 1 14222 ERIE
8500 2018 6 10003 NEW YORK
8500 2020 2 10038 NEW YORK
8500 2016 5 10467 BRONX
8500 2018 5 10456 BRONX
8500 2019 4 10038 NEW YORK
8500 2016 2 13210 ONONDAGA
8500 2018 3 10038 NEW YORK
8500 2021 3 10038 NEW YORK
8500 2016 4 10032 NEW YORK
8500 2016 5 12603 DUTCHESS
8500 2020 4 10458 BRONX
8500 2015 2 14420 MONROE
8500 2016 5 10573 WESTCHESTER
8500 2017 2 11360 QUEENS
8500 2015 4 11375 QUEENS
Page 253 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PEDIATRIC ASSOCIATES OF SOUTHERN (41.039278, -73.805386) 1440 2185 53
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
UNION SQUARE EYE CARE LLC (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
UNION COMM HEALTH CTR INC (40.85589, -73.868294) 675 2032 52
OAK ORCHARD COMM HLTH CTR INC (43.161748, -77.620143) 1666 2093 56
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
PRESBYTERIAN HSP CITY OF NY (40.749338, -73.789673) 828 2137 11
GUPTA RAKESH KUMAR MD (40.749338, -73.789673) 828 2137 11
Page 254 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 176
224
646
37 108
37 108
37 176
37 176
37 108
755
37 108
37 108
37 108
63
37 176
50 844
224
37 111
37 111
Page 255 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ANTHONY
PHYSICIAN VIJAYA
PHYSICIAN HAIFAN
NURSE PRACTITIONER KATHRYN
PHYSICIAN DELIA
PHYSICIAN MARIA
CERTIFIED NURSE MIDWIFE CINDY
PHYSICIAN SANDRA
PHYSICIAN LESLIE
PHYSICIAN PATRICIA
PHYSICIAN SHARMEEN
DENTIST MARTIN
PHYSICIAN MICHAEL
NURSE PRACTITIONER PAULETTE
PHYSICIAN BIANCA
PHYSICIAN JIAN WEI
PHYSICIAN RICHARD
PHYSICIAN ANTHONY
PHYSICIAN FOUZIA
PHYSICIAN LAUREN
PHYSICIAN GIOVINA
DENTIST BIBEKA
Page 256 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CASALE 1245225622 1063525152 03/04/2019
REDDI 1417925553 1417027558 02/05/2018
CHEN 1023113610 1023113610 05/18/2020
FITZGERALD 1205936747 1073535027 10/09/2017
JANO 1467470351 1467469023 07/20/2020
KASSAB 1194974162 1427063270 08/10/2020
MACK 1447223946 1184654477 05/28/2018
ROLSTON 1659490563 1477764496 09/18/2017
GORDON 1104038231 1104038231 08/28/2017
EDMONDSON 1588770481 1548217763 01/14/2019
SULTANA 1588726285 1427005065 09/04/2017
PRAGER 1952440331 1164555124 08/31/2020
KORE 1972569259 1083664221 08/28/2017
KELLY 1811188717 1750352381 02/04/2019
PERSAUD 1962723924 1619341716 02/04/2019
ZHANG 1679570246 1528115698 10/21/2019
WEINER 1497830871 1063525152 06/22/2020
MORTELLITI 1134156201 1497796361 03/26/2018
SYED 1750569075 1750569075 09/23/2019
ROSENBERG 1699815571 1801803903 11/25/2019
COLLURA 1407011125 1801803903 04/05/2021
BHATTARAI KOIRALA 1649538596 1669470019 08/31/2020
Page 257 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 5 10467 BRONX
8500 2015 3 10456 BRONX
8500 2019 5 11354 QUEENS
21250 2016 1 10038 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2016 5 14760 CATTARAUGUS
8500 2015 2 10021 NEW YORK
21250 2016 1 10032 NEW YORK
8500 2017 6 11355 QUEENS
8500 2015 3 11435 QUEENS
8500 2019 4 10010 NEW YORK
8500 2015 4 13350 HERKIMER
8500 2017 2 10065 NEW YORK
8500 2017 4 11215 KINGS
8500 2018 6 10013 NEW YORK
8500 2019 3 10462 BRONX
8500 2016 5 13210 ONONDAGA
8500 2018 3 11218 KINGS
8500 2018 3 10038 NEW YORK
8500 2020 6 10038 NEW YORK
8500 2019 2 10467 BRONX
Page 258 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
CHEN HAIFAN MD (40.749338, -73.789673) 828 2137 11
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
SOUTHERN TIER COMMUNITY HLTH (42.224267, -78.606673) 1719 2034 57
COMMUNITY HEALTHCARE NETWORK (40.726966, -74.005966) 737 2095 50
GORDON LESLIE ELLEN MD (40.726966, -74.005966) 737 2095 50
FLUSHING HOSPITAL & MED CTR (40.749338, -73.789673) 828 2137 11
JAMAICA PSYCHIATRIC SERV PC (40.749338, -73.789673) 828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MARY IMOGENE BASSETT HSP (43.070026, -74.994246) 559 2088 44
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
METRO TRUE CARE MEDICAL PC (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
DEPT OF OTOLARYNGOLOGY (43.065629, -76.168033) 713 2132 43
SYED FOUZIA MD (40.65642, -73.950691) 809 2090 31
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
REFUAH HEALTH CENTER INC (40.85589, -73.868294) 675 2032 52
Page 259 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
37 111
37 108
37 108
37 108
427
37 108
37 108
37 111
37 111
37 108
758
37 108
37 27
37 108
37 176
755
37 27
37 108
37 108
37 176
Page 260 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MADELEINE
PHYSICIAN ADINA
PHYSICIAN JUDITH
PHYSICIAN YAR
PHYSICIAN KEITH
PHYSICIAN PETER
PHYSICIAN HONGSHU
PHYSICIAN LADAN
PHYSICIAN GENIENE
PHYSICIAN CHARLES
NURSE PRACTITIONER PERI
PHYSICIAN ZUZANA
PHYSICIAN YESIM
PHYSICIAN CARIN
PHYSICIAN SAMSON
PHYSICIAN MICHELLE
PHYSICIAN NICOLE
PHYSICIAN URMI
PHYSICIAN KRISHNAKUMAR
PHYSICIAN REBECCA
PHYSICIAN MOHAMMAD
Page 261 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
O'BRIEN 1669674255 1427063270 11/01/2021
VALCEANU 1174826929 1801803903 11/18/2019
LEVY 1073693545 1063525152 11/27/2017
PYE 1992767651 1619341716 08/06/2018
CHANG 1588703995 1851595383 09/02/2019
DOWLING 1952373144 1952373144 02/12/2018
FENG 1184645442 1184645442 03/19/2018
SHAIKH 1972710192 1801803903 11/18/2019
WILSON 1679596738 1083639587 02/05/2018
SKLAR 1841262235 1750352381 02/04/2019
WEISS 1588041552 1669470019 04/26/2021
BELISOVA-GYURE 1477729606 1477958007 11/26/2018
DEMIRDAG 1134330921 1447518550 12/17/2018
LAMM 1275500092 1447518550 11/06/2017
WISEMAN 1588761316 1063525152 06/29/2020
IZMIRLY 1184771495 1073535027 12/25/2017
NERETIN 1649270612 1295729408 12/17/2018
DESAI 1508009010 1194832477 12/16/2019
HONGALGI 1962603225 1386689248 11/25/2019
ABELL 1053531517 1710918305 03/26/2018
BABURY 1679532113 1184670465 11/04/2019
Page 262 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 2 10038 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2016 2 10461 BRONX
8500 2016 4 11220 KINGS
8500 2018 5 10013 NEW YORK
8500 2016 6 12078 FULTON
8500 2015 3 11204 KINGS
8500 2018 2 10038 NEW YORK
8500 2016 5 12534 COLUMBIA
8500 2017 2 10065 NEW YORK
8500 2020 4 10977 ROCKLAND
8500 2017 4 10025 NEW YORK
8500 2017 5 10032 NEW YORK
8500 2016 6 10032 NEW YORK
8500 2019 6 10468 BRONX
21250 2016 1 10038 NEW YORK
8500 2017 4 10003 NEW YORK
8500 2018 4 10032 NEW YORK
8500 2018 5 12208 ALBANY
8500 2016 3 14642 MONROE
8500 2018 6 11418 QUEENS
Page 263 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
KEITH C CHANG MD PLLC (40.726966, -74.005966) 737 2095 50
DOWLING PETER E MD (43.06014, -74.331296) 1227 2085 42
FENG HONGSHU MD (40.65642, -73.950691) 809 2090 31
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
ST LUKES-ROOSEVELT HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
PED GI NUTRITION SPEC GRP (43.161748, -77.620143) 1666 2093 56
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
Page 264 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 176
37 27
37 108
830
37 27
37 108
388
37 108
154
37 108
37 108
37 108
37 176
37 108
37 108
37 108
1 573
50 844
37 111
Page 265 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN BARBARA
NURSE PRACTITIONER AMY
PHYSICIAN MACK
NURSE PRACTITIONER ERIKA
PHYSICIAN RACHEL
PHYSICIAN ALLAN
PHYSICIAN JACK
PHYSICIAN GEOFFROY
PHYSICIAN VINCENT
NURSE PRACTITIONER ALISON
NURSE PRACTITIONER LAURIE
PHYSICIAN CHUNG
PHYSICIAN JING-YU
PHYSICIAN BURK
PHYSICIAN FRANSCENE
DENTIST TASIOS
PHYSICIAN TIMOTHY
PHYSICIAN LAUREN
PHYSICIAN MARIE
PHYSICIAN MARKUS
PHYSICIAN CAROLINE
Page 266 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SELIGMAN 1194783498 1801803903 03/29/2021
VALLEE 1033396338 1205940152 07/05/2021
LIPKIN 1700933355 1073535027 09/20/2021
ABORDO-LAINO 1164702510 1306954631 12/23/2019
SISSER 1760615744 1720177066 08/28/2017
DETWEILER 1992706402 1992706402 11/26/2018
FREER 1154393015 1366473183 05/28/2018
PATRICE 1063534741 1063534741 09/04/2017
CAPANELLI 1588989263 1013924372 10/04/2021
JOSEPH 1710394051 1548290455 01/01/2018
SCHMIDT 1821244468 1366473183 11/04/2019
FU 1306082730 1619341716 08/13/2018
PAN 1285927475 1063525152 11/11/2019
JUBELT 1629036504 1518907096 08/21/2017
OULDS 1982704680 1427063270 09/11/2017
VAKKAS 1174681076 1023024882 03/22/2021
KREIDER 1801186861 1053688572 01/22/2018
MEILHEDE 1275793416 1285667634 12/24/2018
REID DURANT 1598824294 1043224355 03/01/2021
ERB 1598765646 1467454967 09/02/2019
HWANG 1811102718 1427063270 12/23/2019
Page 267 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 5 10038 NEW YORK
8500 2020 5 14642 MONROE
8500 2021 5 10038 NEW YORK
8500 2018 3 11101 QUEENS
8500 2015 4 11249 KINGS
8500 2017 5 11096 NASSAU
8500 2016 2 14216 ERIE
21250 2015 1 11236 KINGS
8500 2021 5 10038 NEW YORK
21250 2016 1 12208 ALBANY
8500 2018 3 14203 ERIE
8500 2016 5 11220 KINGS
8500 2018 3 10467 BRONX
8500 2015 4 13202 ONONDAGA
21250 2016 1 10038 NEW YORK
8500 2020 3 10038 NEW YORK
21250 2016 1 11590 NASSAU
8500 2017 6 12801 WARREN
8500 2020 3 10038 NEW YORK
8500 2018 5 10532 WESTCHESTER
8500 2018 2 10038 NEW YORK
Page 268 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY (43.161748, -77.620143) 1666 2093 56
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
FLOATING HOSPITAL (40.749338, -73.789673) 828 2137 11
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
DETWEILER ALLAN S MD (40.715749, -73.601185) 1455 2094 6
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
PATRICE GEOFFROY HALLAH (40.65642, -73.950691) 809 2090 31
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
NORTH SHORE-LIJ MEDICAL PC (40.715749, -73.601185) 1455 2094 6
ADIRONDACK PEDIATRICS PC (43.403024, -73.716044) 128 2183 35
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
Page 269 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
50 844
37 108
37 111
37 27
93
646
37 27
37 108
1 573
646
37 27
37 176
755
37 108
37 108
93
522
37 108
224
37 108
Page 270 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN GEORGE
PHYSICIAN LYNN
PHYSICIAN TEJ
PHYSICIAN SHAVON
PHYSICIAN JOSEPH
PHYSICIAN MICHAEL
DENTIST BORIS
DENTIST ROBERT
PHYSICIAN SANJEEV
PHYSICIAN CHINAZO
DENTIST HOWARD
PHYSICIAN NAZMUL
PHYSICIAN JEAN
PHYSICIAN DANIEL
PHYSICIAN JEFFREY
PHYSICIAN MOINUL
PHYSICIAN LESLEY
PHYSICIAN DANIEL
PHYSICIAN RASHIDAH
CERTIFIED NURSE MIDWIFE HOLLY
Page 271 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WRIGHT 1629088950 1467469023 08/07/2017
DUNHAM 1144291576 1164486627 11/06/2017
KAUL 1831194513 1891791976 04/23/2018
DILLON 1578708210 1801803903 12/31/2018
KILIMNICK 1962469387 1962469387 08/13/2018
BERNSTEIN 1043221450 1124032982 02/04/2019
KAYLAKOV 1518342856 1295997724 12/31/2018
DANTI 1982748422 1164555124 11/22/2021
GUPTA 1831274315 1063525152 09/04/2017
CUNNINGHAM 1972696185 1063525152 08/21/2017
SILVERMAN 1528166030 1164555124 02/25/2019
KHAN 1962594812 1962594812 08/28/2017
ATALLAH-VINOGRAD 1942444393 1861662991 09/11/2017
ANTONIELLO 1790851467 1063525152 07/13/2020
SILBIGER 1013921782 1063426377 02/08/2021
HAQUE 1023040268 1508812892 05/14/2018
SMALL-HARARY 1588980288 1083660575 01/08/2018
LOWENSTEIN 1720309040 1447518550 07/30/2018
GREEN 1316380603 1063525152 04/05/2021
WEINER 1083735500 1477764496 09/11/2017
Page 272 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2015 1 10038 NEW YORK
8500 2015 4 14701 CHAUTAUQUA
8500 2016 5 14304 NIAGARA
8500 2017 2 10038 NEW YORK
8500 2016 3 14607 MONROE
8500 2017 2 10038 NEW YORK
8500 2017 2 11753 NASSAU
8500 2021 6 10010 NEW YORK
8500 2015 3 10461 BRONX
8500 2015 4 10451 BRONX
8500 2017 2 10010 NEW YORK
8500 2015 5 11432 QUEENS
21250 2016 1 11235 KINGS
8500 2019 5 10461 BRONX
8500 2020 3 10038 NEW YORK
8500 2016 4 11418 QUEENS
21250 2016 1 11733 SUFFOLK
21250 2016 1 10032 NEW YORK
8500 2020 5 10463 BRONX
8500 2015 4 10010 NEW YORK
Page 273 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
JAMESTOWN PEDIATRIC ASSOC (42.246904, -79.315313) 1743 2035 57
SUMMIT PEDIATRICS PC (43.134634, -78.856419) 1107 2131 62
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
KILIMNICK JOSEPH B MD (43.161748, -77.620143) 1666 2093 56
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
KHAN NAZMUL HOSSAIN MD (40.749338, -73.789673) 828 2137 11
BROOKLYN GASTROENTEROLOGY &
ENDOSCO
(40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JAMAICA ANESTHESIA PC (40.749338, -73.789673) 828 2137 11
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
COMMUNITY HEALTHCARE NETWORK (40.726966, -74.005966) 737 2095 50
Page 274 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
447
835
37 108
50 844
37 108
93
37 108
37 176
37 176
37 108
37 111
37 27
37 176
37 108
37 111
137
37 108
37 176
37 108
Page 275 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN AUDREY
PHYSICIAN RAJENDER
PHYSICIAN YUMEI
PHYSICIAN TIMOTHY
PHYSICIAN MATVEY
PHYSICIAN PETER
PHYSICIAN DAVID
PHYSICIAN BRIAN
PHYSICIAN VICTOR
PHYSICIAN IRENE
PHYSICIAN URIEL
PHYSICIAN MAHTA
PHYSICIAN ELIZABETH
PHYSICIAN YOLANDE
PHYSICIAN PATRICIA
PHYSICIAN JASON
NURSE PRACTITIONER JENNA
PHYSICIAN ELIZABETH
PHYSICIAN ANIL
PHYSICIAN EFREN
PHYSICIAN STUART
Page 276 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DESILVA 1356323133 1356323133 09/23/2019
JINNA 1700847142 1396059499 05/17/2021
WANG 1205920568 1063525152 11/27/2017
COREY 1831270800 1467526889 05/21/2018
PINKUSOVICH 1659341618 1487604963 12/30/2019
MORELLI 1245272491 1083660575 11/11/2019
PRINCE 1245324508 1063525152 10/28/2019
NICHOLAS 1609086909 1497796361 11/12/2018
INADA 1568456713 1306898432 07/02/2018
RUSU JUTAGIR 1083915060 1679587679 09/27/2021
FELSEN 1063709665 1063525152 04/12/2021
MORTEZAVI 1093013781 1255360517 09/30/2019
ISSA BASCH 1508874553 1508874553 04/16/2018
THOMAS 1174688998 1174688998 01/20/2020
SHI 1033149547 1063525152 04/26/2021
LOIZIDES 1770715757 1063426377 08/26/2019
NELSON 1225412208 1477764496 08/14/2017
LOOMIS 1063647915 1740220698 11/19/2018
GHIMIRE 1821253626 1063468239 02/26/2018
QUINTO 1881796233 1467469023 07/20/2020
PACKER 1124059621 1063525152 01/29/2018
Page 277 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 5 14850 TOMPKINS
8500 2020 5 11575 NASSAU
8500 2016 3 10467 BRONX
8500 2016 2 13815 CHENANGO
8500 2018 2 11215 KINGS
8500 2018 2 11794 SUFFOLK
8500 2018 6 10461 BRONX
8500 2017 3 13210 ONONDAGA
8500 2016 5 10011 NEW YORK
8500 2021 4 10038 NEW YORK
8500 2020 6 10467 BRONX
8500 2018 3 14222 ERIE
8500 2016 6 11590 NASSAU
8500 2018 5 11234 KINGS
8500 2020 4 10065 NEW YORK
8500 2018 3 10038 NEW YORK
21250 2016 1 10002 NEW YORK
8500 2017 4 14642 MONROE
8500 2016 5 13202 ONONDAGA
8500 2019 2 10038 NEW YORK
8500 2016 4 10461 BRONX
Page 278 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DESILVA AUDREY H MD (42.461024, -76.478784) 1786 2181 58
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHENANGO MEMORIAL HOSPITAL (42.481798, -75.570013) 451 2037 45
PARK SLOPE OB/GYN PC (40.65642, -73.950691) 809 2090 31
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
DEPT OF OTOLARYNGOLOGY (43.065629, -76.168033) 713 2132 43
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (42.888143, -78.795544) 62 2041 63
ISSA-BASCH ELIZABETH (40.715749, -73.601185) 1455 2094 6
YOLANDE M THOMAS (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COMMUNITY HEALTHCARE NETWORK (40.726966, -74.005966) 737 2095 50
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 279 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
496
93
37 176
493
37 27
137
37 176
755
37 108
37 108
37 176
646
93
37 27
37 108
37 108
37 108
50 844
755
37 108
37 176
Page 280 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST ZEV
PHYSICIAN HARJOT
PHYSICIAN JAMES
PHYSICIAN ISAIAH
PHYSICIAN AVI
PHYSICIAN MAUREEN
PHYSICIAN SOPHIA
PHYSICIAN JAHNAVI
NURSE PRACTITIONER DEBRA
PHYSICIAN HIND
PHYSICIAN ERIC
PHYSICIAN ESRA
DENTIST RAJA
PHYSICIAN RICHARD
PHYSICIAN REBECCA
NURSE PRACTITIONER BETH
PHYSICIAN PAUL
PHYSICIAN NIDHISH
PHYSICIAN AJAY
PHYSICIAN AISHA
Page 281 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ZELMAN 1801291992 1801291992 09/03/2018
SINGH 1497892624 1952332801 08/06/2018
O'CONNELL 1376571489 1427063270 05/17/2021
FRIEDMAN 1407170319 1710135686 06/11/2018
EINZIG 1245311414 1063525152 11/04/2019
CAFFERTY 1154499358 1558627844 07/27/2020
MCINTYRE 1063413805 1619969458 09/04/2017
NAIK 1053598227 1063881787 01/08/2018
HICKEY 1407980097 1417983024 02/05/2018
BOUALLALI 1427225788 1295993947 09/11/2017
GAYLE 1740280973 1295729408 11/05/2018
FAKIOGLU 1487841110 1184670465 03/22/2021
AGHABI 1851370621 1851370621 01/17/2020
DIPASQUALE 1326107806 1043224355 07/31/2017
RAOOF 1790881027 1790881027 12/09/2019
MALETZ 1326221383 1194832477 01/28/2019
MOH 1396813176 1427063270 08/28/2017
TIWARI 1982976791 1679587679 07/27/2020
CHOPRA 1245392745 1679587679 09/04/2017
BAIG 1013153238 1770539066 10/01/2018
Page 282 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 11249 KINGS
8500 2016 4 10032 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2015 4 11214 KINGS
8500 2018 3 10461 BRONX
8500 2019 3 10003 NEW YORK
8500 2015 4 12701 SULLIVAN
8500 2015 2 10003 NEW YORK
8500 2015 3 11725 SUFFOLK
8500 2015 2 10451 BRONX
8500 2017 6 10473 BRONX
8500 2020 6 11355 QUEENS
-21250 2015 1 11550 NASSAU
21250 2015 1 10038 NEW YORK
8500 2018 5 11236 KINGS
8500 2017 2 10032 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2019 2 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2017 2 13210 ONONDAGA
Page 283 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ZELMAN ZEV (40.65642, -73.950691) 809 2090 31
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
FLUSHING RADIATION ONCOLOGY
SERVICE
(40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
HUDSON RIVER HEALTHCARE INC (41.705166, -74.711705) 1024 2180 32
ICAHN SCHOOL OF MEDICINE AT MOUNT S (40.726966, -74.005966) 737 2095 50
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
NEOPEDS MEDICAL SERVICES PC (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
AGHABI RAJA HANNA DDS (40.715749, -73.601185) 1455 2094 6
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
RAOOF REBECCA G PC MD (40.65642, -73.950691) 809 2090 31
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
Page 284 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 108
37 108
37 27
37 176
37 108
283
37 108
137
37 176
37 176
37 111
93
37 108
37 27
37 108
37 108
37 108
37 108
755
Page 285 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER WILHELMINA
PHYSICIAN JASON
CERTIFIED NURSE MIDWIFE JOAN
NURSE PRACTITIONER MORUFAT
NURSE PRACTITIONER ALIYAMMA
CERTIFIED NURSE MIDWIFE JUDITH
PHYSICIAN JANAKI
PHYSICIAN MARCEL KLEBER
PHYSICIAN SUSAN
PHYSICIAN QURRATULAIN
PHYSICIAN SARAH
PHYSICIAN MAUREEN
PHYSICIAN MARK
PHYSICIAN KIMBERLY
DENTIST GENEVIEVE
PHYSICIAN DONALD
PHYSICIAN GALINA
PHYSICIAN TODD
PHYSICIAN FUFU
NURSE PRACTITIONER ANN
Page 286 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHERIDAN 1841367000 1114954682 05/14/2018
FONG 1801026356 1003114851 08/17/2020
HUGHES 1083864052 1548217763 11/04/2019
BODUNRIN 1306125265 1801803903 01/20/2020
SAMUEL 1023114352 1801803903 04/20/2020
MCCARTHY DALTON 1891857645 1467487637 03/09/2020
SHARMA 1194013607 1063525152 10/09/2017
TAFEN WANDJI 1386754414 1548290455 06/04/2018
DEMARTINI 1275755019 1770539066 09/04/2017
SIDDIQUI 1033252812 1033252812 03/05/2018
FINNEGAN 1043288426 1649293820 04/30/2018
BURKE 1255627014 1235170150 12/17/2018
WARFEL 1639169048 1821093402 05/28/2018
CARTMILL 1063703940 1679587679 05/25/2020
ICART-BANDALI 1780760249 1356406136 11/22/2021
RUDIKOFF 1528145752 1417027558 05/07/2018
ISAKOV 1962576611 1013924372 04/26/2021
SIMON 1962412478 1770534984 09/14/2020
HE 1386601557 1003873274 07/27/2020
WALSH 1639298524 1073535027 12/02/2019
Page 287 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 2 12957 FRANKLIN
8500 2019 3 11042 NASSAU
8500 2018 5 11355 QUEENS
8500 2018 3 10038 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2019 6 10562 WESTCHESTER
21250 2016 1 10467 BRONX
8500 2016 3 12208 ALBANY
8500 2015 3 13210 ONONDAGA
21250 2016 1 10304 RICHMOND
8500 2016 4 14222 ERIE
8500 2017 3 13210 ONONDAGA
8500 2016 5 13413 ONEIDA
8500 2019 3 10038 NEW YORK
8500 2021 3 10038 NEW YORK
8500 2016 4 10457 BRONX
8500 2020 3 10038 NEW YORK
8500 2019 3 11215 KINGS
8500 2019 6 11229 KINGS
8500 2018 2 10038 NEW YORK
Page 288 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ALICE HYDE MEDICAL CENTER (44.705699, -74.340621) 278 621 35
NEW YORK QUEENS MEDICINE AND
SURGER
(40.715749, -73.601185) 1455 2094 6
FLUSHING HOSPITAL & MED CTR (40.749338, -73.789673) 828 2137 11
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
SIDDIQUI QURRATULAIN T MD (40.566763, -74.148102) 609 2139 47
UNIVERSITY NEUROLOGY INC (42.888143, -78.795544) 62 2041 63
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
ST ELIZABETH MED CTR (43.149482, -75.361773) 1281 625 40
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PARK SLOPE MEDICINE P C (40.65642, -73.950691) 809 2090 31
JANLIAN MEDICAL GROUP LLC (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 289 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
29 926
93
37 111
37 108
37 108
224
37 176
1 573
755
37 7
646
755
794
37 108
37 108
37 176
37 108
37 27
37 27
37 108
Page 290 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN STEVEN
PHYSICIAN TIBOR
PHYSICIAN PAUL
PHYSICIAN PRATEEK
PHYSICIAN WILLIAM
NURSE PRACTITIONER ASHLEY
NURSE PRACTITIONER CHARLENE
PHYSICIAN MOHAN
PHYSICIAN RONA
PHYSICIAN CHRISTOPHER
PHYSICIAN TODD
PHYSICIAN IAN
PHYSICIAN KOLAWOLE
PHYSICIAN DARYL
PHYSICIAN HUDSON
NURSE PRACTITIONER LILIANA
PHYSICIAN SHYAMALA
PHYSICIAN HEIDI
NURSE PRACTITIONER KATHLEEN
PHYSICIAN JOHN
Page 291 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SCHNEIDER 1083682769 1992986251 07/09/2018
BECSKE 1770598575 1255360517 09/04/2017
PIPIA 1417931734 1801857172 09/13/2021
WALI 1972775286 1770539066 08/28/2017
BAYER 1194777391 1578732608 01/22/2018
GEE 1225437940 1396711982 04/30/2018
GREER 1679841357 1821266321 09/06/2021
MAHADKAR 1922183961 1922183961 03/25/2019
ORENTLICHER 1316945371 1063525152 04/19/2021
JANSON 1326207317 1063525152 11/27/2017
SHEPPARD 1033156336 1255360517 09/30/2019
KRONISH 1073542866 1194832477 08/07/2017
AKINNAWONU 1134231806 1801803903 12/31/2018
WIELAND 1285723601 1679587679 11/18/2019
ELMORE 1013278225 1073535027 08/31/2020
LOPEZ 1467478982 1467478982 10/12/2020
NAVADA 1215056304 1750649612 04/23/2018
SMITH 1619915758 1255360517 09/11/2017
OLBRYS 1558313833 1063557189 06/11/2018
RAUSCH 1093752263 1194832477 01/28/2019
Page 292 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 2 11042 NASSAU
21250 2016 1 14621 MONROE
8500 2021 4 11554 NASSAU
8500 2015 4 13210 ONONDAGA
8500 2015 4 14611 MONROE
8500 2016 2 12307 SCHENECTADY
8500 2021 5 13790 BROOME
8500 2017 4 11421 QUEENS
8500 2020 3 10466 BRONX
8500 2016 2 10467 BRONX
8500 2018 6 14621 MONROE
8500 2015 4 10032 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2019 5 10977 ROCKLAND
21250 2015 1 10029 NEW YORK
8500 2015 4 14621 MONROE
8500 2016 4 13905 BROOME
8500 2017 6 10032 NEW YORK
Page 293 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LONG ISLAND NEUROSURGICAL ASSOC
PC
(40.715749, -73.601185) 1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
JEFFERSON FAMILY MEDICINE PC (43.161748, -77.620143) 1666 2093 56
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
MAHADKAR MOHAN VASANT MD (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LOPEZ LILIANA (41.127287, -74.017033) 1546 628 27
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
Page 294 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
50 844
93
755
50 844
617
346
37 111
37 176
37 176
50 844
37 108
37 108
37 108
37 108
154
37 108
50 844
346
37 108
Page 295 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ISMEE
CERTIFIED NURSE MIDWIFE PATRICIA
PHYSICIAN WENHONG
DENTIST PETER
PHYSICIAN TARA
NURSE PRACTITIONER JANETTE
PHYSICIAN KATARZYNA
PHYSICIAN BARBARA
PHYSICIAN CHRISTOPHER
PHYSICIAN THOMAS
PHYSICIAN GRACE
PHYSICIAN STEPHEN
PHYSICIAN AYSAR
NURSE PRACTITIONER FORZHIA GEM
NURSE PRACTITIONER CINDY
PHYSICIAN MARIBEL
DENTIST CLAUDIA
PHYSICIAN ROBERT
PHYSICIAN IAN
NURSE PRACTITIONER MARILYN
Page 296 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WILLIAMS 1740234574 1063525152 11/15/2021
MCMASTER 1639389885 1194832477 08/07/2017
ZHOU 1952558504 1952558504 11/12/2018
MO 1558339705 1558339705 07/05/2021
REIMER 1295763670 1902098494 08/05/2019
SPERANDEO 1659783371 1619969458 06/19/2017
PERLMAN 1568431369 1467586792 02/12/2018
KRENZER 1053355115 1063468239 04/16/2018
HENDERSON 1396764338 1255360517 09/04/2017
MARINO 1912013475 1063426377 05/25/2020
KAJITA 1235176991 1063525152 04/05/2021
COOK 1144255969 1821029463 08/14/2017
FATHALLAH-MAMMO 1144230921 1144230921 08/21/2017
WASSEF 1053749465 1043224355 10/16/2017
HERBERGER 1164489043 1306909957 09/25/2017
QUINONES-GUZMAN 1841227972 1841227972 02/05/2018
LOZANO 1629306931 1467487637 08/21/2017
FECHTNER 1871527259 1225072051 01/07/2019
LENTNEK 1104093780 1386714228 08/05/2019
MILLER 1649200585 1083639587 10/21/2019
Page 297 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 3 10032 NEW YORK
8500 2015 4 10032 NEW YORK
8500 2017 4 11354 QUEENS
8500 2020 5 11220 KINGS
5667 2018 5 14127 ERIE
21250 2016 1 11967 SUFFOLK
8500 2016 6 11219 KINGS
8500 2016 5 13202 ONONDAGA
8500 2015 4 14621 MONROE
8500 2019 4 10038 NEW YORK
8500 2020 5 10466 BRONX
8500 2015 5 14642 MONROE
21250 2015 1 11209 KINGS
21250 2016 1 10038 NEW YORK
8500 2015 2 14214 ERIE
8500 2015 2 13088 ONONDAGA
8500 2015 2 10562 WESTCHESTER
8500 2017 3 13210 ONONDAGA
8500 2018 3 10595 WESTCHESTER
8500 2018 6 12534 COLUMBIA
Page 298 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ZHOU WENHONG (40.749338, -73.789673) 828 2137 11
MO PETER PI TAK DDS (40.65642, -73.950691) 809 2090 31
CARROW STREET PEDIATRICS PLLC (42.888143, -78.795544) 62 2041 63
HUDSON RIVER HEALTHCARE INC (40.820237, -73.119032) 1421 2179 3
BORO PARK OBSTETRICS & GYNECOLOGY
P
(40.65642, -73.950691) 809 2090 31
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
FATHALLAH-MAMMO AYSAR B MD (40.65642, -73.950691) 809 2090 31
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PLANNED PARENTHOOD OF NIAG CO (42.888143, -78.795544) 62 2041 63
QUINONES-GUZMAN MARIBEL (43.065629, -76.168033) 713 2132 43
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
OPHTHALMOLOGY MEDICAL SVC GROUP (43.065629, -76.168033) 713 2132 43
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -73.805386) 1440 2185 53
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
Page 299 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 27
646
137
37 27
755
50 844
37 108
37 176
50 844
37 27
37 108
646
755
224
755
224
388
Page 300 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MARGARET
PHYSICIAN DORI
NURSE PRACTITIONER JENIEF
PHYSICIAN SHARI
PHYSICIAN MARIA
NURSE PRACTITIONER JESSICA
PHYSICIAN GALINA
PHYSICIAN MICHAEL
PHYSICIAN VICTOR
DENTIST JYOTHI
PHYSICIAN ANATOLE
DENTIST DAVID
PHYSICIAN DONNA
DENTIST JIN
PHYSICIAN RACHEL
PHYSICIAN SHILPI
PHYSICIAN SAMUEL
PHYSICIAN LARRY
PHYSICIAN JOEL
DENTIST SHEREE
PHYSICIAN JAVIER
Page 301 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SCANDURA 1336111921 1083664221 03/26/2018
ANCHIN 1750399663 1467454967 04/27/2020
CAMPBELL 1053481242 1063525152 10/30/2017
HOGAN 1245302777 1861589384 08/20/2018
MOLINA 1427017235 1427017235 02/11/2019
OPPENHEIMER 1881982593 1447518550 09/23/2019
KHARASH 1275554495 1124032982 02/11/2019
HOROWITZ 1447498415 1942450556 01/28/2019
LAGMAY 1902810229 1093777492 01/01/2018
KAVURI 1548271836 1619969458 02/05/2018
SLADEN 1124114517 1467469023 11/22/2021
WALTUCH 1740327741 1740327741 09/21/2017
GILMORE 1366467029 1043224355 09/06/2021
SUNG 1942565965 1972781375 02/18/2019
KUTTICHIRA 1104988641 1104988641 12/14/2020
AGGARWAL 1992067367 1740595917 01/20/2020
DANIEL 1083622716 1942433891 09/04/2017
DENK 1871690917 1255360517 06/18/2018
BUMOL 1275819104 1063525152 10/21/2019
MORGAN 1770705634 1437231693 08/20/2018
DEPAZ 1396707956 1477505220 11/04/2019
Page 302 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 4 13326 OTSEGO
8500 2019 6 10532 WESTCHESTER
8500 2015 4 10460 BRONX
8500 2016 4 13601 JEFFERSON
8500 2017 6 10031 NEW YORK
8500 2018 4 10032 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2017 3 11226 KINGS
8500 2016 2 11219 KINGS
8500 2015 2 10924 ORANGE
8500 2021 3 10038 NEW YORK
-21250 2013 1 11219 KINGS
8500 2021 4 10038 NEW YORK
8500 2017 2 13901 BROOME
8500 2019 6 11510 NASSAU
8500 2018 2 10457 BRONX
8500 2015 3 10023 NEW YORK
8500 2016 5 14621 MONROE
8500 2018 3 10469 BRONX
8500 2016 4 10457 BRONX
8500 2018 5 11418 QUEENS
Page 303 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILD & ADOLESCENT HLTH ASSOC (44.019295, -75.898971) 1466 2089 41
MOLINA MARIA (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
FJ ORTHOPAEDICS PLLC (40.65642, -73.950691) 809 2090 31
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
HUDSON RIVER HEALTHCARE INC (41.422459, -74.241929) 1496 2134 32
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
WALTUCH DAVID M DDS (40.65642, -73.950691) 809 2090 31
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
KUTTICHIRA RACHEL J MD (40.715749, -73.601185) 1455 2094 6
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
SLRHC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
Page 304 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
529
224
37 176
705
37 108
37 108
37 108
37 27
37 27
76
37 108
37 27
37 108
346
93
37 176
37 108
50 844
37 176
37 176
37 111
Page 305 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CERTIFIED NURSE MIDWIFE NICOLE
PHYSICIAN ADRIENNE
PHYSICIAN NIU
PHYSICIAN DAVID
PHYSICIAN JOSEPH
PHYSICIAN DIMITRIOS
PHYSICIAN LAILA
PHYSICIAN JACK
DENTIST CARLOS
PHYSICIAN VALERIE
PHYSICIAN JEENY
PHYSICIAN EDWARD
NURSE PRACTITIONER ANGELA
PHYSICIAN JACOB
PHYSICIAN YIN
PHYSICIAN PARIK
NURSE PRACTITIONER CAITLIN
PHYSICIAN MICHAEL
PHYSICIAN SUZANNE
NURSE PRACTITIONER THERESA
PHYSICIAN STEVEN
Page 306 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WILLIAMSON 1417123548 1194832477 01/28/2019
MCMILLAN 1083763387 1194832477 06/11/2018
NIU 1417108440 1417108440 09/02/2019
KORONES 1841225620 1730110289 07/02/2018
HALBACH 1164498788 1063426377 08/19/2019
PAPAVASSILIOU 1386615250 1063525152 06/22/2020
KHALID 1518107507 1063525152 07/31/2017
LEVINE 1962588301 1962588301 12/31/2018
OVALLE 1790988939 1790988939 12/16/2019
ROZAK BRUNSON 1720220924 1255360517 02/11/2019
JOB 1811956865 1740595917 08/17/2020
DENIOUS 1376593921 1013928159 02/11/2019
KARNES 1144314741 1255360517 06/18/2018
SCHULZ 1598977837 1063525152 10/28/2019
WIN 1316109002 1316109002 04/23/2018
PILLY 1245472893 1942433891 07/31/2017
MARRON 1093066920 1457395766 12/25/2017
BERNSTEIN 1043221450 1124032982 09/30/2019
FRIEDMAN 1487953162 1194832477 03/19/2018
SEGUIN 1851568612 1861836652 09/13/2021
SILVER 1306846837 1548290455 08/09/2021
Page 307 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 4 10032 NEW YORK
8500 2016 4 10032 NEW YORK
8500 2018 3 11355 QUEENS
8500 2016 6 14642 MONROE
8500 2018 3 10038 NEW YORK
8500 2019 2 10941 ORANGE
21250 2016 1 10467 BRONX
8500 2017 5 11367 QUEENS
-8500 2014 2 10033 NEW YORK
8500 2017 5 14609 MONROE
8500 2019 3 10457 BRONX
8500 2017 4 12801 WARREN
8500 2016 4 14621 MONROE
8500 2018 5 10467 BRONX
8500 2016 4 10013 NEW YORK
21250 2016 1 10019 NEW YORK
21250 2016 1 14626 MONROE
8500 2018 3 10038 NEW YORK
8500 2016 2 10033 NEW YORK
8500 2021 4 14642 MONROE
8500 2021 6 12208 ALBANY
Page 308 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
NIU NIU MD (40.749338, -73.789673) 828 2137 11
PEDIATRIC HEMATOLOGY ONCOLOGY (43.161748, -77.620143) 1666 2093 56
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (41.422459, -74.241929) 1496 2134 32
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LEVINE JACK M MD (40.749338, -73.789673) 828 2137 11
OVALLE CARLOS MANUEL DDS (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WIN YIN YIN (40.726966, -74.005966) 737 2095 50
SLRHC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
UNITY HOSPITAL ROCHESTER (43.161748, -77.620143) 1666 2093 56
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
HIGHLANDS WOMENS HEALTH (43.161748, -77.620143) 1666 2093 56
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
Page 309 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
50 844
37 108
76
37 176
37 111
37 108
50 844
37 176
522
50 844
37 176
37 108
37 108
50 844
37 108
37 108
50 844
1 573
Page 310 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MANUEL
NURSE PRACTITIONER SHIRA
NURSE PRACTITIONER TAMMY
PHYSICIAN AMANDA
PHYSICIAN LOURDES
PHYSICIAN SVETLANA
PHYSICIAN THAINA
PHYSICIAN DUSTIN
NURSE PRACTITIONER ANNE
PHYSICIAN SARA
DENTIST KENNY
DENTIST AHMED
PHYSICIAN CHRISTINE
PHYSICIAN KHIN
PHYSICIAN FOUZIA
PHYSICIAN INNA
PHYSICIAN PURA
NURSE PRACTITIONER LAUREN
PHYSICIAN ASYA
PHYSICIAN OLENA
PHYSICIAN LINDA
Page 311 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PILI 1619927639 1184670465 08/28/2017
ETSHALOM 1134588759 1013035112 01/22/2018
HARCLEROAD 1053697284 1972548568 08/14/2017
ASCHER 1194882480 1740595917 11/08/2021
COHEN 1245293554 1184670465 08/28/2017
REZNIK 1508024449 1124032982 11/11/2019
ROUSSEAU-PIERRE 1245243351 1063426377 05/18/2020
NGUYEN 1831196898 1609183540 08/21/2017
CASSON 1912198920 1750352381 08/06/2018
AHMED 1801143151 1255360517 02/11/2019
HO 1083754246 1083754246 09/21/2017
NOUR-EL-DEEN 1801949078 1295997724 02/24/2020
HOM 1609878362 1467454967 12/25/2017
AUNG 1679542864 1679542864 05/28/2018
SYED 1750569075 1750569075 08/02/2021
NELIPOVICH 1689835522 1093777492 07/22/2019
CASTILLO 1558301143 1548208127 08/03/2020
WOLF 1710393202 1881789014 11/13/2017
LEVY 1851505747 1417145582 09/21/2020
SLINCHENKOVA 1013205632 1063525152 04/05/2021
DELUXE 1356438105 1063426377 05/11/2020
Page 312 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 11418 QUEENS
21250 2016 1 12601 DUTCHESS
8500 2015 3 14642 MONROE
8500 2021 6 10457 BRONX
8500 2015 3 11355 QUEENS
8500 2018 2 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2015 4 10013 NEW YORK
21250 2016 1 10065 NEW YORK
8500 2017 2 14621 MONROE
-21250 2013 1 11220 KINGS
8500 2019 5 11753 NASSAU
8500 2016 3 10532 WESTCHESTER
8500 2016 5 11373 QUEENS
8500 2021 5 11218 KINGS
8500 2018 4 11219 KINGS
8500 2019 2 10038 NEW YORK
8500 2016 2 14207 ERIE
8500 2019 4 11374 QUEENS
8500 2020 2 10466 BRONX
8500 2019 4 10038 NEW YORK
Page 313 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
PP OF MID-HUDSON VALLEY INC (41.686216, -73.840468) 1022 2040 30
HIGHLAND HOSP OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TRIBECA INTERNAL MED & ACUPUNCTURE (40.726966, -74.005966) 737 2095 50
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
HO KENNY H DDS (40.65642, -73.950691) 809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
AUNG KHIN MD (40.749338, -73.789673) 828 2137 11
SYED FOUZIA MD (40.65642, -73.950691) 809 2090 31
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
NORTHWEST BUFFALO COMM H C (42.888143, -78.795544) 62 2041 63
QUEENS STAR MEDICAL PLLC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 314 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
63
50 844
37 176
37 111
37 108
37 108
37 108
37 108
50 844
37 27
93
224
37 111
37 27
37 27
37 108
646
37 111
37 176
37 108
Page 315 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER TIFFANY
PHYSICIAN SARA
PHYSICIAN LAUREN
PHYSICIAN ROBBY
PHYSICIAN JOEL
PHYSICIAN SUDHAKAR
NURSE PRACTITIONER DAMARIS
PHYSICIAN ROBERT
NURSE PRACTITIONER WILLIAM
DENTIST MARTINE
DENTIST MAHMOUD
PHYSICIAN ROBERT
PHYSICIAN ALAN
NURSE PRACTITIONER MARY
DENTIST SHREYA
NURSE PRACTITIONER JESSICA
PHYSICIAN KATHERINE
NURSE PRACTITIONER LYNN
PHYSICIAN HEIDI
Page 316 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MAIN 1801036405 1114977048 04/16/2018
PAUL 1154687580 1619136140 10/30/2017
LIPESKI 1477591378 1770539066 01/15/2018
SHORT 1689740854 1043224355 07/12/2021
BUMOL 1275819104 1063525152 04/05/2021
PRABHU 1922142348 1124032982 02/04/2019
CARRIERO 1831269794 1508266347 02/18/2019
BLAKE 1023036548 1578612412 01/21/2019
MCCUE 1639457336 1083664221 03/12/2018
MANDRACCHIA 1326372962 1164555124 11/25/2019
ALI 1245251925 1972781375 09/14/2020
LEE 1124231550 1952325367 02/05/2018
NISSENBAUM 1295879120 1295879120 02/18/2019
FOSTER 1114931755 1770539066 11/05/2018
PATEL 1902050594 1114137403 08/14/2017
MCGUIRE 1396182135 1427090190 05/14/2018
FISCHKOFF 1962660084 1508266347 07/05/2021
MERKLINGER 1336214352 1679587679 03/05/2018
LEE 1821135146 1942306873 09/10/2018
Page 317 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 6 14642 MONROE
21250 2016 1 10591 WESTCHESTER
8500 2015 4 13214 ONONDAGA
8500 2020 2 10038 NEW YORK
8500 2020 5 10469 BRONX
8500 2017 2 10038 NEW YORK
8500 2017 4 10032 NEW YORK
8500 2017 2 11212 KINGS
8500 2016 5 13350 HERKIMER
8500 2018 3 10010 NEW YORK
8500 2019 4 13901 BROOME
8500 2016 2 11501 NASSAU
8500 2017 3 11229 KINGS
8500 2017 6 13210 ONONDAGA
21250 2016 1 10302 RICHMOND
8500 2015 2 11550 NASSAU
8500 2020 4 10032 NEW YORK
21250 2016 1 10038 NEW YORK
21250 2016 1 10591 WESTCHESTER
Page 318 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GASTROINTESTINAL GROUP (43.161748, -77.620143) 1666 2093 56
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
MARY IMOGENE BASSETT HSP (43.070026, -74.994246) 559 2088 44
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
NISSENBAUM ALAN L MD (40.65642, -73.950691) 809 2090 31
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
COMMUNITY HLTH CTR OF RICHMOND,
INC
(40.566763, -74.148102) 609 2139 47
PLANNED PARENTHOOD OF NASSAU (40.715749, -73.601185) 1455 2094 6
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MENTAL HLTH ASSOC WESTCHESTER (41.039278, -73.805386) 1440 2185 53
Page 319 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
224
755
37 108
37 176
37 108
37 108
37 27
758
37 108
346
93
37 27
755
37 7
93
37 108
37 108
224
Page 320 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CERTIFIED NURSE MIDWIFE ELIZABETH
PHYSICIAN THAYANI
PHYSICIAN ERIC
PHYSICIAN LEONID
PHYSICIAN JOSE
PHYSICIAN ANTONIO
PHYSICIAN SINE
PHYSICIAN STEVEN
PHYSICIAN RODOLFO
PHYSICIAN RAVINDRA
PHYSICIAN HAGOP
PHYSICIAN JERRY
PHYSICIAN GLENN
PHYSICIAN KRISTEN
PHYSICIAN FARAJ
PHYSICIAN HAEJIN
PHYSICIAN JAMES
PHYSICIAN SHWETHA
PHYSICIAN ANIL
PHYSICIAN CARLOS
PHYSICIAN BUDDHADEV
PHYSICIAN REBECCA
Page 321 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SCHWARTZ 1376514687 1689669079 08/03/2020
DHAYAPARAN 1184710584 1801803903 11/11/2019
OBERMAN 1932140035 1467454967 06/25/2018
VOLFINZON 1952403933 1952403933 02/11/2019
FEFER 1528011103 1477958007 04/16/2018
CHUA 1386750727 1467469023 03/22/2021
AKTEN 1891010641 1467469023 09/04/2017
WALLACH 1336229830 1679587679 07/27/2020
GUZMAN 1205867835 1205867835 01/22/2018
GOYAL 1962446906 1962446906 07/09/2018
HAJIAN 1417992801 1073535027 03/05/2018
WEISSMAN 1972531093 1063426377 11/18/2019
MANN 1891987004 1063525152 07/06/2020
SAVAGE 1508969163 1508969163 06/01/2020
SAMRA 1346403839 1003978230 04/16/2018
IN 1932374246 1063525152 11/11/2019
CARROLL 1598721078 1003861782 10/16/2017
IYER 1326332503 1063525152 04/05/2021
DEV 1548279599 1437231693 02/12/2018
PINHEIRO NETO 1831403237 1548290455 05/03/2021
MANVAR 1629061833 1578695995 05/21/2018
MCATEER 1710145859 1285893719 07/05/2021
Page 322 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 3 12518 ORANGE
8500 2018 3 10038 NEW YORK
8500 2016 3 10532 WESTCHESTER
8500 2017 4 11235 KINGS
8500 2016 2 10025 NEW YORK
8500 2020 4 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2015 3 10451 BRONX
8500 2016 2 11230 KINGS
21250 2016 1 10038 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2019 2 10467 BRONX
5667 2019 2 14621 MONROE
8500 2016 4 11213 KINGS
8500 2018 3 10461 BRONX
8500 2015 5 12090 RENSSELAER
8500 2020 6 10451 BRONX
8500 2015 3 10458 BRONX
8500 2020 4 12208 ALBANY
8500 2016 5 11204 KINGS
8500 2020 5 10573 WESTCHESTER
Page 323 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
VOLFINZON LEONID (40.65642, -73.950691) 809 2090 31
ST LUKES-ROOSEVELT HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
GUZMAN DAMIANI RODOLFO W (40.85589, -73.868294) 675 2032 52
GOYAL RAVINDRA KUMAR MD (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SAVAGE KRISTEN (43.161748, -77.620143) 1666 2093 56
ELI ROSEN MD PC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRIMARY CARE HLTH PTRS NYLLP (42.70098, -73.628669) 38 2138 33
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
JASTY AND MANVAR PC (40.65642, -73.950691) 809 2090 31
OPEN DOOR FAMILY MEDICAL CENTER (41.039278, -73.805386) 1440 2185 53
Page 324 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
76
37 108
224
37 27
37 108
37 108
37 108
37 108
37 176
37 27
37 108
37 108
37 176
50 844
37 27
37 176
40 473
37 176
37 176
1 573
37 27
224
Page 325 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SUNGGEUN
PHYSICIAN RUMA
NURSE PRACTITIONER CINDY
PHYSICIAN MATTHEW
PHYSICIAN SHOSHANA
NURSE PRACTITIONER GINA
NURSE PRACTITIONER KATE
PHYSICIAN ROBERT
DENTIST OLEG
NURSE PRACTITIONER ANGELA
PHYSICIAN GENEVIEVE
PHYSICIAN DANIELLE
PHYSICIAN LAURI
PHYSICIAN SUSAN
PHYSICIAN RAYMOND
PHYSICIAN MARY BETH
PHYSICIAN LATHA
NURSE PRACTITIONER LINDA
PHYSICIAN NAHEED
PHYSICIAN LIWEN
Page 326 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEE 1780921825 1013924372 10/09/2017
SANYAL 1760567960 1760567960 01/01/2018
ANNECHINO 1306030234 1821029463 07/31/2017
TARELLO 1588927180 1285667634 03/16/2020
MARMON 1922327527 1356406136 09/04/2017
CUNEO-RAMOS 1477970663 1033178561 08/07/2017
BUSH 1417200957 1255360517 06/18/2018
HEYDING 1386842078 1144203498 07/03/2017
CHEREZOV 1538206404 1538206404 05/04/2018
SILVERNAIL 1154637619 1083664221 11/25/2019
SICURANZA 1174516215 1487691481 06/12/2017
KATZ 1972508901 1740228311 08/21/2017
BUDNICK 1326075367 1538114723 03/26/2018
CALLISTE-SCOTT 1033282538 1477505220 11/04/2019
TAM 1891757282 1497119846 11/13/2017
LOPAT-WINTER 1700851599 1013453273 08/02/2021
RAJAGOPAL 1881747848 1063525152 08/28/2017
NIEMIEC 1558691311 1063426377 04/27/2020
AHAMADI 1447328307 1427063270 08/10/2020
YE 1700188844 1093777492 06/19/2017
Page 327 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2016 4 11373 QUEENS
8500 2015 5 14642 MONROE
8500 2019 5 12801 WARREN
21250 2016 1 10038 NEW YORK
21250 2016 1 11216 KINGS
8500 2016 3 14621 MONROE
21250 2016 1 10013 NEW YORK
-21250 2013 1 11235 KINGS
8500 2018 4 13326 OTSEGO
21250 2016 1 11501 NASSAU
8500 2015 4 13057 ONONDAGA
8500 2016 4 11733 SUFFOLK
8500 2018 6 11418 QUEENS
21250 2016 1 11374 QUEENS
5667 2021 5 14228 ERIE
8500 2015 2 10467 BRONX
8500 2019 3 10038 NEW YORK
8500 2019 3 10038 NEW YORK
21250 2016 1 11219 KINGS
Page 328 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INC
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SANYAL RUMA MD (40.749338, -73.789673) 828 2137 11
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
ADIRONDACK PEDIATRICS PC (43.403024, -73.716044) 128 2183 35
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
BED STUY FAMILY HLTH CTR (40.65642, -73.950691) 809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
CHARLES B WANG COMM HTH CTR I (40.726966, -74.005966) 737 2095 50
CHEREZOV OLEG (40.65642, -73.950691) 809 2090 31
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
OB-GYN CONTEMPORARY CARE (40.715749, -73.601185) 1455 2094 6
UPSTATE ORTHOPEDICS LLP (43.065629, -76.168033) 713 2132 43
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
QUEENS PSYCHIATRIC & MEDICAL CARE (40.749338, -73.789673) 828 2137 11
MEDICAL HEALTH ASSOCIATES OF
WESTER
(42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
Page 329 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
50 844
522
37 108
37 27
50 844
37 108
37 27
529
93
755
137
37 111
37 111
646
37 176
37 108
37 108
37 27
Page 330 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DAVID
PHYSICIAN ELANA
NURSE PRACTITIONER REBECCA
PHYSICIAN LISA
PHYSICIAN LISA
NURSE PRACTITIONER MELISSA
PHYSICIAN CHING
PHYSICIAN BRIAN
PHYSICIAN MARIAN
NURSE PRACTITIONER CARYN
PHYSICIAN CHRISTINE
DENTIST JENNIFER
NURSE PRACTITIONER KARLENE
PHYSICIAN ZEESHAN
PHYSICIAN YOSSEF
PHYSICIAN CHRIS
PHYSICIAN MURRAY
PHYSICIAN ANDREA
PHYSICIAN GERALD
NURSE PRACTITIONER MARIETTA
PHYSICIAN TAHIR
Page 331 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SEIDMAN 1932268877 1932268877 01/12/2021
KASTNER 1992798037 1487691481 08/14/2017
DONN 1851458921 1417959701 12/25/2017
GALATI 1992705354 1548290455 03/12/2018
ANDERSON 1568425767 1922411065 09/16/2019
PROVOST 1245560242 1467487637 12/09/2019
CHIU 1174544605 1063426377 01/11/2021
HUNT 1013114545 1538114723 01/21/2019
DUMITRU 1194779652 1508812892 05/07/2018
WEISS 1275622698 1063525152 03/18/2019
HOM 1609878362 1467454967 12/24/2018
GIBBS 1093971210 1164555124 02/18/2019
DALE 1750343513 1427063270 12/23/2019
HASAN 1528005907 1528005907 03/25/2019
BLUM 1649430711 1063525152 01/22/2018
KJOLHEDE 1003873472 1083664221 08/21/2017
SCHWALB 1851368468 1427063270 08/10/2020
NISSENBAUM 1255342325 1124032982 10/07/2019
VOGEL 1366532343 1467454967 12/24/2018
GOODLIFF 1801244397 1184664948 11/27/2017
KHAN 1548577182 1740595917 09/04/2017
Page 332 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
-8500 2013 3 10028 NEW YORK
21250 2016 1 11501 NASSAU
8500 2016 5 10012 NEW YORK
8500 2015 3 12208 ALBANY
8500 2018 4 10019 NEW YORK
8500 2018 2 94601 OUT OF STATE
8500 2020 5 10038 NEW YORK
8500 2017 2 11716 SUFFOLK
8500 2016 4 11418 QUEENS
8500 2017 5 10467 BRONX
8500 2017 4 10532 WESTCHESTER
8500 2017 2 10010 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2017 3 11580 NASSAU
8500 2016 5 10461 BRONX
5667 2015 4 13326 OTSEGO
8500 2019 2 10038 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2017 3 10532 WESTCHESTER
21250 2016 1 14642 MONROE
21250 2016 1 10457 BRONX
Page 333 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SEIDMAN DAVID A MD (40.726966, -74.005966) 737 2095 50
OB-GYN CONTEMPORARY CARE (40.715749, -73.601185) 1455 2094 6
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
JAMAICA ANESTHESIA PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
HASAN ZEESHAN SULTANA MD (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
STRONG MEDICAL GROUP (43.161748, -77.620143) 1666 2093 56
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
Page 334 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
93
37 108
1 573
37 108
37 108
137
37 111
37 176
224
37 108
37 108
93
37 176
529
37 108
37 108
224
50 844
37 176
Page 335 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN PATRICIA
PHYSICIAN CARL
PHYSICIAN NATASHA
PHYSICIAN JOON WOO
PHYSICIAN DAVID
PHYSICIAN MARIA
PHYSICIAN CLIFFORD
PHYSICIAN JAMES
PHYSICIAN ALBERT
PHYSICIAN OLGA
PHYSICIAN HOMAIRA
CERTIFIED NURSE MIDWIFE PATRICIA
PHYSICIAN DARLENE
PHYSICIAN LADAN
PHYSICIAN ESTHER
PHYSICIAN ANTHONY
PHYSICIAN DAVID
PHYSICIAN NIPA
PHYSICIAN JESUS
PHYSICIAN YTHAN
Page 336 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CASTRO-AUVET 1649430414 1043224355 05/31/2021
KESSLER 1881767077 1285628552 07/31/2017
GINZBURG 1245530484 1003062043 06/26/2017
KIM 1437126638 1023024882 05/10/2021
CONTI 1295737740 1548290455 03/25/2019
LOMBARDI 1063404374 1467454967 08/26/2019
YOUNG 1437161114 1942364286 02/24/2020
SEXTON 1760416879 1063468239 11/12/2018
JEN 1326093543 1326093543 02/11/2019
ARGEROS 1619202645 1124060595 11/18/2019
RAHIMI 1790954006 1205940152 08/07/2017
FOX 1225344047 1477505220 03/29/2021
DENZIEN 1194810820 1063557189 03/26/2018
GOLESTANEH 1023199445 1063525152 03/11/2019
BUTLER 1528146446 1073535027 11/08/2021
SAMPINO 1306877105 1619969458 01/21/2019
KORONES 1841225620 1730110289 07/31/2017
GANDHI 1942471636 1568664928 10/02/2017
LANZA 1134421407 1659710796 08/25/2021
GOLDBERG 1033328562 1063525152 11/27/2017
Page 337 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 2 10038 NEW YORK
21250 2016 1 10701 WESTCHESTER
21250 2016 1 13210 ONONDAGA
8500 2020 2 10038 NEW YORK
8500 2017 6 12208 ALBANY
8500 2018 5 10532 WESTCHESTER
8500 2019 6 11236 KINGS
8500 2017 6 13202 ONONDAGA
8500 2017 6 11354 QUEENS
8500 2018 2 10457 BRONX
8500 2015 3 14642 MONROE
8500 2020 5 11416 QUEENS
8500 2016 4 13905 BROOME
8500 2017 5 10467 BRONX
8500 2021 4 10038 NEW YORK
8500 2017 4 11798 SUFFOLK
8500 2015 5 14642 MONROE
8500 2015 2 10025 NEW YORK
-21250 2016 1 11237 KINGS
8500 2016 2 10461 BRONX
Page 338 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JULIA DYCKMAN ANDRUS MEMORIAL, INC (41.039278, -73.805386) 1440 2185 53
UPSTATE UROLOGY, INC (43.065629, -76.168033) 713 2132 43
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
CITI MEDICAL OF CANARSIE PC (40.65642, -73.950691) 809 2090 31
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
JEN ALBERT SUN MD (40.749338, -73.789673) 828 2137 11
ST BARNABAS OBGYN PC (40.85589, -73.868294) 675 2032 52
PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY (43.161748, -77.620143) 1666 2093 56
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HUDSON RIVER HEALTHCARE INC (40.820237, -73.119032) 1421 2179 3
PEDIATRIC HEMATOLOGY ONCOLOGY (43.161748, -77.620143) 1666 2093 56
SLRHC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
WYCKOFF PROFESSIONAL MEDICAL
SERVIC
(40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 339 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
755
37 108
1 573
224
37 27
755
37 111
37 176
50 844
37 111
346
37 176
37 108
137
50 844
37 108
37 27
37 176
Page 340 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN WEI-HSIU
PHYSICIAN TIFFANY
PHYSICIAN PETER
PHYSICIAN LAURA
DENTIST HANIEL
PHYSICIAN SAMY
PHYSICIAN ORRY
CERTIFIED NURSE MIDWIFE JANET
PHYSICIAN EDOUARD
PHYSICIAN JOHN
PHYSICIAN DAVID
PHYSICIAN WILLIAM
PHYSICIAN NASHIHA
DENTIST DERIK
PHYSICIAN REHAN
DENTIST STANLEY
PHYSICIAN JONATHAN
PHYSICIAN TODD
DENTIST JOSE
DENTIST NAMTY
PHYSICIAN GURKAN
PHYSICIAN CATHY
Page 341 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LO 1528229473 1982010799 11/19/2018
LU 1568725257 1063525152 10/28/2019
O'NEILL 1073533634 1801857172 07/03/2017
GRADY 1396856977 1619341716 02/04/2019
ROSEMOND 1205040755 1164555124 07/17/2017
MCFARLANE 1902890528 1043224355 06/07/2021
EREZ 1609085786 1093777492 01/21/2019
WILLIAMS 1992880900 1023024882 12/09/2019
BELOTTE 1720048374 1801803903 01/20/2020
ANDRILLI 1033122940 1902009319 09/11/2017
GOLDMAN 1730245671 1063525152 07/10/2017
BLYMIRE 1306095468 1922073774 10/02/2017
SHAHID 1225140619 1225140619 08/28/2017
STUCKER 1336314400 1619969458 03/05/2018
ASIF 1801093505 1255360517 11/26/2018
MATTHEWS 1144665506 1275592693 11/15/2021
LEFF 1881779270 1063525152 10/25/2021
SIMON 1962412478 1770534984 12/23/2019
SANTANA 1942344411 1942344411 10/01/2018
LEE 1154577815 1508038514 09/03/2019
TAVILOGLU 1811919889 1063525152 10/25/2021
DELERME-PAGAN 1891733713 1891733713 09/16/2019
Page 342 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 3 11355 QUEENS
8500 2018 3 10461 BRONX
21250 2016 1 11530 NASSAU
8500 2017 5 11220 KINGS
21250 2016 1 10010 NEW YORK
8500 2020 2 10038 NEW YORK
8500 2017 2 11219 KINGS
8500 2018 2 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2015 4 10003 NEW YORK
21250 2016 1 10467 BRONX
8500 2015 5 14207 ERIE
8500 2015 4 14020 GENESEE
8500 2015 2 12501 DUTCHESS
8500 2017 6 14621 MONROE
-21250 2016 1 11206 KINGS
8500 2021 2 10467 BRONX
8500 2018 2 11215 KINGS
8500 2016 2 11209 KINGS
-21250 2014 1 11220 KINGS
8500 2021 6 10461 BRONX
8500 2018 4 11207 KINGS
Page 343 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MERCY CARE MEDICAL PLLC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMWOOD HEALTH CENTER (42.888143, -78.795544) 62 2041 63
SHAHID NASHIHA MD (43.000121, -78.172679) 489 2086 61
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
DENTAL SPECIALTY ASSOC PC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PARK SLOPE MEDICINE P C (40.65642, -73.950691) 809 2090 31
SANTANA JOSE E DDS (40.65642, -73.950691) 809 2090 31
SEVENTH AVENUE DENTAL PC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
DELERME-PAGAN CATHY MD (40.65642, -73.950691) 809 2090 31
Page 344 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 176
93
37 27
37 108
37 108
37 27
37 108
37 108
37 108
37 176
646
752
63
50 844
37 27
37 176
37 27
37 27
37 27
37 176
37 27
Page 345 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DAVID
NURSE PRACTITIONER JANICA
PHYSICIAN MICHAEL
PHYSICIAN MAGDY
PHYSICIAN CHRISTIANE
PHYSICIAN ANGELO
PHYSICIAN JAMES
PHYSICIAN SHWETHA
PHYSICIAN NIRANJAN
PHYSICIAN TOMMY
PHYSICIAN FARRUKH
PHYSICIAN KAREN
PHYSICIAN JENNIFER
PHYSICIAN MAY
PHYSICIAN GUOJUN
PHYSICIAN JESSICA
PHYSICIAN DARIANA
PHYSICIAN JONATHAN
PHYSICIAN MARK
PHYSICIAN TARA
DENTIST PAYAM
Page 346 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEE 1427098037 1255360517 08/21/2017
BARNETT 1881038396 1265598783 04/30/2018
GEWITZ 1730189895 1467454967 11/25/2019
MOHAMMED 1366461923 1114298932 03/19/2018
DAGHER 1184645905 1790787919 10/01/2018
POTENCIANO 1598798308 1447284328 05/28/2018
CHO 1194991737 1073535027 06/01/2020
IYER 1326332503 1063525152 11/11/2019
MITTAL 1083680003 1811939465 12/23/2019
GALANIS 1831454552 1740492347 03/12/2018
ANWER 1871554360 1740384247 09/02/2019
SELIGMAN 1629079694 1467454967 07/13/2020
CABRAL 1306132162 1427063270 10/25/2021
YU 1982959086 1013960962 02/18/2019
ZHANG 1821297391 1518907096 12/25/2017
ATRIO 1184882714 1063525152 08/21/2017
FRANCOIS 1124315254 1801803903 10/09/2017
DANIELS 1437125705 1194876300 09/11/2017
RAGUCCI 1477550655 1073535027 12/09/2019
REIMER 1295763670 1902098494 09/04/2017
KASHANI 1154413177 1801803903 09/07/2020
Page 347 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 3 14621 MONROE
21250 2016 1 10032 NEW YORK
8500 2018 3 10532 WESTCHESTER
8500 2016 6 11103 QUEENS
8500 2016 2 14214 ERIE
8500 2016 2 12208 ALBANY
8500 2019 3 10038 NEW YORK
8500 2018 4 10451 BRONX
8500 2018 4 11209 KINGS
8500 2015 3 11368 QUEENS
8500 2018 6 13021 CAYUGA
8500 2019 6 10532 WESTCHESTER
8500 2021 5 10038 NEW YORK
8500 2017 2 11355 QUEENS
8500 2016 2 13210 ONONDAGA
8500 2015 2 10461 BRONX
21250 2016 1 10038 NEW YORK
8500 2015 4 14214 ERIE
8500 2018 2 10038 NEW YORK
5667 2015 2 14127 ERIE
8500 2019 2 10038 NEW YORK
Page 348 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
BETTER CARE INC (40.749338, -73.789673) 828 2137 11
COMM HLTH CTR BUFFALO INC (42.888143, -78.795544) 62 2041 63
ALBANY MEDICAL COLLEGE (42.678066, -73.814233) 40 2030 34
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NIRANJAN K MITTAL PHYSICIAN PLLC (40.65642, -73.950691) 809 2090 31
NATIONAL PEDIATRICS MD PC (40.749338, -73.789673) 828 2137 11
AUBURN PEDIATRICS PLLC (42.940095, -76.560755) 343 618 43
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
NEW YORK HOSPITAL MEDICAL CEN (40.749338, -73.789673) 828 2137 11
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MAIN BUFFALO PEDIATRICS LLP (42.888143, -78.795544) 62 2041 63
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CARROW STREET PEDIATRICS PLLC (42.888143, -78.795544) 62 2041 63
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 349 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 108
224
37 111
646
1 573
37 108
37 176
37 27
37 111
660
224
37 108
37 111
755
37 176
37 108
646
37 108
646
37 108
Page 350 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER ROSAMOND
PHYSICIAN DAVID
PHYSICIAN VICTORIA
PHYSICIAN MANAL
PHYSICIAN ASHRAF
NURSE PRACTITIONER MEGHAN
NURSE PRACTITIONER TINA
NURSE PRACTITIONER ERIN
NURSE PRACTITIONER ANTHONY
NURSE PRACTITIONER LAUREN
PHYSICIAN FRIDA
PHYSICIAN SYEDUR
PHYSICIAN BABU
PHYSICIAN PATRICIA
NURSE PRACTITIONER OURANIA
PHYSICIAN SAMUEL
PHYSICIAN SUSAN
PHYSICIAN MINDY
PHYSICIAN KRISTEN
PHYSICIAN KELLEY
Page 351 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PAYNE 1427276005 1346380870 08/14/2017
AGUILAR 1003973777 1427063270 02/15/2021
GORSKI 1003986290 1003990763 11/27/2017
SOLIMAN 1104867084 1982659470 04/16/2018
SABAHAT 1386654051 1760582142 07/02/2018
LYNCH 1699063495 1396711982 11/11/2019
ONEILL 1780723007 1053497388 03/15/2021
SHINDLE 1336557941 1194832477 07/17/2017
CERMINARO 1013940931 1063468239 08/14/2017
KEMPH 1124360862 1265598783 04/30/2018
POPILEVSKY 1104086156 1124032982 05/12/2021
CHOWDHURY 1942294392 1801803903 10/09/2017
JASTY 1326031535 1578695995 05/11/2020
CHUI 1427249036 1073535027 11/08/2021
CHAMBERS-WALRAVEN 1992825632 1265598783 06/18/2018
DELEON 1770589111 1487051207 09/10/2018
SAINT JOHN 1417913054 1184670465 05/14/2018
STATTER 1952466799 1063525152 10/09/2017
NAVARETTE 1275890907 1750315636 01/08/2018
SOOKRAJ 1689852386 1801857172 05/18/2020
Page 352 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 11212 KINGS
8500 2020 3 10038 NEW YORK
8500 2016 3 10458 BRONX
8500 2016 4 11733 SUFFOLK
8500 2016 4 14865 SCHUYLER
8500 2018 4 12307 SCHENECTADY
8500 2020 5 13619 JEFFERSON
21250 2016 1 10467 BRONX
8500 2015 3 13210 ONONDAGA
21250 2016 1 10032 NEW YORK
-21250 2016 1 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2019 6 11204 KINGS
8500 2021 3 10038 NEW YORK
21250 2016 1 10032 NEW YORK
8500 2016 5 10459 BRONX
8500 2016 4 11355 QUEENS
21250 2016 1 10467 BRONX
21250 2016 1 12208 ALBANY
8500 2019 4 11209 KINGS
Page 353 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BROOKDALE HSP MED CTR (40.65642, -73.950691) 809 2090 31
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE HOSP MEDICAL GROUP (40.85589, -73.868294) 675 2032 52
STONY BROOK FAMILY MED GRP UFPC (40.820237, -73.119032) 1421 2179 3
SCHUYLER HOSPITAL INC (42.38593, -76.872032) 2143 58
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
CARTHAGE AREA HOSPITAL INC (44.019295, -75.898971) 1466 2089 41
PRESBYTERIAN HSP CITY OF NY (40.85589, -73.868294) 675 2032 52
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
JASTY AND MANVAR PC (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
VAIL HEALTHCARE MEDICAL PLLC (40.85589, -73.868294) 675 2032 52
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
NASSAU UNIVERSITY MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
Page 354 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 108
37 176
137
494
617
705
37 176
755
37 108
37 108
37 108
37 27
37 108
37 108
37 176
37 111
37 176
1 573
37 27
Page 355 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST SURENDRA
PHYSICIAN ARAVIND
PHYSICIAN MICHAEL
DENTIST JUAN
DENTIST MARCI
NURSE PRACTITIONER JAMIE
PHYSICIAN HASSAN
PHYSICIAN LINDA
PHYSICIAN GIANHNA
PHYSICIAN ALBERTO
PHYSICIAN YA LI
DENTIST SAMUEL
PHYSICIAN ANNE
PHYSICIAN GEORGES
PHYSICIAN ANANT
PHYSICIAN HOLLY
PHYSICIAN RONALD
PHYSICIAN ELI
PHYSICIAN ROBERT
PHYSICIAN JOSIREE
NURSE PRACTITIONER DANIELLE
PHYSICIAN LAN
Page 356 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PATEL 1013907070 1013907070 12/08/2017
POTHULA 1871751479 1063525152 09/30/2019
ROSEN 1457351454 1669470019 04/26/2021
PESANTES 1225208101 1225208101 11/03/2017
LEVINE 1255321931 1164555124 02/18/2019
KOBAN 1821226085 1821226085 09/09/2019
SHAWA 1467616912 1386689248 03/01/2021
TEWKSBURY 1912060682 1073535027 06/19/2017
GIL SANCHEZ 1194046755 1619969458 07/17/2017
FRANCO-AKEL 1194080317 1013924372 10/04/2021
CHEN 1174572440 1255360517 06/18/2018
KRAMER 1497811699 1164555124 02/18/2019
BARMETTLER 1336383538 1063525152 10/07/2019
SYLVESTRE 1538273321 1063426377 04/13/2020
INDARAM 1629015037 1629015037 03/26/2018
LOUDON 1487630570 1124392212 12/30/2019
WHARTON 1669430633 1063525152 01/29/2018
GASINU 1346503679 1851650550 03/12/2018
BEACH 1770541187 1518907096 04/30/2018
OCHOTORENA 1669575221 1861589384 11/27/2017
SHIFFLET 1598103764 1255360517 12/03/2018
HE 1659382364 1659382364 11/19/2018
Page 357 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
-21250 2014 1 10468 BRONX
8500 2018 3 10461 BRONX
8500 2020 3 10977 ROCKLAND
-21250 2013 1 11418 QUEENS
8500 2017 2 10010 NEW YORK
8500 2018 5 14225 ERIE
8500 2020 5 12208 ALBANY
21250 2015 1 10038 NEW YORK
21250 2016 1 11967 SUFFOLK
8500 2021 5 10038 NEW YORK
8500 2016 4 14607 MONROE
8500 2017 2 10010 NEW YORK
8500 2018 4 10467 BRONX
8500 2019 5 10038 NEW YORK
8500 2015 3 11040 NASSAU
8500 2018 4 10029 NEW YORK
8500 2016 6 10467 BRONX
21250 2016 1 10458 BRONX
8500 2016 5 13202 ONONDAGA
8500 2015 3 13601 JEFFERSON
8500 2017 4 14621 MONROE
8500 2017 5 10013 NEW YORK
Page 358 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PATEL SURENDRA R DDS (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
PESANTES DENTAL PC (40.749338, -73.789673) 828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
KOBAN JAMIE LYNNE (42.888143, -78.795544) 62 2041 63
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HUDSON RIVER HEALTHCARE INC (40.820237, -73.119032) 1421 2179 3
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
INDARAM ANANT V MD (40.715749, -73.601185) 1455 2094 6
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HARLEM MEDICAL GROUP P C (40.85589, -73.868294) 675 2032 52
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
CHILD & ADOLESCENT HLTH ASSOC (44.019295, -75.898971) 1466 2089 41
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
HE LAN MD PC (40.726966, -74.005966) 737 2095 50
Page 359 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
154
37 111
37 108
646
1 573
37 108
137
37 108
50 844
37 108
37 176
37 108
93
37 108
37 176
37 176
755
705
50 844
37 108
Page 360 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ERIKA
PHYSICIAN BARBARA
NURSE PRACTITIONER CLAIRE
PHYSICIAN HOWARD
NURSE PRACTITIONER MARY ELLEN
NURSE PRACTITIONER GERTRUDES
CERTIFIED NURSE MIDWIFE MARYELLEN
NURSE PRACTITIONER ROMEO
DENTIST IRIT
PHYSICIAN COLETTE
PHYSICIAN ANDREW
PHYSICIAN HERBERT
NURSE PRACTITIONER EVELYN
PHYSICIAN BRIDGET
NURSE PRACTITIONER GLORIA
NURSE PRACTITIONER MARIA
DENTIST SCOTT
PHYSICIAN ISAIAH
PHYSICIAN DOUGLAS
PHYSICIAN JOACHIM
Page 361 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BRUTSAERT 1356501134 1063525152 11/04/2019
MENICO DILOS 1629014451 1063426377 08/23/2021
KIEFER 1407239635 1619341716 11/27/2017
STUPAK 1932197852 1023024882 03/22/2021
XAVIER FLANAGAN 1710115415 1508850280 01/05/2018
LEAL 1639553241 1073535027 03/05/2018
HUGHES 1063577278 1679587679 09/27/2021
CAYANAN 1194818849 1063426377 05/07/2018
SUSSMAN MIROCZNIK 1447305065 1720177066 07/30/2018
KNIGHT 1063612596 1063525152 03/18/2019
CHIN 1720170020 1467469023 11/25/2019
LAZARUS 1730288416 1073535027 08/07/2017
SANTIAGO 1700214988 1689669079 10/28/2019
FRAWLEY 1457511057 1811921786 06/04/2018
MCCANN FORTUNE 1952447005 1376642371 06/12/2017
MILAZZO 1588789333 1417983024 08/13/2018
WEISS 1003026899 1003026899 02/26/2019
FRIEDMAN 1407170319 1710135686 12/10/2018
UNIS 1700847803 1124550280 07/27/2020
FUKS 1568430221 1063525152 03/04/2019
Page 362 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 4 10461 BRONX
8500 2021 5 10038 NEW YORK
21250 2016 1 11220 KINGS
8500 2020 3 10038 NEW YORK
-8500 2013 2 13142 OSWEGO
21250 2016 1 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2016 2 10038 NEW YORK
8500 2016 5 11249 KINGS
8500 2017 2 10461 BRONX
8500 2018 2 10038 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2018 2 12518 ORANGE
8500 2016 4 12208 ALBANY
21250 2016 1 11777 SUFFOLK
8500 2016 3 11725 SUFFOLK
-21250 2014 1 11360 QUEENS
8500 2017 6 11214 KINGS
8500 2019 3 10019 NEW YORK
8500 2017 2 10461 BRONX
Page 363 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
JOHN T MATHER MEMORIAL HOSPITAL (40.820237, -73.119032) 1421 2179 3
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
WEISS SCOTT EVAN DDS (40.749338, -73.789673) 828 2137 11
FLUSHING RADIATION ONCOLOGY
SERVICE
(40.65642, -73.950691) 809 2090 31
ICAHN SCHOOL OF MEDICINE AT MOUNT S (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 364 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 108
37 27
37 108
533
37 108
37 108
37 108
37 27
37 176
37 108
37 108
76
1 573
137
137
37 111
37 27
37 108
37 176
Page 365 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JAMES
PHYSICIAN HEIDI
PHYSICIANS ASSISTANT MARLENE
PHYSICIAN FEDERICO
PHYSICIAN MICHAEL
PHYSICIAN ANNA
NURSE PRACTITIONER PRIYA
PHYSICIAN ELVIN
PHYSICIAN SCOTT
NURSE PRACTITIONER SUSAN
PHYSICIAN STEPHANIE
CERTIFIED NURSE MIDWIFE DIANE
PHYSICIAN MICHELLE
PHYSICIAN RAJA
PHYSICIAN HOSSEIN
PHYSICIAN HEIDI
CERTIFIED NURSE MIDWIFE DEWAN
PHYSICIAN YVONNE
PHYSICIAN ANDREI
NURSE PRACTITIONER URSINA
PHYSICIAN WOJCIECH
Page 366 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WALLACE 1649369976 1104861772 04/16/2018
BOULES 1891922142 1063525152 07/17/2017
MINARIK 1114950425 1740595917 05/03/2021
GATTORNO 1164657003 1467469023 03/22/2021
RUFINO 1629245923 1063525152 06/29/2020
ROZENTUL 1790978955 1790978955 12/25/2017
LOUIS 1083041131 1194832477 05/14/2018
PARSON 1023165339 1013924372 07/13/2020
SCHURMAN 1821038548 1770539066 09/16/2019
MARMION 1235338468 1922073774 06/04/2018
OLIVA 1437437043 1497855670 01/28/2019
NICHOLSON 1457358095 1467586792 02/03/2020
RATAU 1336115757 1457665937 05/03/2021
SABBAGH 1720199151 1033124961 08/26/2019
SADEGHI 1063423028 1447518550 10/23/2017
BEUTLER 1053385864 1194832477 08/07/2017
DUAN 1366431389 1548208127 08/10/2020
CRUZ 1013036532 1437231693 05/07/2018
FROST 1639262868 1063525152 10/28/2019
MERCADO 1033359104 1619341716 04/20/2020
RYNCARZ 1144511684 1619341716 02/04/2019
Page 367 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 6 14642 MONROE
21250 2016 1 10467 BRONX
8500 2020 4 10457 BRONX
8500 2020 4 10038 NEW YORK
8500 2019 2 10467 BRONX
8500 2015 3 11235 KINGS
8500 2016 2 10032 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2018 6 13210 ONONDAGA
8500 2016 6 14207 ERIE
8500 2017 3 13601 JEFFERSON
8500 2018 5 11219 KINGS
8500 2020 4 10457 BRONX
8500 2018 2 10038 NEW YORK
8500 2016 4 10032 NEW YORK
8500 2015 3 10032 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2016 4 10458 BRONX
8500 2018 2 10461 BRONX
8500 2019 5 11211 KINGS
8500 2017 3 11220 KINGS
Page 368 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PEDIATRICS & ADOLESCENT MEDICINE (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROZENTUL ANNA V (40.65642, -73.950691) 809 2090 31
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
ELMWOOD HEALTH CENTER (42.888143, -78.795544) 62 2041 63
PEDIATRIC ASSOCIATES OF WATER (44.019295, -75.898971) 1466 2089 41
BORO PARK OBSTETRICS & GYNECOLOGY
P
(40.65642, -73.950691) 809 2090 31
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
Page 369 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 176
37 176
37 108
37 176
37 27
37 108
37 108
755
646
705
37 27
37 176
37 108
37 108
37 108
37 108
37 176
37 176
37 27
37 27
Page 370 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN LAUREN
NURSE PRACTITIONER KATHLEEN
PHYSICIAN MORIS
NURSE PRACTITIONER ASHLEY
PHYSICIAN NATHAN
PHYSICIAN PATRICIA
NURSE PRACTITIONER EDMUND
PHYSICIAN MARTINE
NURSE PRACTITIONER AMBER
NURSE PRACTITIONER ALIYA
PHYSICIAN SIKHA
PHYSICIAN RONALD
PHYSICIAN SANDRA
PHYSICIAN DIANA
PHYSICIAN ANGELLE
PHYSICIAN LORI
PHYSICIAN SARRA
NURSE PRACTITIONER KOREEN
NURSE PRACTITIONER ABDUL-RAZAK
PHYSICIAN HOWARD
PHYSICIAN SALIMA
Page 371 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NALIBOFF 1891196366 1073535027 10/09/2017
SHEA 1518029818 1447518550 12/17/2018
ANGULO 1477573269 1952325367 01/22/2018
TRACY 1174954820 1407907215 12/30/2019
LITMAN 1225114168 1063525152 02/05/2018
MCQUADE-KOORS 1235214693 1063525152 03/18/2019
JAMES 1891170627 1427063270 10/09/2017
LOUIS 1013162858 1184670465 05/07/2018
LANGE 1902188980 1164456067 03/25/2019
BEKBOLATOVA 1023408416 1467469023 05/25/2020
GUHA 1851485114 1063525152 07/06/2020
SCHENENDORF 1447346069 1073689600 10/28/2019
SEMPLE 1609934348 1427063270 11/01/2021
WILLIAMS 1033155858 1588765952 09/02/2019
BREBNOR 1013234590 1154354140 02/18/2019
ELLIS 1467687756 1083660575 01/08/2018
SOLOMON 1831164060 1760582142 07/29/2019
THOMAS 1659473494 1689669079 05/03/2021
MOHAMMED 1346668712 1033124961 04/06/2020
MOSKOWITZ 1104082825 1063525152 10/28/2019
ALWANI 1205910536 1205910536 04/30/2018
Page 372 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2017 2 10032 NEW YORK
8500 2016 4 11501 NASSAU
8500 2018 2 13601 JEFFERSON
8500 2016 6 10467 BRONX
8500 2017 5 10467 BRONX
21250 2016 1 10038 NEW YORK
8500 2016 5 11355 QUEENS
8500 2017 2 12209 ALBANY
8500 2019 2 10038 NEW YORK
8500 2019 6 10467 BRONX
8500 2018 5 11545 NASSAU
8500 2021 5 10038 NEW YORK
5667 2018 2 14606 MONROE
8500 2017 4 14222 ERIE
21250 2016 1 11787 SUFFOLK
8500 2018 5 14865 SCHUYLER
8500 2020 6 12518 ORANGE
8500 2019 3 10038 NEW YORK
8500 2018 5 10038 NEW YORK
8500 2016 2 11366 QUEENS
Page 373 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
PLANNED PRTHD NORTH COUNTRY NY,
INC
(44.019295, -75.898971) 1466 2089 41
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ADVANTAGE CARE D AND T CTR (40.715749, -73.601185) 1455 2094 6
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
LONG POND PEDIATRICS LLP (43.161748, -77.620143) 1666 2093 56
UNIVERSITY GYN & OB INC (42.888143, -78.795544) 62 2041 63
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
SCHUYLER HOSPITAL INC (42.38593, -76.872032) 2143 58
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
ALWANI SALIMA (40.749338, -73.789673) 828 2137 11
Page 374 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
93
705
37 176
37 176
37 108
37 111
1 573
37 108
37 176
93
37 108
50 844
646
137
494
76
37 108
37 108
37 111
Page 375 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN CYNTHIA
NURSE PRACTITIONER ANDREA
NURSE PRACTITIONER MIEKE
PHYSICIAN MARIA
PHYSICIAN RUI
PHYSICIAN WEIYI
DENTIST LEYLA
PHYSICIAN DANIEL
PHYSICIAN MIRIAM
PHYSICIAN IN
NURSE PRACTITIONER KAREN
NURSE PRACTITIONER COLLETTE
PHYSICIAN MATTHIAS
DENTIST MIJIN
NURSE PRACTITIONER GERTRUDESENCARNACION
PHYSICIAN HARRIET
PHYSICIAN LISA
NURSE PRACTITIONER DANIEL
PHYSICIAN JENNIFER
PHYSICIAN MICHAEL
Page 376 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
VICTOR 1134449044 1427063270 05/17/2021
JURGRAU-VOULGARIS 1710018759 1194832477 07/31/2017
SCHMITZ 1316353790 1619341716 02/04/2019
ADAMS 1245582915 1598707812 07/31/2017
YANG 1215280532 1063525152 10/18/2021
GAO 1760642961 1558627844 08/03/2020
ESCUDERO 1033190855 1033190855 11/02/2018
STEPHENS 1669799516 1457665937 09/11/2017
POMERANZ 1457340499 1073535027 10/09/2017
HAN 1740330356 1740330356 03/04/2019
MCKEARNEY 1699895029 1194832477 01/08/2018
BROWN 1932203239 1063525152 03/11/2019
KUGLER 1922298090 1073535027 09/06/2021
CHOI 1962661728 1164555124 11/25/2019
ALCANTARA 1639553241 1619341716 03/22/2021
WIEDER 1518014349 1467454967 02/22/2021
BRABHAM 1063455293 1467469023 11/22/2021
YASHAYEV 1558635920 1063426377 01/18/2021
CAMPAGNA 1619007895 1821001579 08/02/2021
TERRANOVA 1376509976 1417036708 03/02/2020
Page 377 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 3 10038 NEW YORK
8500 2015 4 10032 NEW YORK
8500 2017 2 11209 KINGS
21250 2016 1 14420 MONROE
8500 2021 6 10467 BRONX
8500 2019 6 10003 NEW YORK
-21250 2014 1 11373 QUEENS
21250 2016 1 10457 BRONX
21250 2016 1 10038 NEW YORK
8500 2017 6 11717 SUFFOLK
8500 2016 5 10032 NEW YORK
8500 2017 4 10458 BRONX
8500 2021 3 10038 NEW YORK
8500 2018 3 10010 NEW YORK
8500 2020 3 11220 KINGS
8500 2020 5 10532 WESTCHESTER
8500 2021 5 10038 NEW YORK
8500 2020 5 10038 NEW YORK
8500 2021 6 13045 CORTLAND
8500 2019 5 14026 ERIE
Page 378 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
OAK ORCHARD COMM HLTH CTR INC (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
ESCUDERO LEYLA DDS (40.749338, -73.789673) 828 2137 11
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HAN IN HO MD (40.820237, -73.119032) 1421 2179 3
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CORTLAND CTY COMM SRVCS BOARD (42.597101, -76.143291) 362 620 44
MICHAEL D TERRANOVA & MARK D
BEZBAT
(42.888143, -78.795544) 62 2041 63
Page 379 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 27
50 844
37 176
37 108
37 111
37 176
37 108
137
37 108
37 176
37 108
37 108
37 27
224
37 108
37 108
537
646
Page 380 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER FATEMA
PHYSICIAN SARAH
PHYSICIAN TJARK
PHYSICIAN KATE
PHYSICIAN PATRICK
PHYSICIAN JENNIFER
DENTIST BENJY
NURSE PRACTITIONER VICKI
PHYSICIAN IRINA
NURSE PRACTITIONER ROSIE
PHYSICIAN KIRAN
PHYSICIAN RAJWANTH
PHYSICIAN MARIA
PHYSICIAN MARITZA
PHYSICIAN PETER
PHYSICIAN ANDREW
PHYSICIAN JOHN
PHYSICIAN CLAUDE
PHYSICIAN OSCAR
DENTIST MARCI
PHYSICIAN ANTHONY
Page 381 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SADEQUE-IQBAL 1710388830 1265596548 08/07/2017
MILLER 1235397506 1295729408 08/14/2017
SCHLIEP 1649291808 1033124961 08/05/2019
TWELKER 1699071183 1063426377 01/25/2021
COLLEY 1114244373 1063426377 10/09/2017
SCHERER 1245559442 1073535027 08/31/2020
GOLDSTEIN 1760501522 1265657662 10/11/2019
MONTICELLO 1114084928 1821266321 07/27/2020
MEYER 1558430124 1720177066 09/23/2019
TE-FREY 1063414837 1508266347 07/05/2021
SHAH 1801967963 1013924372 04/20/2020
VELUSWAMY 1659508448 1659639524 07/27/2020
GBUR 1528398062 1063525152 01/15/2018
MARTINEZ 1245495464 1417983024 03/19/2018
SIMONSON 1811973258 1811973258 06/11/2018
SWIDERSKI 1568467868 1467487637 07/05/2021
ROSENBERGER 1467448050 1700816626 11/25/2019
SIMON 1811982424 1033124961 10/11/2021
BLANCO-FRANCO 1881709228 1437477312 11/27/2017
LEVINE 1255321931 1164555124 11/22/2021
ANDREWS 1457348781 1225072051 09/25/2017
Page 382 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10459 BRONX
8500 2015 5 10453 BRONX
8500 2018 2 10038 NEW YORK
8500 2020 5 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2019 2 10038 NEW YORK
-21250 2014 1 12550 ORANGE
8500 2019 3 13790 BROOME
8500 2018 3 11249 KINGS
8500 2020 5 10032 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2019 2 10029 NEW YORK
8500 2016 4 10458 BRONX
8500 2015 2 11746 SUFFOLK
8500 2015 3 10901 ROCKLAND
8500 2020 5 10562 WESTCHESTER
8500 2018 6 12203 ALBANY
8500 2021 4 10038 NEW YORK
8500 2015 2 11372 QUEENS
8500 2021 5 10010 NEW YORK
8500 2015 4 13202 ONONDAGA
Page 383 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
URBAN HEALTH PLAN INC (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BENJY GOLDSTEIN GEORGE FREUD (41.422459, -74.241929) 1496 2134 32
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
PETER T SIMONSON MD PLLC (41.127287, -74.017033) 1546 628 27
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MT SINAI SCHOOL OF MEDICINE OF NEW (40.749338, -73.789673) 828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
OPHTHALMOLOGY MEDICAL SVC GROUP (43.065629, -76.168033) 713 2132 43
Page 384 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
37 108
37 108
37 108
37 108
76
346
37 27
37 108
37 108
37 108
37 176
137
154
224
1 573
37 108
37 111
37 108
755
Page 385 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN THAIS
PHYSICIAN REBECCA
PHYSICIAN BRADLEY
NURSE PRACTITIONER CARMEL
PHYSICIAN JUDITH
PHYSICIAN HOLLY ANN
PHYSICIAN ELLEN
PHYSICIAN SARIKA
NURSE PRACTITIONER DERVELYNE
PHYSICIAN LUZ
PHYSICIAN ALEXIS
NURSE PRACTITIONER CHRISTINA
PHYSICIAN ERNESTO
PHYSICIAN ANTONY
PHYSICIAN JASON
NURSE PRACTITIONER CAITLYN
PHYSICIAN MURRAY
PHYSICIAN CHRISTINA
PHYSICIAN JAGADISH
DENTIST MAYNARD
PHYSICIAN FELICIA
Page 386 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CASTILLO 1457646358 1063525152 04/12/2021
MCATEER 1710145859 1285893719 01/21/2019
SAFRO 1376826883 1437477312 03/19/2018
HIPPIAS 1922169895 1952332801 09/18/2017
CHERVENAK 1366504706 1073535027 12/09/2019
RUSSELL 1013123389 1740220698 04/16/2018
MORRISON 1750439485 1194832477 01/28/2019
MODI 1992902142 1073535027 07/13/2020
DESSALINES 1861736555 1033124961 04/13/2020
MATIZ-ZANONI 1881673572 1194832477 01/28/2019
BORO 1457436131 1063525152 08/14/2017
JONES 1275964942 1083664221 08/17/2020
DIAZ-ORDAZ 1114965738 1366473183 05/29/2017
PERRY 1841368503 1760407571 08/21/2017
STEINDLER 1790984243 1841226594 05/03/2021
TERESI 1639523830 1508850280 08/14/2017
SCHWALB 1851368468 1427063270 03/29/2021
ASIG 1750346490 1801037270 09/04/2017
AKELLA 1093982357 1801857172 05/03/2021
GOLDBERG 1154489367 1164555124 11/25/2019
FOJAS 1881936482 1063426377 10/09/2017
Page 387 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 6 10458 BRONX
8500 2017 3 10573 WESTCHESTER
8500 2015 3 11372 QUEENS
8500 2015 3 10032 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2016 6 14642 MONROE
8500 2017 6 10032 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2017 6 10032 NEW YORK
8500 2015 4 10467 BRONX
8500 2019 4 13326 OTSEGO
21250 2016 1 14203 ERIE
8500 2015 3 11937 SUFFOLK
8500 2020 2 12208 ALBANY
21250 2016 1 13126 OSWEGO
8500 2020 3 10038 NEW YORK
21250 2016 1 10003 NEW YORK
8500 2020 4 11554 NASSAU
8500 2018 3 10010 NEW YORK
21250 2016 1 10038 NEW YORK
Page 388 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
MT SINAI SCHOOL OF MEDICINE OF NEW (40.749338, -73.789673) 828 2137 11
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
EAST END PEDIATRICS PC (40.820237, -73.119032) 1421 2179 3
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
FIFTH AVENUE COUNSELING CENTER INC (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 389 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
224
37 111
37 108
37 108
50 844
37 108
37 108
37 108
37 108
37 176
529
646
137
1 573
533
37 108
37 108
93
37 108
37 108
Page 390 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER JUNG HOON
PHYSICIAN JOSPEH
NURSE PRACTITIONER WILLIAM
PHYSICIAN SHARON
PHYSICIAN SUSANNE
PHYSICIAN SUDHEERA
PHYSICIAN DIANA
PHYSICIAN ADITYA
PHYSICIAN MARY ANN
PHYSICIAN MONEEKA
NURSE PRACTITIONER STASI
PHYSICIAN ADOLFO
PHYSICIAN MARIA
PHYSICIAN NATALIE
NURSE PRACTITIONER YVONNE
NURSE PRACTITIONER LUCY
PHYSICIAN SUJATHA
PHYSICIAN JESI
NURSE PRACTITIONER LEENA
PHYSICIAN LEELA
NURSE PRACTITIONER KATHRYN
PHYSICIAN CONSTANTINE
Page 391 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PARK 1093111627 1851403398 01/22/2018
CALABRO 1114996253 1114996253 03/25/2019
LINSKY 1760445969 1275589582 01/01/2018
PATRICK 1073587374 1063525152 11/27/2017
BURGER 1174635676 1023024882 06/01/2020
KOKKADA SATHYANARAYANA 1427299445 1427063270 08/10/2020
LEE 1215105960 1063525152 12/25/2017
MAHESHWARI 1053512574 1043224355 09/06/2021
FLYNN GAMENG 1255531000 1467454967 04/20/2020
ZAMAN 1841282688 1467454967 11/18/2019
LUBANSKY 1477631174 1952332801 12/23/2019
JAITOVICH 1033438973 1386689248 03/25/2019
GOMEZ 1164592374 1063525152 04/05/2021
JOUVE 1962782904 1689669079 08/03/2020
EISNER 1033119011 1295729408 06/18/2018
LEWIS 1982725115 1467486449 07/22/2019
HAMILTON 1790053254 1467469023 07/31/2017
RAMONE 1407819907 1578612412 11/04/2019
VATTAPPALLY 1629406855 1063525152 10/21/2019
VENKAT 1013978840 1043224355 09/06/2021
PAGET 1720497977 1861907321 08/17/2020
FARMAKIDIS 1508970948 1063525152 08/21/2017
Page 392 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 11717 SUFFOLK
5667 2017 5 12601 DUTCHESS
8500 2016 2 13210 ONONDAGA
8500 2016 2 10021 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2019 2 10038 NEW YORK
21250 2016 1 10467 BRONX
8500 2021 3 10038 NEW YORK
8500 2019 4 10532 WESTCHESTER
8500 2018 5 10532 WESTCHESTER
8500 2018 3 10021 NEW YORK
8500 2017 3 12208 ALBANY
8500 2020 3 10467 BRONX
8500 2019 4 12518 ORANGE
8500 2016 6 10453 BRONX
8500 2018 4 10035 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2018 3 11212 KINGS
8500 2018 3 12563 PUTNAM
8500 2021 4 10038 NEW YORK
8500 2019 5 10032 NEW YORK
8500 2015 2 10461 BRONX
Page 393 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SUFFOLK FIRST MEDICAL P C (40.820237, -73.119032) 1421 2179 3
CALABRO JOSEPH P MD (41.686216, -73.840468) 1022 2040 30
UPSTATE EMERGENCY MEDICINE INC (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
EAST HARLEM COUNCIL HUM SERV (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (41.41131, -73.717443) 1201 627 29
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 394 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
63
755
37 108
37 108
37 108
37 176
37 108
224
224
37 108
1 573
37 176
76
37 176
37 108
37 108
37 27
272
37 108
37 108
37 176
Page 395 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SAMEERA
PHYSICIAN ARTI
PHYSICIAN NAN
DENTIST TERRI
PHYSICIAN KENNETH
PHYSICIAN MICHAEL
PHYSICIAN YVONNE
DENTIST BIJAN
CERTIFIED NURSE MIDWIFE SHARON
NURSE PRACTITIONER LORRAINE
PHYSICIAN JUAN
NURSE PRACTITIONER CHERYL
DENTIST ANGELA
PHYSICIAN SEAN
PHYSICIAN ALICE
PHYSICIAN DENNIS
PHYSICIAN JAMES
PHYSICIAN ELIZABETH
PHYSICIAN MARIA
DENTIST BENJAMIN
Page 396 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HAROON 1194937805 1194937805 11/06/2017
SHAH 1235174053 1235174053 12/23/2019
SALAMON 1487627527 1194832477 08/07/2017
BELL 1053335745 1467487637 07/05/2021
PINSKER 1306936273 1063525152 06/22/2020
COSTANZA 1679523542 1376590117 05/25/2020
CRUZ 1013036532 1437231693 02/19/2018
MOGHADAM 1528270139 1164555124 01/06/2020
JOHNSON 1265570451 1477505220 09/04/2017
MEDINA 1306856109 1255360517 12/16/2019
REMON 1437307865 1679587679 09/11/2017
HAYES 1215064217 1366473183 11/08/2021
KAMER 1437410842 1164555124 11/22/2021
FULLERTON 1124205398 1013924372 10/04/2021
YAO 1366600736 1063426377 11/18/2019
KIM 1427142785 1063525152 01/15/2018
GOODRICH 1174627590 1063525152 02/18/2019
DE LA RIVA-VELASCO 1275860611 1467454967 12/25/2017
AJAIMY 1396901864 1063525152 04/08/2019
GODDER 1871713610 1164555124 07/05/2021
Page 397 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 11419 QUEENS
8500 2018 2 10023 NEW YORK
8500 2015 4 10032 NEW YORK
8500 2020 2 10562 WESTCHESTER
8500 2019 6 10467 BRONX
8500 2019 6 13210 ONONDAGA
8500 2015 3 10458 BRONX
8500 2018 3 10010 NEW YORK
21250 2015 1 11418 QUEENS
8500 2018 6 14607 MONROE
21250 2016 1 10038 NEW YORK
8500 2021 2 14222 ERIE
8500 2021 6 10010 NEW YORK
8500 2021 3 10038 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2016 5 10467 BRONX
8500 2017 4 10467 BRONX
8500 2016 3 10532 WESTCHESTER
8500 2017 5 11209 KINGS
8500 2020 5 10010 NEW YORK
Page 398 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HAROON SAMEERA N MD (40.749338, -73.789673) 828 2137 11
SHAH ARTI MD (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
Page 399 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 108
224
37 176
755
37 176
37 108
37 111
50 844
37 108
646
37 108
37 108
37 108
37 176
37 176
224
37 27
37 108
Page 400 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CERTIFIED NURSE MIDWIFE DONNA
PHYSICIAN NANCY
PHYSICIAN ALLANA
NURSE PRACTITIONER PATRICIA
PHYSICIAN ALLA
PHYSICIAN VINAY
PHYSICIAN JEAN
PHYSICIAN ALFREDO
PHYSICIAN ANDREW
NURSE PRACTITIONER JULIA
PHYSICIAN MAURA
DENTIST ELIZABETH
PHYSICIAN IWONA
PHYSICIAN TZE
PHYSICIAN KENEISHA
PHYSICIAN JOSEPH
PHYSICIAN AMY
PHYSICIAN STUART
PHYSICIAN NAOMI
PHYSICIAN RACHEL
PHYSICIAN PAUL
Page 401 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EHRICK 1235421835 1124032982 05/11/2020
BERMON 1790888063 1194832477 06/11/2018
KROLIKOWSKI 1821386673 1972944080 09/03/2018
DESTEFANO 1558423145 1619341716 10/02/2017
MASLOVA 1225083165 1225083165 09/09/2019
KAPOOR 1952491698 1548217763 05/07/2018
DANIEL 1982775649 1427063270 03/29/2021
GARCIA 1356355515 1467454967 12/24/2018
MORAN 1629173414 1194832477 08/14/2017
PARETE 1558423343 1881761484 01/28/2019
FRANK 1134216229 1952332801 07/02/2018
YUABOV 1578739587 1578739587 01/27/2020
MIENKO 1609140334 1609140334 04/23/2018
POON 1831253244 1215187463 12/09/2019
BAILEY 1376817528 1861628091 11/06/2017
TRUGLIO 1023277365 1659639524 12/30/2019
WOOLEVER 1184687287 1063426377 08/16/2021
HOLZER 1053572404 1083660575 10/28/2019
HAM 1497823082 1013924372 04/26/2021
LONG 1174889174 1457395766 09/18/2017
RISKA 1245274364 1063525152 01/22/2018
Page 402 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 3 10038 NEW YORK
8500 2016 5 10032 NEW YORK
8500 2016 3 14213 ERIE
8500 2015 2 11220 KINGS
8500 2018 5 11235 KINGS
8500 2016 3 11355 QUEENS
8500 2020 3 10038 NEW YORK
8500 2017 2 10532 WESTCHESTER
8500 2015 4 10032 NEW YORK
8500 2017 5 14850 TOMPKINS
8500 2016 4 10032 NEW YORK
-21250 2013 1 11367 QUEENS
8500 2016 6 11385 QUEENS
8500 2018 5 10013 NEW YORK
21250 2016 1 11201 KINGS
8500 2018 6 10029 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2018 3 11733 SUFFOLK
8500 2020 4 10038 NEW YORK
21250 2015 1 14611 MONROE
8500 2016 5 10467 BRONX
Page 403 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
JERICHO ROAD MINISTRIES (42.888143, -78.795544) 62 2041 63
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MASLOVA ALLA MD (40.65642, -73.950691) 809 2090 31
FLUSHING HOSPITAL & MED CTR (40.749338, -73.789673) 828 2137 11
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
PLANNED PARENTHOOD SO FINGER
LAKES
(42.461024, -76.478784) 1786 2181 58
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
YUABOVA ELIZABETH DDS PC (40.749338, -73.789673) 828 2137 11
MIENKO IWONA KATARZYNA (40.749338, -73.789673) 828 2137 11
TZE ON POON MD PC (40.726966, -74.005966) 737 2095 50
TBHC PEDIATRIC SERVICES PC (40.65642, -73.950691) 809 2090 31
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNITY HOSPITAL ROCHESTER (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 404 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
646
37 27
37 27
37 111
37 108
224
37 108
496
37 108
37 111
37 111
37 108
37 27
37 108
37 108
137
37 108
50 844
37 176
Page 405 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER REBECCA
PHYSICIAN ALLA
PHYSICIAN JOSEPH
PHYSICIAN CHRISTOPHER
PHYSICIAN ALEXANDRA
PHYSICIAN HUSSEIN
PHYSICIAN WILLIAM
PHYSICIAN ZUZANA
PHYSICIAN LWIN
CERTIFIED NURSE MIDWIFE PAULA
PHYSICIAN RONALD
NURSE PRACTITIONER JOANN
PHYSICIAN VASANTHI
PHYSICIAN MAHYAR
PHYSICIAN JELENA
PHYSICIAN MANO
PHYSICIAN YOMARIS
PHYSICIAN ALAN
PHYSICIAN RAFAIL
PHYSICIAN ISAIAH
DENTIST RAMESH
Page 406 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ZYLBER 1417261355 1447518550 08/14/2017
NIRENBERG 1336223544 1386714228 03/26/2018
PAUL 1558387431 1558387431 05/28/2018
FORLENZA 1467751560 1750352381 10/28/2019
SPADOLA 1063464915 1235170150 03/26/2018
MATARI 1447321476 1013924372 04/13/2020
LI 1841376050 1801803903 05/04/2020
BELISOVA-GYURE 1477729606 1477958007 10/09/2017
CHO 1457363681 1043224355 09/06/2021
FREEDMAN 1851303937 1467469023 11/22/2021
COBBS 1932131083 1033124961 06/01/2020
MERCEDES 1174917926 1063525152 10/09/2017
ARUMUGAM 1669487245 1669487245 11/19/2018
MAHMOUDI 1649690496 1417183963 09/11/2017
PAVLOVIC 1972863801 1063525152 07/13/2020
ZACHARIAH 1861552051 1154369056 06/26/2017
PENA PENA 1457509762 1457509762 07/30/2018
WINKLER 1629141353 1467454967 04/27/2020
SHNAYDER 1699784330 1699784330 02/05/2018
FRIEDMAN 1407170319 1710135686 10/15/2018
THAKKAR 1790733046 1790733046 04/26/2018
Page 407 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 10032 NEW YORK
8500 2015 4 10595 WESTCHESTER
8500 2016 4 11238 KINGS
8500 2018 3 10065 NEW YORK
8500 2016 5 13202 ONONDAGA
8500 2019 2 10038 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2015 2 10025 NEW YORK
8500 2021 4 10038 NEW YORK
8500 2021 4 10038 NEW YORK
8500 2019 3 10038 NEW YORK
21250 2016 1 10467 BRONX
8500 2017 5 11432 QUEENS
21250 2016 1 11201 KINGS
8500 2019 3 10461 BRONX
21250 2016 1 10920 ROCKLAND
8500 2016 3 10033 NEW YORK
8500 2019 2 10595 WESTCHESTER
8500 2015 2 11235 KINGS
8500 2016 5 11214 KINGS
-21250 2013 1 11004 QUEENS
Page 408 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -73.805386) 1440 2185 53
PAUL JOSEPH HUBERT MD (40.65642, -73.950691) 809 2090 31
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
ST LUKES-ROOSEVELT HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ARUMUGAM VASANTHI MD (40.749338, -73.789673) 828 2137 11
TBHC PHYSICIAN SERVICES (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ARC HEALTHRESOURCES OF ROCKLAND (41.127287, -74.017033) 1546 628 27
PENA PENA YOMARIS MERCEDES MD (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
SHNAYDER RAFAIL SIMON MD (40.65642, -73.950691) 809 2090 31
FLUSHING RADIATION ONCOLOGY
SERVICE
(40.65642, -73.950691) 809 2090 31
THAKKAR RAMESH J DDS (40.749338, -73.789673) 828 2137 11
Page 409 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 27
37 108
755
37 108
37 108
37 108
37 108
37 108
37 108
37 176
37 111
37 27
37 176
154
37 108
224
37 27
37 27
37 111
Page 410 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MICHELE
PHYSICIAN JOHN
PHYSICIAN KRISHNAKUMAR
PHYSICIAN MAUREEN
PHYSICIAN NNEKA
PHYSICIAN JACOB
PHYSICIAN JULIE
NURSE PRACTITIONER DEBRA
PHYSICIAN MIRIAM
PHYSICIAN MATTHEW
CERTIFIED NURSE MIDWIFE PAMELA
PHYSICIAN VIKAS
PHYSICIAN KATARZYNA
PHYSICIAN JAMIE
PHYSICIAN LEWIS
PHYSICIAN ANTONIO
PHYSICIAN VICTORIA
CERTIFIED NURSE MIDWIFE MARGARET
PHYSICIAN DEAN
PHYSICIAN OLLIE JANE
Page 411 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEWMEYER 1053421834 1467454967 08/02/2021
MCAULIFFE 1205060068 1063525152 03/18/2019
HONGALGI 1962603225 1386689248 09/21/2020
RELLAND 1972611242 1700037975 06/26/2017
BROOKS 1467614057 1700037975 05/29/2017
GO 1326082710 1801803903 09/25/2017
PILITSIS 1861559163 1548290455 08/09/2021
FARENGA 1962430959 1063468239 12/10/2018
SILFEN 1801952544 1023024882 05/10/2021
LOVE 1972561611 1679587679 05/25/2020
KOCH 1013055680 1538114723 01/21/2019
SHAH 1245267301 1043224355 08/14/2017
PERLMAN 1568431369 1467586792 11/27/2017
ROSENBERG 1568696714 1063525152 03/11/2019
KAUFMAN 1811915630 1144581182 04/30/2018
URBINA 1699805200 1659639524 08/03/2020
TAN 1831273713 1477505220 05/07/2018
RE 1144307190 1063426377 05/11/2020
OLSEN 1841240868 1801857172 05/21/2018
SAHLER 1437195385 1730110289 09/30/2019
Page 412 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 6 10532 WESTCHESTER
8500 2017 2 10461 BRONX
8500 2019 6 12208 ALBANY
21250 2016 1 10310 RICHMOND
21250 2016 1 10310 RICHMOND
21250 2016 1 10038 NEW YORK
8500 2021 5 12208 ALBANY
8500 2017 4 13210 ONONDAGA
8500 2020 2 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2017 5 11733 SUFFOLK
21250 2016 1 10038 NEW YORK
8500 2015 5 11219 KINGS
8500 2017 6 10467 BRONX
21250 2016 1 10029 NEW YORK
8500 2019 5 10025 NEW YORK
8500 2016 5 11435 QUEENS
8500 2019 3 10038 NEW YORK
21250 2016 1 11554 NASSAU
8500 2018 6 14642 MONROE
Page 413 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
AMBOY MEDICAL PRACTICE PC (40.566763, -74.148102) 609 2139 47
AMBOY MEDICAL PRACTICE PC (40.566763, -74.148102) 609 2139 47
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BORO PARK OBSTETRICS & GYNECOLOGY
P
(40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
PEDIATRIC HEMATOLOGY ONCOLOGY (43.161748, -77.620143) 1666 2093 56
Page 414 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 176
1 573
37 7
37 7
37 108
1 573
755
37 108
37 108
137
37 108
37 27
37 176
37 108
37 108
37 111
37 108
93
50 844
Page 415 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN HANNAH
PHYSICIAN KEVIN
PHYSICIAN DAVID
PHYSICIAN CHRISTOPHER
PHYSICIAN POURUCHISHTI
PHYSICIAN JEONG
PHYSICIAN STEVEN
PHYSICIAN CATHERINE
PHYSICIAN JOSE
PHYSICIAN RUTH
PHYSICIAN MICHAEL
PHYSICIAN PETER
PHYSICIAN JOSEPHINE
DENTIST IRKYAM
PHYSICIAN JEFFREY
NURSE PRACTITIONER DIONNE
PHYSICIAN RACHEL
PHYSICIAN JAMES
NURSE PRACTITIONER CATHERINE
PHYSICIAN MARCIA
PHYSICIAN AUGUSTINE
DENTIST ANGELA
Page 416 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BAILEY 1619223443 1285717298 09/04/2017
CHARLOTTEN 1538143433 1538143433 01/22/2018
APPEL 1851480156 1063525152 04/08/2019
FORTNER 1104084078 1770539066 11/05/2018
HIRJIBEHEDIN 1568409308 1336578772 11/11/2019
LEE 1366596132 1720177066 09/11/2017
SCOFIELD 1316913593 1740220698 04/16/2018
O'NEILL 1992745194 1366473183 05/21/2018
VIRAY 1225119498 1801803903 05/24/2021
GERSON 1386849321 1073535027 03/05/2018
BOGAISKY 1467578724 1063525152 01/22/2018
IZMIRLY 1962622456 1073535027 12/09/2019
LEE 1750374401 1700816626 07/30/2018
AULOVA 1871612838 1871612838 12/29/2020
SCHULTZ 1417038845 1063525152 03/18/2019
WALKER 1891112611 1619341716 03/22/2021
KAUFMAN 1578705778 1043256506 12/25/2017
TUCCI 1477528107 1477528107 04/16/2018
ABREU 1578950622 1073535027 05/25/2020
NACKENSON 1154320174 1467454967 12/24/2018
UMEOZOR 1326069428 1043224355 09/04/2017
DE BARTOLO 1033235890 1164555124 11/18/2019
Page 417 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 14301 NIAGARA
8500 2015 5 11373 QUEENS
8500 2017 6 10467 BRONX
8500 2017 6 13210 ONONDAGA
8500 2018 6 10041 NEW YORK
8500 2015 4 11249 KINGS
8500 2016 6 14642 MONROE
8500 2016 2 14203 ERIE
8500 2020 2 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2016 6 10467 BRONX
8500 2018 2 10038 NEW YORK
8500 2016 6 12203 ALBANY
-21250 2014 1 11229 KINGS
8500 2017 6 10467 BRONX
8500 2020 5 11220 KINGS
8500 2016 4 14209 ERIE
8500 2016 6 10965 ROCKLAND
8500 2019 3 10038 NEW YORK
8500 2017 3 10532 WESTCHESTER
21250 2016 1 10038 NEW YORK
8500 2018 3 10010 NEW YORK
Page 418 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NIAGARA FALLS MEM MED CTR (43.134634, -78.856419) 1107 2131 62
CHARLOTTEN KEVIN ALEXANDER MD (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
AULOVA IRKYAM DDS (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
BUFFALO PEDIATRIC ASSOICATES (42.888143, -78.795544) 62 2041 63
TUCCI JAMES JOHN MD (41.127287, -74.017033) 1546 628 27
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
Page 419 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
835
37 111
37 176
755
37 108
37 27
50 844
646
37 108
37 108
37 176
37 108
1 573
37 27
37 176
37 27
646
154
37 108
224
37 108
37 108
Page 420 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SAMBASIVA
PHYSICIAN ANTHONY
PHYSICIAN JAYASHRI
PHYSICIAN JULIANA
DENTIST DOMINICK
PHYSICIAN SARITA
CERTIFIED NURSE MIDWIFE AMAL
PHYSICIAN SHEENA
DENTIST SIDDIQUR
PHYSICIAN BRYAN
PHYSICIAN SACHIDANAND
PHYSICIAN ADDI
PHYSICIAN CRAIG
DENTIST LISA
PHYSICIAN THAIS
PHYSICIAN MONIQUE
NURSE PRACTITIONER MELISSA
PHYSICIAN BRETT
PHYSICIAN LAUREN
PHYSICIAN SYEDA
PHYSICIAN RONALD
Page 421 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KAMINENI 1912903006 1063426377 01/14/2019
CATERINA 1265424899 1265424899 12/10/2018
BHASKAR 1083801898 1255360517 02/11/2019
MOYLAN 1366640286 1063525152 10/28/2019
CONGIUSTA 1427153543 1164555124 02/18/2019
DHUPER 1811905201 1346380870 09/18/2017
AMAR 1578885356 1619341716 02/04/2019
APUN 1679665632 1679665632 11/04/2019
RAHMAN 1033251699 1033251699 11/02/2018
FALK 1407938764 1184670465 01/21/2019
PETERU 1639321268 1427005065 08/30/2021
FEINSTEIN 1285861930 1427063270 10/25/2021
ORLOWSKI 1457387326 1508800376 03/26/2018
ANTONOFF 1457354417 1164555124 01/06/2020
CASTILLO 1457646358 1063525152 06/22/2020
COLLIER 1902005911 1427063270 11/22/2021
BURGIO 1972937563 1366473183 10/09/2017
ANDERSON 1922298165 1447518550 10/23/2017
JEN 1538422845 1467454967 07/31/2017
MAMUN 1669425500 1063577831 11/15/2021
SZYJKOWSKI 1982642989 1063468239 03/12/2018
Page 422 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 10038 NEW YORK
5667 2017 2 14127 ERIE
8500 2017 3 14621 MONROE
8500 2018 5 10467 BRONX
8500 2017 2 10010 NEW YORK
21250 2015 1 11212 KINGS
8500 2017 3 11220 KINGS
8500 2018 3 11702 SUFFOLK
-8500 2014 3 11211 KINGS
8500 2017 4 11418 QUEENS
8500 2021 6 11418 QUEENS
8500 2021 4 10038 NEW YORK
8500 2016 6 14642 MONROE
8500 2018 2 10016 NEW YORK
8500 2019 5 10458 BRONX
8500 2021 2 10038 NEW YORK
21250 2016 1 14222 ERIE
8500 2016 3 10032 NEW YORK
21250 2016 1 10532 WESTCHESTER
8500 2021 2 10004 NEW YORK
8500 2016 5 13210 ONONDAGA
Page 423 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CATERINA ANTHONY MICHAEL (42.888143, -78.795544) 62 2041 63
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
BROOKDALE HSP MED CTR (40.65642, -73.950691) 809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
SHEENA C APUN MD PC (40.820237, -73.119032) 1421 2179 3
RAHMAN SIDDIQUR DDS (40.65642, -73.950691) 809 2090 31
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
JAMAICA PSYCHIATRIC SERV PC (40.749338, -73.789673) 828 2137 11
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
PED METAB ENDOCRINE RENAL GRP (43.161748, -77.620143) 1666 2093 56
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
EAST NY D & T CTR (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL (43.065629, -76.168033) 713 2132 43
Page 424 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
646
50 844
37 176
37 108
37 27
37 27
137
37 27
37 111
37 111
37 108
50 844
37 108
37 176
37 108
646
37 108
224
37 108
755
Page 425 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CHRISTIANE
PHYSICIAN NICOLAE
PHYSICIAN ROJA
PHYSICIAN PALMA
PHYSICIAN ROHIT
PHYSICIAN REBECCA
PHYSICIAN VASANTHI
PHYSICIAN RICHARD
PHYSICIAN JAMES
DENTIST YERANEN
PHYSICIAN ALAN
PHYSICIAN ARKADIY
PHYSICIAN GENNADIL
PHYSICIAN PETER
PHYSICIAN GRIGOL
PHYSICIAN FREDERICK
PHYSICIAN MATTHEW
PHYSICIAN DEEPALI
PHYSICIAN AMISHI
PHYSICIAN GABRIELE
NURSE PRACTITIONER LEE
Page 426 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PACHECO 1508984329 1437231693 05/07/2018
MOSU 1457398620 1184670465 01/21/2019
MOTAGHEDI 1982794152 1093777492 12/25/2017
SHAW 1639107279 1376590117 08/28/2017
BARRETO 1922439009 1972604460 08/28/2017
SHIFFMAN 1811963176 1467469023 11/22/2021
ARUMUGAM 1669487245 1669487245 02/12/2018
BATISTA 1497722474 1801857172 05/10/2021
BRUST 1508998485 1063525152 06/22/2020
SHABTAI 1144328154 1295997724 08/05/2019
KRAUTHAMER 1528368495 1033124961 04/06/2020
IZRAILOV 1891700605 1518132372 06/18/2018
BILITCH 1164434270 1124032982 12/11/2019
LO 1326082983 1205020930 04/23/2018
ADEISHVILI 1619110244 1063426377 02/04/2019
NEWSOME 1134225766 1033124961 04/06/2020
KAPLAN 1659332419 1124032982 09/27/2021
TEWARI 1265728679 1467454967 05/03/2021
SHAH 1184811580 1063525152 08/14/2017
DE VOS 1992863146 1679587679 10/09/2017
GANSHAW 1114103991 1750352381 10/28/2019
Page 427 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 2 10457 BRONX
8500 2017 4 11374 QUEENS
8500 2016 2 11219 KINGS
8500 2015 2 13210 ONONDAGA
21250 2016 1 13662 ST.LAWRENCE
8500 2021 5 10038 NEW YORK
8500 2015 3 11432 QUEENS
8500 2020 6 11554 NASSAU
8500 2019 6 10467 BRONX
8500 2018 4 11753 NASSAU
8500 2019 2 10038 NEW YORK
8500 2016 6 11219 KINGS
-21250 2014 1 11235 KINGS
8500 2015 3 11237 KINGS
8500 2017 2 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2021 6 10038 NEW YORK
8500 2020 6 10532 WESTCHESTER
8500 2015 2 10704 WESTCHESTER
21250 2016 1 10038 NEW YORK
8500 2018 2 10065 NEW YORK
Page 428 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SERV
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
MASSENA MEMORIAL HOSPITAL (44.689468, -75.242045) 1581 2140 41
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
ARUMUGAM VASANTHI MD (40.749338, -73.789673) 828 2137 11
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MEDICAL CARE PLLC (40.65642, -73.950691) 809 2090 31
CONEY ISLAND HOSPITAL (40.65642, -73.950691) 809 2090 31
DEKALB MEDICAL GROUP PC (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
Page 429 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 111
37 27
755
919
37 108
37 111
93
37 176
93
37 108
37 27
37 27
37 27
37 108
37 108
37 108
224
224
37 108
37 108
Page 430 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER MARIE-ANGE
PHYSICIAN RICHARD
PHYSICIAN CANDIDA
PHYSICIAN SHARON
PHYSICIAN ADAM
PHYSICIAN GANG
PHYSICIAN AMY
PHYSICIAN ROBBYN
PHYSICIAN ALLEN
PHYSICIAN MANISH
PHYSICIAN ROSEMARY
PHYSICIAN DAVID
PHYSICIAN THEODORA
PHYSICIAN ROBERT
PHYSICIAN YOLAINE
NURSE PRACTITIONER TARA
DENTIST YING
PHYSICIAN CATHIE
PHYSICIAN NEELAM
NURSE PRACTITIONER NATHAN
Page 431 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CASTAGNE-PETIT-FRERE 1679720692 1063426377 03/22/2021
NOTO 1891795647 1467454967 03/08/2021
CORDICE-FORD 1992755912 1821045485 05/07/2018
YOST 1306869086 1639430671 02/18/2019
SCHWARTZ 1952677833 1073535027 09/06/2021
MENG 1346486594 1346486594 11/19/2018
BROWN 1093971665 1770539066 10/12/2020
UPHAM 1497985089 1740220698 06/28/2021
KAPLAN 1124056361 1417983024 03/26/2018
RAMESH 1639479736 1063525152 10/28/2019
CALLIGARIS 1992899215 1467454967 06/18/2018
REICH 1568541936 1801803903 12/31/2018
KAY-NJEMANZE 1891974176 1063525152 07/06/2020
LEVY 1942385489 1073535027 06/07/2021
ST.LOUIS 1619057916 1063752004 01/20/2020
REISENWEBER 1568793784 1427063270 04/16/2018
WONG 1144311390 1164555124 02/25/2019
GROSS 1710079546 1396059499 03/19/2018
SHARMA 1578711214 1255360517 12/23/2019
GAMMILL 1407187859 1053588988 11/25/2019
Page 432 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 6 10038 NEW YORK
8500 2020 2 10532 WESTCHESTER
8500 2016 4 11433 QUEENS
8500 2017 2 10003 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2017 5 11220 KINGS
8500 2019 5 13210 ONONDAGA
8500 2020 6 14642 MONROE
8500 2016 5 11725 SUFFOLK
8500 2018 4 10583 WESTCHESTER
8500 2016 3 10532 WESTCHESTER
8500 2017 3 10038 NEW YORK
8500 2019 2 11105 QUEENS
8500 2020 2 10038 NEW YORK
8500 2018 6 11553 NASSAU
21250 2016 1 10038 NEW YORK
8500 2017 2 10010 NEW YORK
8500 2016 3 11520 NASSAU
8500 2018 5 14513 WAYNE
8500 2018 2 10031 NEW YORK
Page 433 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MEDISYS FAMILY CARE (40.749338, -73.789673) 828 2137 11
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MENG GANG MD (40.65642, -73.950691) 809 2090 31
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.749338, -73.789673) 828 2137 11
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
YOLAINE ST LOUIS MD PC (40.715749, -73.601185) 1455 2094 6
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
COVENANT HOUSE (40.726966, -74.005966) 737 2095 50
Page 434 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 111
37 108
37 108
37 27
755
50 844
137
224
224
37 108
37 111
37 108
93
37 108
37 108
93
809
37 108
Page 435 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PAULETTE
PHYSICIAN AHMED
PHYSICIAN DARYL
PHYSICIAN SIDDIQA
PHYSICIAN CHUDI
CERTIFIED NURSE MIDWIFE CORINNE
PHYSICIAN CHRYSTAL
PHYSICIAN MARY JO
DENTIST MARGARET
PHYSICIAN ALBERT
PHYSICIAN JOSEPH
PHYSICIAN ABDO
PHYSICIAN VALERIYA
NURSE PRACTITIONER ASHLEY
PHYSICIAN DRAGOS
PHYSICIAN SARA
PHYSICIAN DANIELLE
PHYSICIAN ANITA
PHYSICIAN CATHERINE
PHYSICIAN CHRISTINA
Page 436 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PORTEOUS-COLE 1053494112 1285893719 03/12/2018
ASLAM 1982665311 1427235985 03/19/2018
EHLENFIELD 1033117809 1598729808 10/29/2018
NAWAZ 1750622650 1750622650 01/01/2018
CHIME 1144382177 1689879280 08/12/2019
STASKO 1174925259 1013928159 02/11/2019
JENKINS 1154596534 1457395766 06/18/2018
MESSITO 1407975352 1073535027 08/07/2017
YEW 1699181982 1972781375 02/18/2019
HEUSER 1497716252 1801857172 07/10/2017
FARRAYE 1386602035 1063426377 01/11/2021
KABARRITI 1306138136 1124032982 11/11/2019
VAYNSHTEYN 1366602898 1124032982 09/04/2017
GEE 1225437940 1396711982 01/14/2019
MANTA 1972707826 1063468239 08/21/2017
CALDARARO 1073683272 1063525152 03/04/2019
MILANO 1952520603 1467486449 02/24/2020
HUI 1740282300 1740282300 03/12/2018
O'NEILL 1992745194 1366473183 01/14/2019
VALSAMIS 1851614473 1952325367 02/11/2019
Page 437 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 3 10573 WESTCHESTER
8500 2015 3 11576 NASSAU
8500 2017 6 14202 ERIE
21250 2016 1 11209 KINGS
8500 2018 5 11432 QUEENS
8500 2017 2 12801 WARREN
8500 2016 4 14611 MONROE
21250 2015 1 10038 NEW YORK
8500 2017 2 13901 BROOME
21250 2016 1 11530 NASSAU
8500 2020 5 10038 NEW YORK
8500 2018 3 10038 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2017 3 12307 SCHENECTADY
8500 2015 4 13202 ONONDAGA
8500 2017 3 10458 BRONX
8500 2019 5 10035 NEW YORK
8500 2016 5 10013 NEW YORK
8500 2017 3 14203 ERIE
8500 2017 5 11501 NASSAU
Page 438 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
ATLANTIC CARDIOVASCULAR ASSOC (40.715749, -73.601185) 1455 2094 6
ALLENTOWN PED ADOLESCENT MED (42.888143, -78.795544) 62 2041 63
NAWAZ SIDDIQA (40.65642, -73.950691) 809 2090 31
HILLSIDE POLYMEDIC D ANT T CTR (40.749338, -73.789673) 828 2137 11
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
UNITY HOSPITAL ROCHESTER (43.161748, -77.620143) 1666 2093 56
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
EAST HARLEM COUNCIL HUM SERV (40.726966, -74.005966) 737 2095 50
HUI ANITA O MD (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
Page 439 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
93
646
37 27
37 111
522
50 844
37 108
346
93
37 108
37 108
37 108
617
755
37 176
37 108
37 108
646
93
Page 440 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ELAINE
PHYSICIAN GREGORY
PHYSICIAN MARCELA
PHYSICIAN POURRAT
PHYSICIAN YOSEF
PHYSICIAN OLANREWAJU
CERTIFIED NURSE MIDWIFE DENISE
PHYSICIAN IRA
PHYSICIAN JESSICA
PHYSICIAN KENNETH
PHYSICIAN BERNARD
PHYSICIAN BIANCA
NURSE PRACTITIONER LINDA
NURSE PRACTITIONER HOLLIE
PHYSICIAN RAJESH
DENTIST JACKLYN
PHYSICIAN JAMES
PHYSICIAN TASADUQ
PHYSICIAN SHAHEENA
NURSE PRACTITIONER DESIREE
PHYSICIAN GLENN
Page 441 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BROWN 1437231701 1437231701 10/30/2017
EMILI 1932287042 1720104474 02/05/2018
DEL RIO 1528144896 1063525152 09/11/2017
MONAHEMI 1174617674 1174617674 10/16/2017
GOLOWA 1811052590 1063525152 07/06/2020
ESAN 1861494239 1861494239 02/18/2019
WHITTINGTON-MCCALLA 1326211491 1467469023 03/22/2021
BRAUNSCHWEIG 1013097500 1063525152 01/15/2018
KURIAN 1447523022 1063525152 04/12/2021
SHAPIRO 1700854486 1063525152 09/11/2017
LAU 1861490252 1083660575 12/25/2017
PERSAUD 1962723924 1619341716 09/23/2019
NIEMIEC 1558691311 1063426377 02/08/2021
BOJARSKI 1467850735 1346337011 09/03/2018
SHENOY 1578649422 1801803903 05/24/2021
FISHER 1073890778 1235574278 09/11/2017
GOODRICH 1174627590 1063525152 06/15/2020
FAZILI 1548215171 1063468239 09/04/2017
AHMED 1922103043 1801803903 09/25/2017
OUTLAW 1790051910 1184694291 09/25/2017
KALASH 1902990906 1801857172 05/10/2021
Page 442 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 11216 KINGS
8500 2015 2 10470 BRONX
8500 2015 4 10467 BRONX
21250 2016 1 10465 BRONX
8500 2019 3 10457 BRONX
8500 2017 5 11552 NASSAU
8500 2020 3 10038 NEW YORK
8500 2016 4 10467 BRONX
8500 2020 3 10467 BRONX
21250 2016 1 10461 BRONX
8500 2016 2 11733 SUFFOLK
8500 2018 5 11215 KINGS
8500 2020 4 10038 NEW YORK
8500 2016 2 14225 ERIE
8500 2020 3 10038 NEW YORK
21250 2016 1 11419 QUEENS
8500 2019 6 10467 BRONX
8500 2015 3 13210 ONONDAGA
21250 2016 1 10038 NEW YORK
21250 2016 1 10453 BRONX
8500 2020 2 11554 NASSAU
Page 443 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BROWN ELAINE P MD (40.65642, -73.950691) 809 2090 31
BALM OF GILEAD MED OFFICE PC (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONAHEMI POURRAT MONAS MD (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ESAN OLANREWAJU OLUSOLA (40.715749, -73.601185) 1455 2094 6
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ASPIRE OF WESTERN NEW YORK IN (42.888143, -78.795544) 62 2041 63
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
RICHMOND HILL DENTAL GROUP PLLC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
Page 444 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 176
37 176
37 176
37 176
93
37 108
37 176
37 176
37 176
137
37 27
37 108
646
37 108
37 111
37 176
755
37 108
37 176
93
Page 445 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER HANNAH
PHYSICIAN LYNN
PHYSICIAN DAVID
PHYSICIAN ROBERT
PHYSICIAN LI
PHYSICIAN MARITZA
NURSE PRACTITIONER KRYSTYNA
PHYSICIAN DEBORAH
PHYSICIAN JAMES
PHYSICIAN CORINNE
PHYSICIAN PRATEEK
PHYSICIAN JOSEPH
PHYSICIAN ANTHONY
PHYSICIAN MARJORIE
NURSE PRACTITIONER NIKI
PHYSICIAN TAMAR
PHYSICIAN PAULETTE
CERTIFIED NURSE MIDWIFE YULIYA
NURSE PRACTITIONER KATHLEEN
NURSE PRACTITIONER LEESIA
NURSE PRACTITIONER MARCY
PHYSICIAN MARGARET
Page 446 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
REICHARD 1659784189 1083664221 04/26/2021
DUNHAM 1144291576 1164486627 12/03/2018
KANTER 1003001371 1336189919 09/24/2018
PETRUCELLI 1548420508 1073535027 05/17/2021
YANG 1598035081 1598035081 03/23/2020
MOLINA 1528132883 1063525152 04/12/2021
CAPOCCIA 1386888022 1891240784 04/16/2018
DUXBURY 1558505222 1558505222 09/25/2017
RYAN 1184763856 1033124961 09/02/2019
YEH 1669636437 1679587679 07/10/2017
CHAPALAMADUGU 1497002703 1497002703 05/24/2021
ROGLIERI 1528021318 1851341580 09/11/2017
NICASTRI 1700861226 1558318006 07/23/2018
STEIN 1922191162 1063525152 10/25/2021
WEST 1629156740 1255360517 06/18/2018
RUBINSTEIN 1952544611 1063525152 10/25/2021
SADDLER 1922038629 1194832477 12/16/2019
MILSHTEYN 1487649901 1124032982 05/11/2020
WOODRUFF 1134350978 1174860761 03/25/2019
NEE 1548661408 1083664221 04/26/2021
SOPRANO 1417996281 1255360517 02/11/2019
LEE 1275534455 1447518550 10/30/2017
Page 447 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 4 13326 OTSEGO
8500 2017 6 14701 CHAUTAUQUA
8500 2017 6 13210 ONONDAGA
8500 2020 4 10038 NEW YORK
8500 2019 4 11220 KINGS
8500 2020 2 10458 BRONX
8500 2016 3 11722 SUFFOLK
21250 2015 1 11735 NASSAU
8500 2018 2 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2020 5 11235 KINGS
8500 2015 4 12180 RENSSELAER
21250 2016 1 11203 KINGS
8500 2021 4 10467 BRONX
8500 2016 3 14621 MONROE
8500 2021 6 10467 BRONX
8500 2018 3 91105 OUT OF STATE
8500 2019 4 10038 NEW YORK
8500 2017 2 13421 MADISON
8500 2020 5 13326 OTSEGO
8500 2017 6 14621 MONROE
8500 2016 5 10032 NEW YORK
Page 448 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
JAMESTOWN PEDIATRIC ASSOC (42.246904, -79.315313) 1743 2035 57
PHYSICAL MEDICINE & REHAB (43.065629, -76.168033) 713 2132 43
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
YANG LI (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LISH INC (40.820237, -73.119032) 1421 2179 3
DUXBURY DEBORAH LYNN MD (40.715749, -73.601185) 1455 2094 6
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
CHAPALAMADUGU PRATEEK (40.65642, -73.950691) 809 2090 31
NORTHEAST NEPHROLOGY ASSOC (42.70098, -73.628669) 38 2138 33
UNIVERSITY PHYS BROOKLYN INC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
ONEIDA MEDICAL SERVICES PLLC (42.986917, -75.720031) 351 2092 46
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
Page 449 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
529
447
755
37 108
37 27
37 176
137
93
37 108
37 108
37 27
40 473
37 27
37 176
50 844
37 176
37 108
723
529
50 844
37 108
Page 450 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST TARA
PHYSICIAN LI-TEH
NURSE PRACTITIONER JOSEPHINE
PHYSICIAN MARY CLARISSE
PHYSICIAN ERIN
PHYSICIAN CARLOS
PHYSICIAN ROGER
DENTIST ARVIND
DENTIST FRANK
PHYSICIAN SEAN
NURSE PRACTITIONER JOY
PHYSICIAN AASHISH
PHYSICIAN KEITH
PHYSICIAN JENNIFER
PHYSICIAN OSMOND
CERTIFIED NURSE MIDWIFE GABRIELA
NURSE PRACTITIONER WENDY
PHYSICIAN ANNA
PHYSICIAN SHIWEI
PHYSICIAN JACK
NURSE PRACTITIONER JUDITH
Page 451 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BYRD 1740418714 1164555124 02/18/2019
WU 1477668572 1730441791 08/05/2019
ODUME 1801102140 1063525152 09/11/2017
KILAYKO 1841437258 1013928159 03/12/2018
STEENBURGH THANIK 1760451918 1033124961 06/12/2017
MONTOYA-IRAHETA 1447292578 1952325367 10/30/2017
LEVAC 1275566630 1285667634 04/30/2018
SHAH 1336275569 1336275569 09/01/2017
KIRKLAND 1689701971 1689701971 10/01/2018
FREY 1225270424 1821029463 11/19/2018
CIARDULLO 1306143615 1396059499 03/29/2021
DADARWALA 1962420778 1295729408 08/26/2019
ROACH 1780771865 1952332801 09/11/2017
SCHERR 1801983978 1467454967 12/24/2018
QUIAH 1629241393 1043224355 08/07/2017
DIAZ 1982001947 1013928159 01/29/2018
QUINONES 1598959207 1063525152 01/22/2018
LASAK 1528152881 1063525152 11/04/2019
TONG 1407810468 1588825038 09/04/2017
FREER 1154393015 1366473183 11/04/2019
REILLY 1134445877 1063525152 04/05/2021
Page 452 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 10010 NEW YORK
-8500 2014 2 11375 QUEENS
21250 2016 1 10458 BRONX
8500 2015 2 12817 WARREN
21250 2015 1 10038 NEW YORK
8500 2015 3 11501 NASSAU
8500 2016 5 12801 WARREN
-21250 2013 1 10009 NEW YORK
-21250 2013 1 11225 KINGS
8500 2017 4 14642 MONROE
8500 2020 4 11575 NASSAU
8500 2018 4 10003 NEW YORK
8500 2015 2 10032 NEW YORK
8500 2017 4 10532 WESTCHESTER
21250 2016 1 10038 NEW YORK
21250 2016 1 12801 WARREN
8500 2016 2 10459 BRONX
8500 2018 5 10461 BRONX
21250 2016 1 11220 KINGS
8500 2018 3 14216 ERIE
8500 2020 4 10562 WESTCHESTER
Page 453 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
E AND A MEDICAL SOLUTIONS LLC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
ADIRONDACK PEDIATRICS PC (43.403024, -73.716044) 128 2183 35
SHAH ARVIND P DDS (40.726966, -74.005966) 737 2095 50
KIRKLAND FRANK DUANE DDS (40.65642, -73.950691) 809 2090 31
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PINNACLE MEDICAL CARE PLLC (40.65642, -73.950691) 809 2090 31
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
Page 454 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 176
522
37 108
93
522
37 108
37 27
50 844
93
37 108
37 108
224
37 108
522
37 176
37 176
37 27
646
224
Page 455 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN IJEOMA
PHYSICIAN WILLIAM
PHYSICIAN EDDIE
PHYSICIAN ERIC
PHYSICIAN DORINDA
PHYSICIAN NEETA
PHYSICIAN FABREENA
PHYSICIAN FUNG
PHYSICIAN DAVID
PHYSICIAN JOY
PHYSICIAN ANJUMON
PHYSICIAN ILEANA
PHYSICIAN YING
PHYSICIAN LEAH
CERTIFIED NURSE MIDWIFE JOYCE
PHYSICIAN SUSAN
PHYSICIAN ROBERT
NURSE PRACTITIONER ELEANOR
PHYSICIAN JOHN
PHYSICIAN DON
Page 456 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NDUKA 1396840039 1396840039 07/09/2018
KOSTUN 1457320061 1457320061 02/11/2019
SZE 1487740395 1235170150 12/24/2018
GANZ 1346241858 1922411065 08/03/2020
MIDWOOD 1558699405 1619969458 04/23/2018
SINGH 1588989644 1073535027 09/25/2017
NAPIER 1881801637 1063525152 07/27/2020
CHAN 1659670396 1740322148 09/04/2017
STEVENS 1669412680 1043224355 12/02/2019
KANG 1063723112 1063525152 11/27/2017
AMIN 1891704011 1619969458 08/14/2017
VARGAS 1215904297 1609894641 04/30/2018
WONG 1396938130 1619341716 11/04/2019
KAUFMAN 1033289483 1235170150 10/29/2018
GRIFFIN 1750364790 1720177066 01/07/2019
MEISLER 1528134137 1467454967 11/25/2019
MICHIEL 1013924679 1063468239 04/30/2018
NIXON 1457413528 1972944080 03/26/2018
LEO 1003986217 1063525152 11/15/2021
ZWICKLER 1255409553 1598934200 03/12/2018
Page 457 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 4 10801 WESTCHESTER
8500 2017 5 12182 RENSSELAER
8500 2017 5 13210 ONONDAGA
8500 2019 6 10019 NEW YORK
8500 2015 3 12522 DUTCHESS
21250 2016 1 10038 NEW YORK
8500 2019 6 10467 BRONX
21250 2016 1 10013 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2016 2 10458 BRONX
8500 2015 2 11967 SUFFOLK
8500 2015 3 10032 NEW YORK
8500 2018 5 11220 KINGS
8500 2017 4 13210 ONONDAGA
8500 2017 4 11249 KINGS
8500 2018 4 10532 WESTCHESTER
8500 2016 5 13202 ONONDAGA
8500 2016 5 14213 ERIE
8500 2021 4 10801 WESTCHESTER
8500 2016 5 10970 ROCKLAND
Page 458 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NDUKA IJEOMA N MD (41.039278, -73.805386) 1440 2185 53
KOSTUN WILLIAM A MD (42.70098, -73.628669) 38 2138 33
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JAMES LI MD PLLC (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HUDSON RIVER HEALTHCARE INC (40.820237, -73.119032) 1421 2179 3
NAOMI BERRIE DIABETES CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
JERICHO ROAD MINISTRIES (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
ENDOCRINE ASSOC OF ROCKLAND LLP (41.127287, -74.017033) 1546 628 27
Page 459 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
40 473
755
37 108
63
37 108
37 176
37 108
37 108
37 176
137
37 108
37 27
755
37 27
224
755
646
224
154
Page 460 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ALICIA
PHYSICIAN GEORGE
PHYSICIAN JOON
CERTIFIED NURSE MIDWIFE PATRICIA
PHYSICIAN JUNG MI
PHYSICIAN MICHAEL
PHYSICIAN JOON
PHYSICIAN ERIC
PHYSICIAN RUTH
DENTIST DAVID
PHYSICIAN BENJAMIN
PHYSICIAN SRIRAM
PHYSICIAN AMAR
NURSE PRACTITIONER REBECCA
PHYSICIAN MARINO
PHYSICIAN EATHAR
PHYSICIAN KARTIKA
PHYSICIAN MAKHMOOD
PHYSICIAN AYILAM
PHYSICIAN JENNY
PHYSICIAN KHRISTINA
Page 461 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KNIGHT-DEBRADY 1154384469 1184670465 11/04/2019
CORITSIDIS 1003855610 1063426377 10/22/2018
PAIK 1578773719 1619341716 09/23/2019
MAHONEY 1104867761 1285893719 03/19/2018
CHANG 1518982123 1760436190 04/30/2018
TANNER 1851460018 1073535027 11/25/2019
HONG 1659359453 1538116082 01/08/2018
APPELBAUM 1528034618 1740595917 11/08/2021
BARROW 1851428379 1194832477 01/28/2019
SHEINKOPF 1174568174 1023024882 02/26/2018
PACE 1821188061 1801803903 08/03/2020
NAIDU 1184601643 1396059499 04/30/2018
ASHRAF 1356355523 1063426377 04/13/2020
SCHROEDER 1639465693 1003062043 09/16/2019
TAVAREZ 1518049865 1255360517 09/25/2017
SAAD 1154415412 1063525152 08/21/2017
KHANNA 1285829978 1063525152 03/11/2019
REZNIK 1104147925 1124032982 02/04/2019
SUDHAKAR 1316100506 1417027558 07/10/2017
CHOI 1063677094 1063525152 11/04/2019
KASUBA 1306088190 1255378493 10/02/2017
Page 462 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 5 11415 QUEENS
8500 2017 2 10038 NEW YORK
8500 2018 4 11220 KINGS
8500 2015 3 10573 WESTCHESTER
8500 2016 3 10001 NEW YORK
8500 2018 2 10038 NEW YORK
21250 2015 1 11203 KINGS
8500 2021 4 10457 BRONX
8500 2017 5 10032 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2019 3 10038 NEW YORK
21250 2016 1 11575 NASSAU
8500 2019 3 10038 NEW YORK
8500 2018 4 13210 ONONDAGA
8500 2015 3 10941 ORANGE
8500 2015 4 10467 BRONX
8500 2017 5 10458 BRONX
8500 2017 2 10038 NEW YORK
21250 2016 1 10456 BRONX
8500 2018 5 10069 NEW YORK
8500 2015 4 14043 ERIE
Page 463 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
PREMIER HEALTHCARE D & T CTR (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY PHYSICIANS BKLYN (40.65642, -73.950691) 809 2090 31
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UPSTATE UROLOGY, INC (43.065629, -76.168033) 713 2132 43
ROCHESTER GENERAL HOSPITAL (41.422459, -74.241929) 1496 2134 32
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
GENESEE TRANSIT PED LLP LLC (42.888143, -78.795544) 62 2041 63
Page 464 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 27
224
37 108
37 108
37 27
37 176
37 108
37 108
37 108
93
37 108
755
76
37 176
37 176
37 108
37 176
37 108
646
Page 465 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST URSZULA
NURSE PRACTITIONER LINDA
PHYSICIAN MICHAEL
PHYSICIAN GALIT
PHYSICIAN JOSE
PHYSICIAN ALLEN
DENTIST NASSEF
DENTIST BIBEKA
PHYSICIAN ISHA
PHYSICIAN RAY
PHYSICIAN SCOTT
PHYSICIAN JULIANE
PHYSICIAN ELLEN
PHYSICIAN KAREN
PHYSICIAN KEVIN
PHYSICIAN ROBERT
PHYSICIAN SANJEEV
PHYSICIAN SALIM
PHYSICIAN DEANN
PHYSICIAN BING
PHYSICIAN ANDREA
PHYSICIAN NAVEEN
Page 466 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KOROL 1417170630 1164555124 11/22/2021
NIEMIEC 1558691311 1063426377 10/09/2017
GEWITZ 1730189895 1467454967 04/27/2020
SACAJIU 1932292158 1154369056 08/21/2017
LANTIN 1770571135 1770571135 04/29/2019
KELLER 1255493839 1073535027 11/08/2021
LANCEN 1063615219 1972781375 11/22/2021
BHATTARAI KOIRALA 1649538596 1669470019 04/26/2021
MEHTA 1295756658 1063426377 01/18/2021
MERCADO 1275606030 1275606030 04/15/2019
SUROWIEC 1699776682 1376590117 09/04/2017
GARAN 1457518169 1730124025 03/26/2018
TOURTELOT 1720049158 1184668311 11/12/2018
LEE 1629124045 1265793517 08/31/2020
ENDE 1528285335 1679587679 07/27/2020
FRANKEL 1548211329 1093777492 07/22/2019
GUPTA 1558360693 1245253830 04/23/2018
AL-SALEM 1689756017 1013924372 04/13/2020
MOORE 1982048690 1063525152 08/07/2017
LU 1295754786 1598953721 08/05/2019
NISSENBAUM 1255342325 1124032982 05/11/2020
PATHAK 1437114360 1184670465 05/07/2018
Page 467 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 6 10010 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2019 4 10532 WESTCHESTER
8500 2015 3 10920 ROCKLAND
8500 2017 3 10703 WESTCHESTER
8500 2021 3 10038 NEW YORK
8500 2021 6 13901 BROOME
8500 2020 3 10467 BRONX
8500 2020 5 10038 NEW YORK
8500 2017 2 10461 BRONX
8500 2015 4 13210 ONONDAGA
8500 2016 2 10027 NEW YORK
8500 2017 3 14642 MONROE
8500 2019 6 11373 QUEENS
8500 2019 2 10038 NEW YORK
8500 2018 4 11219 KINGS
8500 2016 4 13662 ST.LAWRENCE
8500 2019 2 10038 NEW YORK
21250 2016 1 10458 BRONX
8500 2018 5 11220 KINGS
8500 2019 4 10038 NEW YORK
8500 2016 4 11418 QUEENS
Page 468 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
ARC HEALTHRESOURCES OF ROCKLAND (41.127287, -74.017033) 1546 628 27
LANTIN JOSE ANTONIO R L MD (41.039278, -73.805386) 1440 2185 53
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
REFUAH HEALTH CENTER INC (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MERCADO RAY ANTHONY MD (40.85589, -73.868294) 675 2032 52
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
CHILDRENS AID SOC-LORD MEM CL (40.726966, -74.005966) 737 2095 50
STRONG OB GYN GROUP (43.161748, -77.620143) 1666 2093 56
ADVANCED QUALITY MEDICAL PC (40.749338, -73.789673) 828 2137 11
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
SANJEEV AND MUKTA GUPTA (44.689468, -75.242045) 1581 2140 41
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSAL MEDICAL SERVICE LLC (40.65642, -73.950691) 809 2090 31
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
Page 469 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
224
154
224
37 108
346
37 176
37 108
37 176
755
37 108
50 844
37 111
37 108
37 27
919
37 108
37 176
37 27
37 108
37 111
Page 470 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ARTHUR
DENTIST PETER
PHYSICIAN RICHARD
NURSE PRACTITIONER LORNA
PHYSICIAN NURKIA
PHYSICIAN PAUL
NURSE PRACTITIONER JANICE
PHYSICIAN MARYELLEN
PHYSICIAN DAWN
PHYSICIAN JEAN
PHYSICIAN AIMEE
PHYSICIAN GERALD
NURSE PRACTITIONER DEBORAH
CERTIFIED NURSE MIDWIFE CASSIE
PHYSICIAN TANIA
PHYSICIAN JOSHUA
PHYSICIAN ANNETTE
PHYSICIAN SUSRUTH
PHYSICIAN KAREN
Page 471 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DOVE 1336214162 1336214162 08/21/2017
GERSHENSON 1164504973 1679587679 02/26/2018
COWAN 1952370017 1346337011 07/31/2017
PATANELLA 1760425953 1346286895 04/16/2018
MIHU 1891994406 1891994406 07/09/2018
GROSS 1073698106 1063525152 08/28/2017
AGEN 1003063827 1235170150 09/02/2019
LEWIS 1114133402 1699832436 11/12/2018
PRUETT 1689012080 1740220698 09/11/2017
LAJEUNE 1053384081 1427063270 12/09/2019
SMITH 1386801801 1295729408 05/14/2018
KELLY 1659308492 1982659470 12/17/2018
GIANNONE 1376534982 1821266321 07/27/2020
O'HARA 1679903553 1356406136 09/14/2020
LOPEZ PICHARDO 1578851242 1063426377 11/18/2019
SHATZKES 1518125681 1487912416 07/27/2020
PEREZ-DELBOY 1528097615 1154346021 04/23/2018
PINNAMANENI 1518256817 1295729408 09/17/2018
MURRAY 1457412603 1467487637 08/26/2019
Page 472 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 10026 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2015 2 14225 ERIE
8500 2016 6 14642 MONROE
8500 2016 4 11104 QUEENS
8500 2015 4 10458 BRONX
8500 2018 6 13202 ONONDAGA
8500 2017 5 13204 ONONDAGA
21250 2016 1 14642 MONROE
8500 2018 2 10038 NEW YORK
8500 2016 5 12466 ULSTER
8500 2017 5 11733 SUFFOLK
8500 2019 4 13790 BROOME
8500 2019 3 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2019 5 10029 NEW YORK
8500 2015 3 10032 NEW YORK
8500 2016 3 12561 ULSTER
8500 2018 5 10562 WESTCHESTER
Page 473 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DOVE ARTHUR RENNER MD (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
ASPIRE OF WESTERN NEW YORK IN (42.888143, -78.795544) 62 2041 63
PEDIATRIC DEVELOPMENT CLINIC (43.161748, -77.620143) 1666 2093 56
MIHU NURKIA ANGELINA (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
ST JOSEPHS HOSPITAL HEALTH CENTER (43.065629, -76.168033) 713 2132 43
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
STONY BROOK FAMILY MED GRP UFPC (40.820237, -73.119032) 1421 2179 3
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
DEPARTMENT OF OBSTETRICS GYN (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
Page 474 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
646
50 844
37 111
37 176
755
755
50 844
37 108
198
137
346
37 108
37 108
37 108
37 108
198
224
Page 475 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SUDHAKAR
PHYSICIAN LAI-MING
PHYSICIAN MARYELLEN
PHYSICIAN STEVEN
PHYSICIAN LISA
PHYSICIAN YASEMIN
PHYSICIAN ANCA
PHYSICIAN STEPHEN
PHYSICIAN JOANNA
PHYSICIAN PARINDA
NURSE PRACTITIONER ALEJANDRA
CERTIFIED NURSE MIDWIFE CONCETTA
PHYSICIAN ASHOK
NURSE PRACTITIONER PATRICIA
PHYSICIAN AYCAN
NURSE PRACTITIONER SARAH
PHYSICIAN DEBORAH
PHYSICIAN SORIAYA
PHYSICIAN CHRISTINA
PHYSICIAN ERIC
PHYSICIAN ADRIAN
Page 476 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BHAGAVATH 1801877725 1801877725 01/04/2021
CHAN 1457793838 1467454967 09/02/2019
LEWIS 1114133402 1699832436 04/16/2018
PARK 1962477042 1063525152 10/28/2019
MOONEY 1619933058 1083664221 04/16/2018
BALDIK 1851535173 1417027558 07/31/2017
SEGER 1265409502 1255360517 06/18/2018
MASLAK 1083931497 1700931359 05/21/2018
LIS 1508866583 1508866583 08/05/2019
WARIKARN 1255358008 1063426377 05/18/2020
WILSON 1427210640 1619341716 04/20/2020
SESTITO 1326330929 1124032982 10/07/2019
KHANNA 1780608836 1124032982 02/04/2019
DELLATTO 1609817279 1609817279 08/28/2017
TURKMEN 1639199953 1124032982 11/18/2019
GONZALEZ 1447793773 1194832477 12/16/2019
BRADSHAW 1023066248 1518907096 10/22/2018
MOTIVALA 1760644496 1497029581 12/10/2018
SULLIVAN 1740365196 1063525152 01/08/2018
MARIUMA 1649597774 1063525152 09/11/2017
LEIBOVICI 1437195344 1255360517 09/04/2017
Page 477 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 5 11212 KINGS
8500 2018 2 10532 WESTCHESTER
8500 2015 3 13204 ONONDAGA
8500 2018 6 10467 BRONX
8500 2016 5 13820 OTSEGO
21250 2016 1 10456 BRONX
8500 2016 2 14618 MONROE
8500 2016 2 10304 RICHMOND
8500 2018 5 11219 KINGS
8500 2019 2 10038 NEW YORK
8500 2019 3 11217 KINGS
8500 2018 2 10038 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2015 4 11554 NASSAU
8500 2018 2 10038 NEW YORK
8500 2018 3 10034 NEW YORK
8500 2017 6 13202 ONONDAGA
8500 2017 2 10029 NEW YORK
8500 2016 5 10461 BRONX
8500 2015 5 10467 BRONX
21250 2015 1 14642 MONROE
Page 478 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BHAGAVATH SUDHAKAR S MD (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
ST JOSEPHS HOSPITAL HEALTH CENTER (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
JORDAN B GLASER MD PC (40.566763, -74.148102) 609 2139 47
JOHANNA BARBARA LIS PEDS PC (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
DELLATTO PATRICIA (40.715749, -73.601185) 1455 2094 6
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
Page 479 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
224
755
37 176
529
37 176
50 844
37 7
37 27
37 108
37 27
37 108
37 108
93
37 108
37 108
755
37 108
37 176
37 176
50 844
Page 480 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ROBIN
PHYSICIAN ANGEL
PHYSICIAN MENACHEM
PHYSICIAN YVETTE
PHYSICIAN HARRIET
NURSE PRACTITIONER AMBER
DENTIST RALPH
PHYSICIAN AREZOU
PHYSICIAN NICOLAS
NURSE PRACTITIONER REBECCA
PHYSICIAN VALERIE
PHYSICIAN NORMA
PHYSICIAN THOMAS
PHYSICIAN JAMES
PHYSICIAN RENEE
PHYSICIAN STEPHANIE
PHYSICIAN JAVIER
CERTIFIED NURSE MIDWIFE MARY SUSAN
PHYSICIAN BETH
PHYSICIAN PRASUNA
PHYSICIAN SIKANDER
Page 481 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RASCHARD 1124179502 1437255155 01/20/2020
DE LA CRUZ 1144261512 1801803903 11/18/2019
GOLD 1528223526 1427063270 08/10/2020
ORTIZ 1497722078 1194832477 06/04/2018
WIEDER 1518014349 1467454967 08/02/2021
FREEMAN 1447673264 1821029463 03/19/2018
CUNNINGHAM 1336369461 1164555124 12/23/2019
HESHMATI 1043434244 1447518550 07/05/2021
EL-KHOURY 1629297296 1124032982 09/27/2021
CRESPI 1992973929 1063525152 02/05/2018
PEREL 1659440592 1073535027 06/08/2020
VERIDIANO 1669464541 1073633574 08/20/2018
WELCH 1275577348 1770539066 11/12/2018
WALLACE 1649369976 1104861772 08/07/2017
MESTAD 1831166586 1235170150 06/18/2018
EVANS 1083698047 1396711982 10/14/2019
DEPAZ 1396707956 1477505220 08/21/2017
SAMPINO 1104981240 1679587679 06/07/2021
DRZEWIECKI 1174797575 1063525152 11/27/2017
NUKALAPATI 1497744841 1497744841 11/11/2019
ZULQARNAIN 1366751257 1043224355 05/31/2021
Page 482 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10457 BRONX
8500 2018 3 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2016 5 10451 BRONX
8500 2021 6 10532 WESTCHESTER
8500 2016 2 14642 MONROE
8500 2018 3 10010 NEW YORK
8500 2020 5 10032 NEW YORK
8500 2021 6 10038 NEW YORK
8500 2016 6 10467 BRONX
8500 2019 3 10038 NEW YORK
8500 2016 5 11229 KINGS
8500 2017 6 13210 ONONDAGA
8500 2015 5 14642 MONROE
8500 2016 5 13210 ONONDAGA
8500 2018 3 12307 SCHENECTADY
8500 2015 3 11418 QUEENS
8500 2020 4 10038 NEW YORK
8500 2016 3 10467 BRONX
8500 2018 6 10458 BRONX
8500 2020 3 10038 NEW YORK
Page 483 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UNION COMM HEALTH CTR INC (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MEDWELL WOMENS MEDICAL SERVICES
PLL
(40.65642, -73.950691) 809 2090 31
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
PEDIATRICS & ADOLESCENT MEDICINE (43.161748, -77.620143) 1666 2093 56
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NUKALAPATI PRASUNA R MD (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 484 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 108
37 108
37 176
224
50 844
37 108
37 108
37 108
37 176
37 108
37 27
755
50 844
755
617
37 111
37 108
37 176
37 176
37 108
Page 485 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER GRACE
NURSE PRACTITIONER CAITHLEEN
PHYSICIAN STEPHEN
PHYSICIAN JESUS
NURSE PRACTITIONER KATHLEEN
PHYSICIAN AIMEE
PHYSICIAN MARK
DENTIST ROBERT
PHYSICIAN SAADIA
DENTIST CHIRADIP
PHYSICIAN SIOBHAN
PHYSICIAN HECTOR
PHYSICIAN KATRINA
PHYSICIAN FARID
PHYSICIAN OMER
PHYSICIAN ZHAO
PHYSICIAN STUART
DENTIST LEILA
PHYSICIAN SREEDHAR
PHYSICIAN MUHAMMAD
PHYSICIAN JEAN
Page 486 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DIGMAN 1497139067 1083664221 12/10/2018
ZIKORUS 1831494293 1669470019 12/16/2019
ALBANESE 1952305369 1740228311 03/12/2018
ANAMPA MESIAS 1356590772 1063525152 10/07/2019
SANDERS 1144347691 1437176047 01/29/2018
MANKODI 1275858110 1295729408 08/26/2019
MENEGUS 1174613079 1063525152 06/15/2020
SCHECTER 1053595678 1053595678 11/02/2018
RASHID 1376741454 1063525152 11/27/2017
KAR 1013313915 1497700736 10/09/2017
DOLAN 1891875373 1063525152 11/11/2019
RODRIGUEZ NAVARRO 1811034077 1811034077 03/12/2018
NICANDRI 1316056286 1184668311 08/28/2017
BOULAD 1619948353 1750352381 01/20/2020
TIPU 1669601159 1669601159 04/16/2018
WANG 1063507747 1063507747 02/10/2020
GREENSTEIN 1942382114 1063525152 01/22/2018
JAHANGIRI 1386792729 1164555124 02/18/2019
KALLAKURI 1285645028 1124032982 09/27/2021
ARIF 1679709380 1063468239 08/19/2019
FLEISCHMAN 1609955061 1801803903 04/05/2021
Page 487 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 13326 OTSEGO
8500 2018 2 10977 ROCKLAND
8500 2016 5 13057 ONONDAGA
8500 2018 3 10467 BRONX
21250 2016 1 10032 NEW YORK
8500 2018 3 10453 BRONX
8500 2019 3 10467 BRONX
-21250 2014 1 11550 NASSAU
8500 2016 3 10467 BRONX
21250 2016 1 11692 QUEENS
8500 2018 6 10461 BRONX
8500 2016 2 10452 BRONX
8500 2015 5 14642 MONROE
8500 2018 3 10065 NEW YORK
8500 2015 3 11218 KINGS
8500 2018 5 11220 KINGS
8500 2016 6 10467 BRONX
8500 2017 2 10010 NEW YORK
8500 2021 4 10038 NEW YORK
8500 2018 4 13210 ONONDAGA
8500 2020 4 10038 NEW YORK
Page 488 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
UPSTATE ORTHOPEDICS LLP (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TRUSTEES OF COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SCHECTER ROBERT CHARLES (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NAVARRO HECTOR RODRIGUEZ MD (40.85589, -73.868294) 675 2032 52
STRONG OB GYN GROUP (43.161748, -77.620143) 1666 2093 56
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
TIPU OMER KHALIQUE (40.65642, -73.950691) 809 2090 31
WANG ZHAO HIU MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 489 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
529
154
755
37 176
37 108
37 176
37 176
93
37 176
37 111
37 176
37 176
50 844
37 108
37 27
37 27
37 176
37 108
37 108
755
37 108
Page 490 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CERTIFIED NURSE MIDWIFE REBECCA
NURSE PRACTITIONER MARIA
PHYSICIAN MARK
NURSE PRACTITIONER JANETTE
PHYSICIAN CLAUDENE
PHYSICIAN MARTA
PHYSICIAN RUSHI
PHYSICIAN SANGEETA
PHYSICIAN NATHANIEL
PHYSICIAN RAVI
NURSE PRACTITIONER MICHAEL
PHYSICIAN DONNA
PHYSICIAN DAVID
PHYSICIAN LOURDES
PHYSICIAN MICHAEL
PHYSICIAN CORNELIU
PHYSICIAN ELANA
NURSE PRACTITIONER CANDICE
DENTIST SUNCZERAE
PHYSICIAN JAMES
PHYSICIAN ASMAT
PHYSICIAN ASPAN
Page 491 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SKOVGAARD 1669402772 1932143153 04/16/2018
MILAZZO 1588789333 1417983024 11/06/2017
FENSTER 1376566620 1124032982 03/22/2021
SAXTON 1396781043 1598707812 03/26/2018
GEORGE 1689791287 1063525152 08/21/2017
SANCHEZ 1588961494 1295729408 08/28/2017
NAYAK 1033413760 1023024882 07/03/2017
KAKUMANU 1396912903 1033124961 03/08/2021
YAO 1104083575 1548208127 09/02/2019
ADHIKARY 1518158799 1215978184 12/25/2017
AGYEMAN 1427377761 1801803903 10/11/2021
DICK 1134344781 1063480218 09/11/2017
BARBER 1396800454 1508850280 01/07/2019
FIGUEROA-CORSER 1770677031 1063525152 02/03/2020
MENDOZA 1962586149 1740220698 08/07/2017
VULPE 1992815021 1992815021 01/22/2018
SYDNEY 1043381056 1679587679 06/07/2021
JOB 1366865933 1255360517 05/21/2018
KUSHKITUAH 1639218696 1639218696 03/01/2019
BERNASKO 1003986431 1538114723 01/21/2019
ULLAH 1104846765 1801857172 10/02/2017
OHSON 1689678559 1073535027 05/12/2021
Page 492 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 6 14642 MONROE
8500 2015 2 11725 SUFFOLK
8500 2020 5 10038 NEW YORK
8500 2015 3 14420 MONROE
8500 2015 5 10467 BRONX
8500 2015 2 12401 ULSTER
21250 2015 1 10038 NEW YORK
8500 2020 5 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2016 2 13210 ONONDAGA
8500 2021 6 10038 NEW YORK
21250 2016 1 10950 ORANGE
8500 2017 4 13142 OSWEGO
8500 2018 3 10467 BRONX
8500 2015 5 14642 MONROE
-8500 2013 2 10304 RICHMOND
8500 2020 4 10038 NEW YORK
21250 2016 1 14642 MONROE
-21250 2014 1 11221 KINGS
8500 2017 4 11733 SUFFOLK
21250 2016 1 11554 NASSAU
-21250 2016 1 10038 NEW YORK
Page 493 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE MIDWIFERY GRP UNIV ROCH (43.161748, -77.620143) 1666 2093 56
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
OAK ORCHARD COMM HLTH CTR INC (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
UNIVERSITY RADIOLOGY ASSOC (43.065629, -76.168033) 713 2132 43
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
EZRAS CHOILIM HLTH CTR INC (41.422459, -74.241929) 1496 2134 32
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
VULPE CORNELIU THEODOR MD (40.566763, -74.148102) 609 2139 47
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
KUSHKITUAH SUNCZERAE SHANEE DDS (40.65642, -73.950691) 809 2090 31
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 494 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
137
37 108
50 844
37 176
198
37 108
37 108
37 108
755
37 108
76
533
37 176
50 844
37 7
37 108
50 844
37 27
137
93
37 108
Page 495 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER EDWARD
PHYSICIAN THOMAS
CERTIFIED NURSE MIDWIFE LISA
DENTIST MARTIN
PHYSICIAN SULAGNA
PHYSICIAN JEBUN
NURSE PRACTITIONER CHARIBEL
PHYSICIAN JOHN
PHYSICIAN JENNIFER
PHYSICIAN MOHAMED
PHYSICIAN KIM
PHYSICIAN JENNIFER
NURSE PRACTITIONER WENDY
PHYSICIAN PRADIP
PHYSICIAN JONATHAN
PHYSICIAN KATHARINE
PHYSICIAN IGOR
NURSE PRACTITIONER ZIPING
CERTIFIED NURSE MIDWIFE DEBORAH
Page 496 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARTINEZ 1588096424 1073535027 02/01/2021
MELE 1235244419 1194832477 06/04/2018
MODELL 1447315528 1679587679 05/25/2020
PRAGER 1952440331 1164555124 01/20/2020
MOOKHERJEE 1225030133 1386689248 08/06/2018
NAHAR 1669667325 1184670465 01/21/2019
PALMER 1780873984 1063525152 04/12/2021
YIU 1740440155 1689009854 09/16/2019
SACKS 1548404932 1669535548 09/23/2019
GHAFAR 1043470024 1063426377 01/07/2019
FORRESTER-DUMONT 1023336245 1184694291 02/12/2018
ADAMS 1720006869 1548208127 02/08/2021
GELLERT 1528087954 1235170150 03/12/2018
MUKHERJEE 1194748897 1124032982 10/07/2019
BRESS 1326101007 1255360517 09/18/2017
KEVILL 1700949575 1083660575 12/24/2018
SHORMAN 1306076245 1861628091 10/30/2017
QIN 1689008906 1689009854 10/09/2017
BOHNEN 1679779029 1417027558 01/21/2019
Page 497 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 3 10038 NEW YORK
8500 2016 4 10032 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2018 3 10010 NEW YORK
8500 2016 5 12208 ALBANY
8500 2017 4 11418 QUEENS
8500 2020 2 10038 NEW YORK
8500 2018 6 11220 KINGS
8500 2018 5 13212 ONONDAGA
8500 2017 2 10038 NEW YORK
8500 2016 2 10453 BRONX
8500 2020 3 10038 NEW YORK
8500 2016 5 13202 ONONDAGA
8500 2018 3 10038 NEW YORK
8500 2015 3 14621 MONROE
8500 2017 6 11794 SUFFOLK
21250 2016 1 11201 KINGS
8500 2015 2 11220 KINGS
8500 2017 5 10456 BRONX
Page 498 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
EXCELSIOR INTEGRATED MEDICAL
GROUP
(40.65642, -73.950691) 809 2090 31
JOSE VARGAS MD (43.065629, -76.168033) 713 2132 43
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
TBHC PEDIATRIC SERVICES PC (40.65642, -73.950691) 809 2090 31
EXCELSIOR INTEGRATED MEDICAL
GROUP
(40.65642, -73.950691) 809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
Page 499 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
1 573
37 111
37 108
37 27
755
37 108
37 176
37 108
755
37 108
50 844
137
37 27
37 27
37 176
Page 500 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST GREGORY
DENTIST KAY
NURSE PRACTITIONER KIRSTEN
ACUTE CARE HOSPITALS JOHN T MATHER MEMORIAL HOSPITAL
PHYSICIAN NATHANIEL
PHYSICIAN MAZULLAH
NURSE PRACTITIONER MARLENE
PHYSICIAN KERRY
NURSE PRACTITIONER ELAINE
PHYSICIAN MICHAEL
PHYSICIAN CARLOS
DENTIST MARINA
NURSE PRACTITIONER COLLETTE
PHYSICIAN JOSE
PHYSICIAN MEYER
PHYSICIAN DAVID
PHYSICIAN DAVID
PHYSICIAN CHRISTINE
PHYSICIAN MIRIAM
PHYSICIAN CARMIN
PHYSICIAN ASIM
PHYSICIAN PRASHANTH
Page 501 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MADDALENA 1033319066 1619969458 06/25/2018
OEN 1538390778 1164555124 02/25/2019
SMITH 1992763247 1366473183 07/31/2017
1093718728 08/26/2019
YAO 1104083575 1548208127 02/01/2021
KAMRAN 1801810478 1063426377 01/07/2019
MCHUGH 1396728895 1063525152 10/18/2021
MURPHY 1356502595 1063525152 11/11/2019
BROWN 1497079339 1477505220 05/07/2018
THORPY 1134204456 1063525152 11/04/2019
ORTIZ 1902972979 1902972979 09/23/2019
SHRAGA 1023227642 1023227642 01/18/2019
BROWN 1174982235 1063525152 02/18/2019
ARVIZU OLVERA 1992867618 1194832477 01/28/2019
KATTAN 1518921840 1447518550 08/07/2017
JOSEPH 1902840614 1063426377 08/19/2019
AKMAN 1881791119 1427063270 11/01/2021
KERR 1578521423 1619969458 11/25/2019
SILFEN 1801952544 1023024882 09/13/2021
APPOLON 1124052394 1588611842 01/29/2018
ELAHI 1063837912 1376642371 04/30/2018
SREERAMOJU 1821325150 1063525152 09/18/2017
Page 502 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 3 12508 DUTCHESS
8500 2017 2 10010 NEW YORK
21250 2016 1 14222 ERIE
62411.2 2018 3 11777 SUFFOLK
8500 2020 4 10038 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2021 6 10467 BRONX
8500 2018 4 10461 BRONX
8500 2016 4 11418 QUEENS
8500 2018 5 10467 BRONX
8500 2018 5 11355 QUEENS
-21250 2013 1 11416 QUEENS
8500 2017 2 10461 BRONX
8500 2017 3 10034 NEW YORK
8500 2015 3 10032 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2018 6 10566 WESTCHESTER
8500 2021 3 10038 NEW YORK
21250 2016 1 11229 KINGS
21250 2016 1 41501 OUT OF STATE
8500 2015 4 10467 BRONX
Page 503 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
JOHN T MATHER MEM HOSP (40.820237, -73.119032) 1421 2179 3
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ORTIZ CARLOS A JR MD (40.749338, -73.789673) 828 2137 11
SHRAGA MARINA DDS (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
HUDSON RIVER HEALTHCARE INC (41.039278, -73.805386) 1440 2185 53
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
INTERBOROUGH DEV/CONSULT CTRS (40.65642, -73.950691) 809 2090 31
JOHN T MATHER MEMORIAL HOSPITAL
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 504 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
63
37 108
646
137
37 108
37 108
37 176
37 176
37 111
37 176
37 111
37 111
37 176
37 108
37 108
37 108
37 108
224
37 108
37 27
37 176
Page 505 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DARAN
PHYSICIAN JAMES
PHYSICIAN MARTA
PHYSICIAN HYLTON
PHYSICIAN ROBERT
PHYSICIAN KAREN
PHYSICIAN AMY
NURSE PRACTITIONER DARONDA
PHYSICIAN MATTHEW
PHYSICIAN MARC
DENTIST DEEPA
NURSE PRACTITIONER PHOEBE
PHYSICIAN DANIEL
PHYSICIAN KRISTIN
PHYSICIAN GAYLE
PHYSICIAN BRIAN
PHYSICIAN INGRID
PHYSICIAN ADOLFO
PHYSICIAN JENNIFER
PHYSICIAN KENNETH
Page 506 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KAUFMAN 1760702104 1679587679 10/09/2017
GOODRICH 1174627590 1063525152 01/08/2018
SANCHEZ 1588961494 1972877017 09/30/2019
LIGHTMAN 1043375728 1043375728 10/08/2018
MENDELSON 1215997267 1184670465 09/14/2020
TIZER 1396875621 1063525152 10/16/2017
ZHENG 1225471618 1063525152 04/05/2021
SHEPARD 1396087144 1306909957 04/16/2018
MASON 1821264946 1003062043 12/25/2017
FOCA 1881660512 1447518550 08/28/2017
RAO 1285800458 1437231693 11/13/2017
REESE 1386991180 1083664221 08/28/2017
GELFOND 1033200191 1548684251 02/18/2019
SWEDISH 1245464239 1063525152 06/15/2020
LASHANSKY 1073691127 1801803903 10/04/2021
JOHNSON 1528026119 1881084820 02/26/2018
FLORES 1609832211 1184670465 08/21/2017
JAITOVICH 1033438973 1386689248 01/04/2021
ROLLER 1912936121 1912936121 11/12/2018
MCCONNOCHIE 1417982232 1821029463 08/07/2017
Page 507 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2016 3 10467 BRONX
8500 2018 5 12401 ULSTER
8500 2017 3 11691 QUEENS
8500 2019 6 11418 QUEENS
8500 2015 2 10467 BRONX
8500 2020 5 10458 BRONX
8500 2016 3 14605 MONROE
8500 2016 2 13210 ONONDAGA
8500 2015 5 10032 NEW YORK
21250 2016 1 10456 BRONX
8500 2015 3 13820 OTSEGO
8500 2017 5 14020 GENESEE
8500 2019 4 10466 BRONX
8500 2021 4 10038 NEW YORK
8500 2016 5 13210 ONONDAGA
8500 2015 2 11355 QUEENS
8500 2020 6 12208 ALBANY
8500 2017 4 14225 ERIE
8500 2015 4 14642 MONROE
Page 508 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
THE INSTITUTE FOR FAMILY HEALTH (41.848374, -74.099412) 264 2182 32
LIGHTMAN HYLTON MD (40.749338, -73.789673) 828 2137 11
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PLANNED PARENTHOOD OF NIAG CO (43.161748, -77.620143) 1666 2093 56
UPSTATE UROLOGY, INC (43.065629, -76.168033) 713 2132 43
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
WNY PEDIATRIC GASTROENTEROLOGY
PLLC
(43.000121, -78.172679) 489 2086 61
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
PSYCHIATRY FACULTY PRACTICE INC (43.065629, -76.168033) 713 2132 43
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
ROLLER JENNIFER LYNN MD (42.888143, -78.795544) 62 2041 63
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
Page 509 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
198
37 111
37 111
37 176
37 176
50 844
755
37 108
37 176
529
752
37 176
37 108
755
37 111
1 573
646
50 844
Page 510 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER RUTH
PHYSICIAN RICHARD
PHYSICIAN GEORGETTE
PHYSICIAN MELISSA
PHYSICIAN LUCY
DENTIST STEVEN
PHYSICIAN HANNA
PHYSICIAN SANJIV
NURSE PRACTITIONER TASHEIMA
DENTIST THOMAS
PHYSICIAN EVA
NURSE PRACTITIONER ELIZABETH
PHYSICIAN CHRISTINE
PHYSICIAN ANNA
PHYSICIAN AMIR
NURSE PRACTITIONER NICOLE
PHYSICIAN ZELIMIR
PHYSICIAN DRAGOS
PHYSICIAN CATHERINE
NURSE PRACTITIONER ALLISON
PHYSICIAN SHYAMALI
PHYSICIAN MENACHEM
Page 511 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KELLEHER 1912126806 1417391319 07/24/2017
KINYAMU 1396942629 1043224355 09/25/2017
ALEXIS 1083693816 1043224355 12/02/2019
PHILADELPHIA 1801860226 1043224355 06/07/2021
GORDON 1417157942 1063426377 04/27/2020
SPERONI 1801851597 1669568465 08/20/2018
JESIONOWSKA 1760531040 1013924372 01/25/2021
BAKSHI 1083710065 1801803903 12/31/2018
HARRISON 1467865428 1043224355 09/20/2021
RIUTTA 1437350691 1295997724 05/03/2021
WAITE 1902838030 1659639524 08/03/2020
ISTORICO 1649221433 1437176047 12/25/2017
VERNA 1588726988 1841224508 08/21/2017
DONNELLY 1568507788 1598930869 03/04/2019
ANSARI-EZABADI 1700979911 1063525152 06/29/2020
GOLDEN 1215252762 1265598783 04/30/2018
VUKASIN 1861542540 1457418337 09/04/2017
BANU 1558659367 1114954682 08/12/2019
SCRENCI 1164505111 1164505111 08/21/2017
IMAHIYEROBO 1831406909 1437176047 11/12/2018
BHAKTA 1184671117 1033124961 09/18/2017
LEASY 1760709232 1295729408 05/14/2018
Page 512 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 12047 ALBANY
21250 2016 1 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2019 4 10038 NEW YORK
21250 2016 1 14527 YATES
8500 2020 3 10038 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2021 2 10038 NEW YORK
8500 2020 4 11753 NASSAU
8500 2019 5 10029 NEW YORK
21250 2016 1 10032 NEW YORK
8500 2015 2 12603 DUTCHESS
8500 2017 3 10011 NEW YORK
8500 2019 4 10458 BRONX
8500 2016 3 10032 NEW YORK
8500 2015 3 11357 QUEENS
8500 2018 4 12953 FRANKLIN
8500 2015 4 11542 NASSAU
8500 2017 2 10032 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2016 4 10035 NEW YORK
Page 513 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARY KATHLEEN W DITURSI MD PC (42.678066, -73.814233) 40 2030 34
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
FINGER LAKES MIGRANT HLTH (42.634338, -77.078311) 2225 58
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
NEW YORK FOUNDLING HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
TRANSITIONAL SERVICES FOR NY (40.749338, -73.789673) 828 2137 11
ALICE HYDE MEDICAL CENTER (44.705699, -74.340621) 278 621 35
SCRENCI CATHERINE R MD (40.715749, -73.601185) 1455 2094 6
TRUSTEES OF COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
Page 514 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
1 573
37 108
37 108
37 108
37 108
581
37 108
37 108
37 108
93
37 108
37 108
63
37 108
37 176
37 108
37 111
29 926
93
37 108
37 108
37 108
Page 515 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER TRACY
PHYSICIAN RACHEL
NURSE PRACTITIONER ROBERT
PHYSICIAN NORMAN
PHYSICIAN LUIS
PHYSICIAN MARIA
PHYSICIAN SUZANNE
DENTIST JEROME
PHYSICIAN ALVIN
PHYSICIAN DAVID
PHYSICIAN ENYIOMA
CERTIFIED NURSE MIDWIFE KRISTINE
PHYSICIAN LUIS
PHYSICIAN AMANDA
PHYSICIAN LOUIS
PHYSICIAN ADAM
PHYSICIAN KIM
NURSE PRACTITIONER NATHAN
PHYSICIAN ROSA
NURSE PRACTITIONER LEAH
PHYSICIAN DAISY
Page 516 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
STEIN 1326062308 1821093402 03/12/2018
BERMAN 1225352123 1063525152 10/21/2019
SMELTZ 1790905677 1073535027 08/28/2017
SAFFRA 1811979735 1518948934 08/05/2019
JIMENEZ 1295855005 1437231693 04/16/2018
CZERWINSKI 1396779872 1376618843 04/13/2020
FRIEDMAN 1487953162 1194832477 01/28/2019
KAPLAN 1770715708 1164555124 08/31/2020
BREGMAN 1932254596 1184670465 03/22/2021
ERSTEIN 1245494806 1427063270 10/25/2021
NWANKPA 1053522326 1033124961 05/04/2020
SABATINO 1497706303 1164464921 11/26/2018
CASTRO 1336104900 1699832436 09/10/2018
RAFF 1952490369 1063525152 01/15/2018
BELZIE 1861438681 1861438681 09/11/2017
ISAACSON 1871561837 1801857172 05/10/2021
POLI 1629017629 1386689248 08/21/2017
LEVITT 1972971240 1477764496 08/07/2017
CATALDO 1386815777 1083660575 12/31/2018
WEICHSELBAUM 1760933394 1720177066 02/08/2021
GRUESO 1174568851 1043224355 09/06/2021
Page 517 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 13413 ONEIDA
8500 2018 3 10467 BRONX
21250 2016 1 10038 NEW YORK
8500 2018 5 11219 KINGS
21250 2015 1 10456 BRONX
8500 2019 5 12307 SCHENECTADY
8500 2017 3 10033 NEW YORK
8500 2019 4 10010 NEW YORK
8500 2020 3 11379 QUEENS
8500 2021 5 10038 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2017 4 14220 ERIE
8500 2016 4 13204 ONONDAGA
8500 2016 6 10461 BRONX
8500 2015 4 11236 KINGS
8500 2020 5 11554 NASSAU
8500 2015 4 12208 ALBANY
21250 2016 1 10002 NEW YORK
8500 2017 5 11794 SUFFOLK
8500 2020 5 11249 KINGS
8500 2021 3 10038 NEW YORK
Page 518 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ST ELIZABETH MED CTR (43.149482, -75.361773) 1281 625 40
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MEDICAL SURGICAL EYE SITE PC (40.65642, -73.950691) 809 2090 31
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
PLANNED PTHD MOHAWK HUDSON (42.809233, -73.946838) 74 2142 42
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
ST JOSEPHS HOSPITAL HEALTH CENTER (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELZIE LOUIS R (40.65642, -73.950691) 809 2090 31
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
COMMUNITY HEALTHCARE NETWORK (40.726966, -74.005966) 737 2095 50
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 519 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
794
37 176
37 108
37 27
37 176
617
37 108
37 108
37 111
37 108
37 108
646
755
37 176
37 27
93
1 573
37 108
137
37 27
37 108
Page 520 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN VIKTOR
NURSE PRACTITIONER PYUNG HWA
NURSE PRACTITIONER LAUREN
PHYSICIAN MING-YAN
PHYSICIAN ROBERT
PHYSICIAN LISA
PHYSICIAN ANDY
PHYSICIAN GENE
NURSE PRACTITIONER ANSU
NURSE PRACTITIONER JUSTINE
NURSE PRACTITIONER MOREEN
NURSE PRACTITIONER JOYCE
PHYSICIAN DAVID
NURSE PRACTITIONER JANINE
PHYSICIAN ANGELA
PHYSICIAN PAUL
NURSE PRACTITIONER NOELA
PHYSICIAN LOURDES
PHYSICIAN KEVIN
PHYSICIAN RONALD
PHYSICIAN AVI
Page 521 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
YATSYNOVICH 1730323239 1285717298 09/04/2017
JUNG 1093242356 1841455854 03/05/2018
CRANE 1770871196 1821266321 10/28/2019
CHOW 1649225954 1255360517 02/25/2019
SIMON 1851365449 1437231693 11/13/2017
YEUNG 1114287067 1295729408 09/09/2019
WEN 1043487101 1073535027 10/02/2017
PESOLA 1407885825 1033124961 04/06/2020
VARUGHESE 1396132411 1063525152 07/31/2017
GROARKE 1932434388 1487691481 07/31/2017
BOZIER 1871994244 1063525152 01/29/2018
HILL 1386003101 1467454967 11/18/2019
NARDACCI 1679515753 1073535027 09/11/2017
BRINK 1356510655 1669568465 08/20/2018
DAVYDOV 1407948441 1295928489 08/12/2019
BEACH 1265641286 1417027558 02/05/2018
TULSIE 1386098507 1801803903 10/04/2021
PUBLICO 1962592725 1033124961 10/11/2021
FERRICK 1952491821 1063525152 07/13/2020
RABINOWITZ 1790724078 1952357493 04/16/2018
EINZIG 1245311414 1063525152 04/05/2021
Page 522 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 14301 NIAGARA
21250 2016 1 11210 KINGS
8500 2018 2 13790 BROOME
8500 2017 5 14621 MONROE
21250 2016 1 10456 BRONX
8500 2018 4 10452 BRONX
21250 2016 1 10038 NEW YORK
8500 2019 2 10038 NEW YORK
21250 2016 1 10467 BRONX
21250 2016 1 11501 NASSAU
21250 2016 1 10461 BRONX
8500 2018 2 10532 WESTCHESTER
21250 2016 1 10038 NEW YORK
21250 2016 1 14456 ONTARIO
8500 2018 6 11249 KINGS
8500 2015 2 10457 BRONX
8500 2021 4 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2019 5 10467 BRONX
8500 2016 5 14642 MONROE
8500 2020 5 10461 BRONX
Page 523 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NIAGARA FALLS MEM MED CTR (43.134634, -78.856419) 1107 2131 62
HOPE MEDICAL OF NEW YORK PC (40.65642, -73.950691) 809 2090 31
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
OB-GYN CONTEMPORARY CARE (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
FINGER LAKES MIGRANT HLTH (42.894571, -77.252045) 178 2133 54
BEDFORD MED FAM HEALTH CTR (40.65642, -73.950691) 809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY UROLOGY ASSOC (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 524 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
835
37 27
346
50 844
37 176
37 176
37 108
37 108
37 176
93
37 176
224
37 108
691
37 27
37 176
37 108
37 108
37 176
50 844
37 176
Page 525 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN CHRISTINA
PHYSICIAN LUIGI
PHYSICIAN TEODORICO
PHYSICIAN ANNA MARIA
PHYSICIAN BRIANNA
PHYSICIAN ALBERTO
PHYSICIAN JUNGRAK
PHYSICIAN IGOR
PHYSICIAN JAVED
PHYSICIAN CHAVA
PHYSICIAN SARA
PHYSICIAN RACHEL
PHYSICIAN LISA
DENTIST DENISE
PHYSICIAN LUIS
PHYSICIAN IRINA
PHYSICIAN AARON
PHYSICIAN DANIEL
PHYSICIAN JACOB
PHYSICIAN LYUDMILA
PHYSICIAN LISA
Page 526 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
YANG 1295996486 1063525152 06/22/2020
DI BIASE 1891045837 1063525152 07/06/2020
ALCANTARA 1255359030 1619341716 10/02/2017
ASSEVERO 1619060829 1083639587 11/06/2017
NORTON 1770760084 1063525152 03/25/2019
FRANCO-AKEL 1194080317 1013924372 01/25/2021
HONG 1154670446 1013924372 09/11/2017
ISRAEL 1851391692 1851391692 11/04/2019
IQBAL 1841391737 1801857172 05/21/2018
SHEFER 1063485472 1013018324 12/30/2019
SAFARZADEH-AMIRI 1134455330 1972944080 02/19/2018
ROSENBERG 1588955165 1295729408 08/14/2017
KANENGISER 1275668147 1073535027 06/08/2020
ESTAFAN 1346648821 1164555124 07/05/2021
MEJICO 1366400152 1518907096 08/28/2017
KRYM 1669565438 1669565438 02/05/2018
NELSON 1497950109 1073535027 02/26/2018
CHIKVASHVILI 1275592420 1801857172 09/13/2021
CYNAMON 1407949647 1063525152 11/11/2019
OSLON 1063458057 1063458057 08/06/2018
DABNEY 1578564266 1922411065 07/27/2020
Page 527 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 4 10467 BRONX
8500 2019 4 10461 BRONX
8500 2015 3 11220 KINGS
8500 2015 5 12534 COLUMBIA
8500 2017 2 10451 BRONX
8500 2020 4 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2018 5 11375 QUEENS
8500 2016 2 11554 NASSAU
8500 2018 3 11215 KINGS
8500 2015 2 14213 ERIE
8500 2015 2 10035 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2020 5 10010 NEW YORK
8500 2015 4 13202 ONONDAGA
8500 2015 2 11209 KINGS
21250 2016 1 10038 NEW YORK
8500 2021 6 11554 NASSAU
8500 2018 2 10467 BRONX
8500 2016 5 11367 QUEENS
8500 2019 5 10019 NEW YORK
Page 528 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ISRAEL IGOR MD (40.749338, -73.789673) 828 2137 11
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
PARK SLOPE PHYSICIAN GRP PC (40.65642, -73.950691) 809 2090 31
JERICHO ROAD MINISTRIES (42.888143, -78.795544) 62 2041 63
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
KRYM IRINA MD (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LYUDMITA OSLON (40.749338, -73.789673) 828 2137 11
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
Page 529 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
37 27
388
37 176
37 108
37 108
37 111
93
37 27
646
37 108
37 108
37 108
755
37 27
37 108
93
37 176
37 111
37 108
Page 530 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JEFFREY
NURSE PRACTITIONER ALIYAMMA
PHYSICIAN MONICA
PHYSICIAN MICHAEL
PHYSICIAN SHERMAN
DENTIST ANA
PHYSICIAN CHRISTINE
PHYSICIAN ARTHUR
PHYSICIAN ANGELLE
NURSE PRACTITIONER MOREEN
PHYSICIAN ANDREI
NURSE PRACTITIONER CRAIG
PHYSICIAN STEVEN
PHYSICIAN THAINA
NURSE PRACTITIONER MELANIE
PHYSICIAN JULES
PHYSICIAN EUGENE
PHYSICIAN PAUL
PHYSICIAN NANCY
PHYSICIAN MITA
Page 531 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WALLACH 1588638118 1033124961 08/19/2019
SAMUEL 1023114352 1801803903 11/18/2019
MORGAN 1720018559 1275589582 11/12/2018
SHOEMAKER 1558374223 1255360517 06/18/2018
DUNN 1730109281 1124032982 02/04/2019
SUAREZ-TIBURCIO 1356684062 1932453172 03/16/2020
SUH 1104169291 1295729408 12/17/2018
KAYE 1528068863 1720177066 09/04/2017
BREBNOR 1013234590 1154354140 03/26/2018
BOZIER 1871994244 1063525152 07/06/2020
CONSTANTINESCU 1831164417 1447518550 07/31/2017
WEISE 1215133509 1255360517 02/11/2019
BLATT 1023038692 1770539066 03/12/2018
ROUSSEAU-PIERRE 1245243351 1063426377 12/02/2019
APPLEGATE 1356649750 1073535027 11/01/2021
BEAL 1811136187 1063525152 09/11/2017
SCHIFF 1275891608 1972877017 05/03/2021
SORUM 1649266941 1700816626 06/04/2018
NGAI 1174783195 1386911691 04/30/2018
CHOWDHURY 1487805065 1063426377 01/07/2019
Page 532 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2017 6 13210 ONONDAGA
8500 2016 5 14590 WAYNE
8500 2017 2 10038 NEW YORK
-21250 2016 1 10029 NEW YORK
8500 2017 2 10473 BRONX
21250 2016 1 11249 KINGS
8500 2016 3 14222 ERIE
8500 2019 3 10461 BRONX
8500 2015 5 10032 NEW YORK
8500 2017 4 14513 WAYNE
8500 2016 5 13202 ONONDAGA
8500 2018 2 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2015 2 10467 BRONX
8500 2020 5 10473 BRONX
8500 2016 6 12110 ALBANY
8500 2016 3 11214 KINGS
8500 2017 2 10038 NEW YORK
Page 533 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
UPSTATE EMERGENCY MEDICINE INC (43.065629, -76.168033) 713 2132 43
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
P & R EXECUTIVE DENTAL MANAGEMENT (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
UNIVERSITY GYN & OB INC (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
THE INSTITUTE FOR FAMILY HEALTH (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MILESTONES PEDIATRICS OF NEW YORK
P
(40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 534 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
755
809
37 108
37 108
37 176
37 27
646
37 176
37 108
809
755
37 108
37 108
37 176
37 176
1 573
37 27
37 108
Page 535 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN RICHARD
PHYSICIAN JENNIFER
PHYSICIAN ZAE
PHYSICIAN SAVI
PHYSICIAN QAZI
PHYSICIAN ROBERT
PHYSICIAN KATALIN
NURSE PRACTITIONER DESIREE
PHYSICIAN VIJAY
NURSE PRACTITIONER TRICHELLE
PHYSICIAN CATHY
PHYSICIAN NELLY
NURSE PRACTITIONER JUDITH
NURSE PRACTITIONER MELINDA
CERTIFIED NURSE MIDWIFE YAEL
PHYSICIAN NIRA
PHYSICIAN VANESSA
PHYSICIAN RAINER
NURSE PRACTITIONER DANIEL
PHYSICIAN PETER
DENTIST AISEL
PHYSICIAN JOANNA
Page 536 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NATTIS 1326027368 1477506764 12/25/2017
SCHERR 1801983978 1467454967 04/27/2020
KIM 1326243031 1801857172 05/10/2021
MUSHIYEV 1013179050 1013924372 12/23/2019
HAIDER 1184793846 1083938344 08/02/2021
MENDELSON 1215997267 1184670465 11/04/2019
MACS 1861754780 1679587679 11/01/2021
LINDSAY 1568740199 1679587679 10/04/2021
VISHWANATH 1457679706 1811921786 01/22/2018
FEHELEY 1518275023 1063557189 06/18/2018
COLEMAN 1962444869 1083660575 12/24/2018
OUNDJIAN 1467549832 1033124961 01/25/2021
NEUDERFER 1083652200 1255360517 03/09/2020
LOEFKE 1306899885 1881789014 11/13/2017
SPEKTOR 1467709634 1679587679 06/08/2020
GOLDSTEIN 1689658288 1194772632 01/08/2018
SCOTT 1649615253 1194832477 07/31/2017
GRUESSNER 1487725917 1376590117 12/25/2017
YASHAYEV 1558635920 1063426377 11/25/2019
BARLAND 1831138031 1679587679 06/14/2021
FELIX 1801887146 1801887146 09/19/2019
STARRELS 1124031729 1063525152 01/22/2018
Page 537 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 3 11702 SUFFOLK
8500 2019 6 10532 WESTCHESTER
8500 2020 6 11554 NASSAU
8500 2018 2 10038 NEW YORK
8500 2021 6 11355 QUEENS
8500 2018 5 11418 QUEENS
8500 2021 5 10038 NEW YORK
8500 2021 4 10038 NEW YORK
21250 2016 1 12208 ALBANY
8500 2016 4 13901 BROOME
8500 2017 6 11772 SUFFOLK
8500 2020 3 10038 NEW YORK
8500 2018 6 14621 MONROE
8500 2016 5 14207 ERIE
8500 2019 2 10038 NEW YORK
21250 2015 1 11203 KINGS
21250 2016 1 10032 NEW YORK
8500 2016 2 13210 ONONDAGA
8500 2018 3 10038 NEW YORK
8500 2020 4 10038 NEW YORK
-8500 2014 2 11368 QUEENS
8500 2016 6 10451 BRONX
Page 538 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LINDENHURST EYE PHYSICIANS & SURG (40.820237, -73.119032) 1421 2179 3
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QAZI K HAIDER MD PC (40.749338, -73.789673) 828 2137 11
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
NORTHWEST BUFFALO COMM H C (42.888143, -78.795544) 62 2041 63
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY PHYS BROOKLYN INC (40.65642, -73.950691) 809 2090 31
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
FELIX AISEL L DDS (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 539 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
224
93
37 108
37 111
37 111
37 108
37 108
1 573
346
137
37 108
50 844
646
37 108
37 27
37 108
755
37 108
37 108
37 111
37 176
Page 540 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN AYMAN
PHYSICIAN ANDREW
PHYSICIAN AMENA
NURSE PRACTITIONER JANE
PHYSICIAN ABDUL-HAKI
PHYSICIAN ALLEN
DENTIST JIM
DENTIST PHILIP
NURSE PRACTITIONER EILEEN
PHYSICIAN UZMA
PHYSICIAN MELISSA
PHYSICIAN ARGYRO
NURSE PRACTITIONER AMY
PHYSICIAN LEON
PHYSICIAN CARMEN
PHYSICIAN HONG JUN
PHYSICIAN ELEANOR
PHYSICIAN JHANSI
PHYSICIAN MARGARITA
PHYSICIAN DAVID
PHYSICIAN LAURIE
Page 541 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FARGHALY 1760489975 1891791976 02/11/2019
BURGER 1366488520 1427063270 05/25/2020
SULTANA 1922166677 1922166677 04/23/2018
SASSONE 1538133962 1255360517 08/21/2017
ISSAH 1770684920 1770684920 03/19/2018
DOZOR 1801896238 1467454967 04/27/2020
GHARDA 1184843211 1295997724 12/25/2017
ZAVELOFF 1881746808 1720177066 01/14/2019
O'CONNOR 1326123449 1063525152 10/28/2019
ANIS 1083710321 1063557189 09/04/2017
PRADO 1265791420 1740220698 06/26/2017
KARIDIS 1922374032 1922374032 04/30/2018
DOWD 1093087439 1063525152 11/04/2019
BOUDOURAKIS 1073771051 1043224355 09/06/2021
MARTINEZ 1457349607 1518907096 10/29/2018
CHEN 1871536060 1871536060 02/05/2018
WEINSTEIN 1497722631 1679587679 11/18/2019
NALAMATI 1184641672 1023024882 06/08/2020
PEREZ 1811199342 1427005065 04/29/2019
ROSENTHAL 1255411708 1801857172 09/09/2019
SELTZER 1033248588 1184725525 03/26/2018
Page 542 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 6 14304 NIAGARA
8500 2019 3 10038 NEW YORK
8500 2016 5 11238 KINGS
8500 2015 2 14607 MONROE
8500 2015 3 10029 NEW YORK
8500 2019 6 10532 WESTCHESTER
8500 2016 2 11753 NASSAU
8500 2017 5 11249 KINGS
8500 2018 6 10460 BRONX
8500 2015 3 13850 BROOME
21250 2016 1 14642 MONROE
8500 2016 4 11542 NASSAU
8500 2018 2 10467 BRONX
8500 2021 3 10038 NEW YORK
8500 2017 4 13210 ONONDAGA
8500 2015 3 11354 QUEENS
8500 2018 2 10038 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2017 4 11355 QUEENS
8500 2018 2 11554 NASSAU
8500 2015 4 14642 MONROE
Page 543 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SUMMIT PEDIATRICS PC (43.134634, -78.856419) 1107 2131 62
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
SULTANA AMENA MD (40.65642, -73.950691) 809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
ISSAH ABDUL-HAKI MD (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
KARIDIS ARGYRO (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
JEAN CHEN MEDICAL (40.749338, -73.789673) 828 2137 11
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
JAMAICA PSYCHIATRIC SERV PC (40.749338, -73.789673) 828 2137 11
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
Page 544 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
835
37 108
37 27
50 844
37 108
224
93
37 27
37 176
346
50 844
93
37 176
37 108
755
37 111
37 108
37 108
37 111
93
50 844
Page 545 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER NAOMI
PHYSICIAN DENISA
PHYSICIAN MAGALIE
PHYSICIAN DOUGLAS
DENTIST MELVYN
PHYSICIAN JOSHUA
PHYSICIAN OLADIPO
DENTIST GENE
PHYSICIAN ELAINE
PHYSICIAN TU TU
NURSE PRACTITIONER ELAINE
NURSE PRACTITIONER DAVINIA
CERTIFIED NURSE MIDWIFE MARIA TERESA
PHYSICIAN CAROLINE
PHYSICIAN JIANGHONG
DENTIST JOLANTA
PHYSICIAN EDWARD
PHYSICIAN AL WALEED
PHYSICIAN JAGRUTI
Page 546 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RAY-SCHOENFELD 1073954871 1295729408 12/17/2018
FERASTRAOARU 1871866889 1063525152 11/11/2019
PIERRE-LOUIS 1952464554 1356406136 11/22/2021
VALBUENA PLAZA 1447670898 1417183963 10/09/2017
SEGAL 1740428721 1164555124 02/25/2019
COHEN 1366609737 1861652927 09/11/2017
ALAO 1265539993 1033124961 10/11/2021
SHERWIN 1740411222 1164555124 08/24/2020
SKLAR 1437155926 1467586792 02/12/2018
AUNG-HILLMAN 1871523001 1467469023 06/21/2021
POTTENGER 1316138399 1750352381 09/30/2019
YARDE 1770990731 1821266321 09/13/2021
TIMONEY 1215079397 1417027558 01/20/2020
CHO 1922168913 1467454967 04/27/2020
YU 1669798393 1063468239 08/21/2017
DRZYMALSKI 1730170291 1417924762 04/16/2018
RAAB 1417919135 1437421252 07/23/2018
ABUZEID 1518121235 1063525152 06/22/2020
PATEL 1346200383 1184670465 05/07/2018
Page 547 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 3 10003 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2021 4 10038 NEW YORK
21250 2016 1 11201 KINGS
8500 2017 2 10010 NEW YORK
8500 2015 3 10019 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2019 4 10010 NEW YORK
8500 2016 6 11219 KINGS
8500 2020 4 10038 NEW YORK
8500 2018 2 10065 NEW YORK
8500 2021 2 13790 BROOME
8500 2018 4 10456 BRONX
8500 2019 6 10532 WESTCHESTER
8500 2015 4 13202 ONONDAGA
8500 2015 2 12207 ALBANY
8500 2016 2 10029 NEW YORK
8500 2019 4 10467 BRONX
8500 2016 3 11418 QUEENS
Page 548 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
TBHC PHYSICIAN SERVICES (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
SLRHC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
BORO PARK OBSTETRICS & GYNECOLOGY
P
(40.65642, -73.950691) 809 2090 31
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
WHITNEY M YOUNG HEALTH CENTER (42.678066, -73.814233) 40 2030 34
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
Page 549 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 27
37 108
37 108
37 108
37 108
37 27
37 108
37 108
346
37 176
224
755
1 573
37 108
37 176
37 111
Page 550 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER CAROLINE
CERTIFIED NURSE MIDWIFE MARTHA
NURSE PRACTITIONER PAMELA
PHYSICIAN MAREK
PHYSICIAN ALLA
PHYSICIAN BRIDGET
PHYSICIAN PIERRE
PHYSICIAN ARAVIND
PHYSICIAN ASHANDA
PHYSICIAN ANDRES
PHYSICIAN JENNIFER
NURSE PRACTITIONER PATRICIA
NURSE PRACTITIONER MARLENE
PHYSICIAN THOMAS
PHYSICIAN DAVID
PHYSICIAN SOPHIA
PHYSICIAN BRYAN
PHYSICIAN DAVID
NURSE PRACTITIONER HEATHER
PHYSICIAN NANDINI
DENTIST LUCRETIA
PHYSICIAN DAVID
Page 551 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELL 1164669693 1063525152 10/18/2021
RODORIGO 1225009780 1467469023 09/14/2020
ELLIOTT 1710184346 1578612412 09/27/2021
BALUTOWSKI 1942259643 1295729408 05/14/2018
BOGORODOVSKY 1558322800 1124032982 07/10/2017
FRAWLEY 1457511057 1811921786 03/18/2019
MONTELUS 1972541340 1508812892 01/28/2019
POTHULA 1871751479 1063525152 04/19/2021
SAINT JEAN 1487668067 1194832477 01/28/2019
GRECO 1376750471 1912095852 02/18/2019
WU 1417997412 1073535027 05/17/2021
KEAR 1477654085 1396059499 02/01/2021
FUSSNER 1932285137 1063426377 08/07/2017
POBRE 1316915374 1801857172 05/18/2020
FELDMAN 1063670313 1043224355 06/12/2017
AU 1942393178 1063525152 10/25/2021
FALK 1407938764 1184670465 05/07/2018
SIEGEL 1215962907 1205940152 03/26/2018
GIGON 1205140605 1508850280 10/18/2018
KOGEKAR 1346272168 1467454967 08/26/2019
DEPAOLA-CEFOLA 1225133010 1164555124 02/18/2019
DOVNARSKY 1689619975 1477505220 08/21/2017
Page 552 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 5 10467 BRONX
8500 2019 2 10038 NEW YORK
8500 2021 6 11212 KINGS
8500 2016 6 12561 ULSTER
21250 2016 1 10038 NEW YORK
8500 2017 5 12208 ALBANY
8500 2017 5 11418 QUEENS
8500 2020 4 10461 BRONX
8500 2017 5 10032 NEW YORK
8500 2017 3 12553 ORANGE
8500 2020 4 10038 NEW YORK
8500 2020 2 11575 NASSAU
21250 2015 1 10038 NEW YORK
8500 2019 4 11554 NASSAU
21250 2015 1 10038 NEW YORK
8500 2021 6 10467 BRONX
8500 2016 3 11418 QUEENS
5667 2016 6 14642 MONROE
-8500 2013 2 13142 OSWEGO
8500 2018 4 10532 WESTCHESTER
8500 2017 2 10010 NEW YORK
8500 2015 3 11418 QUEENS
Page 553 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
JAMAICA ANESTHESIA PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
NEW WINDSOR PEDIATRICS PLLC (41.422459, -74.241929) 1496 2134 32
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY (43.161748, -77.620143) 1666 2093 56
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
Page 554 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 108
37 27
198
37 108
1 573
37 111
37 176
37 108
76
37 108
93
37 108
93
37 108
37 176
37 111
50 844
533
224
37 108
37 111
Page 555 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER CAITHLEEN
NURSE PRACTITIONER REBEKAH
PHYSICIAN NICHOLAS
PHYSICIAN BETHANY
PHYSICIAN ANITA
PHYSICIAN USHA
PHYSICIAN MILEN
NURSE PRACTITIONER SIMONE
PHYSICIAN CLARISA
PHYSICIAN FRED
PHYSICIAN AMIR
PHYSICIAN MITCHELL
PHYSICIAN CHARNA
PHYSICIAN MICHAEL
PHYSICIAN RAGHU
PHYSICIAN ROSEANNA
NURSE PRACTITIONER LORI
PHYSICIAN SANDY
PHYSICIAN SHAVON
NURSE PRACTITIONER AMBER
PHYSICIAN NATHALIE
Page 556 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ZIKORUS 1831494293 1669470019 10/12/2020
PRASAD 1841683604 1821029463 11/11/2019
ROGU 1922196948 1417983024 08/20/2018
MARSTON 1386656783 1205940152 11/26/2018
SOFTNESS 1801999164 1194832477 01/28/2019
MATHUR-WAGH 1598978371 1952332801 12/03/2018
VELINOV 1093774804 1437231693 11/06/2017
PHILLIPS 1689808958 1598930869 11/25/2019
ATENCIO 1194015230 1033124961 04/06/2020
ARCHER 1982702833 1366473183 02/12/2018
ANSARI-EZABADI 1700979911 1063525152 04/08/2019
BUTIN 1891771374 1740211143 03/19/2018
KLEIN 1447331608 1063525152 06/22/2020
DEVITA 1588636005 1033124961 06/21/2021
LOGANATHAN 1114080827 1740595917 08/14/2017
GUZMAN-CURTIS 1710201587 1376590117 12/03/2018
CONWAY 1366488066 1740220698 08/07/2017
BUI 1548577901 1144203498 07/31/2017
DILLON 1578708210 1801803903 05/04/2020
LANGE 1902188980 1164456067 11/25/2019
ROSEME-FREDERIC 1174757249 1013960962 12/03/2018
Page 557 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 3 10977 ROCKLAND
8500 2018 3 14642 MONROE
8500 2016 5 11725 SUFFOLK
5667 2017 6 14642 MONROE
8500 2017 6 10032 NEW YORK
8500 2017 2 10003 NEW YORK
21250 2016 1 10457 BRONX
8500 2018 4 10011 NEW YORK
8500 2019 3 10038 NEW YORK
21250 2015 1 14222 ERIE
8500 2017 2 10458 BRONX
8500 2016 2 10024 NEW YORK
8500 2019 4 10467 BRONX
8500 2020 2 10038 NEW YORK
21250 2016 1 10457 BRONX
8500 2017 2 13210 ONONDAGA
8500 2015 5 14642 MONROE
21250 2016 1 10013 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2018 3 12209 ALBANY
8500 2017 2 11355 QUEENS
Page 558 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY (43.161748, -77.620143) 1666 2093 56
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
NEW YORK FOUNDLING HOSPITAL (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SERVICE PROG OLDER PEOPLE (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
CHARLES B WANG COMM HTH CTR I (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
NEW YORK HOSPITAL MEDICAL CEN (40.749338, -73.789673) 828 2137 11
Page 559 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
154
50 844
137
50 844
37 108
37 108
37 176
37 108
37 108
646
37 176
37 108
37 176
37 108
37 176
755
50 844
37 108
37 108
1 573
37 111
Page 560 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MINGXU
PHYSICIAN ANNA
NURSE PRACTITIONER AMY
PHYSICIAN HEMANGI
DENTIST VIVIAN
PHYSICIAN LAURIE
DENTIST MATTHEW
PHYSICIAN MICHAEL
PHYSICIAN FABIO
PHYSICIAN LIJUN
NURSE PRACTITIONER KAREN
PHYSICIAN ANTONY
PHYSICIAN JEANNETTE
PHYSICIAN DAVID
PHYSICIAN JOSEPH
PHYSICIAN LISA
DENTIST GEORGE
NURSE PRACTITIONER HANNAH
NURSE PRACTITIONER PATRICIA
NURSE PRACTITIONER MARIA SOCORRO
NURSE PRACTITIONER LINDA
Page 561 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
XU 1174820476 1174820476 09/18/2017
ZOLOTNITSKAYA 1316949100 1063525152 11/11/2019
ROWE 1023194974 1063525152 09/18/2017
SHUKLA 1205130028 1194832477 01/28/2019
WASMUHT-PERROUD 1841382124 1164555124 08/24/2020
DONOHUE 1114949948 1083716088 11/13/2017
GOLDSMITH 1053455089 1720160690 11/20/2019
KIRPAN 1326284290 1841224508 08/28/2017
FERRARI 1326337502 1073535027 04/26/2021
SONG 1194700989 1801803903 05/04/2020
STAPLE 1376898775 1396059499 01/29/2018
PERRY 1841368503 1760407571 08/05/2019
JAKUS 1477711422 1043224355 09/06/2021
BINDER 1073510475 1124032982 03/22/2021
HADDAD 1952447351 1952447351 10/23/2017
ROTELLI 1215953229 1568548782 08/07/2017
RAYMOND 1073503991 1164555124 11/15/2021
LEE 1558703546 1447518550 08/23/2021
DESTEFANO 1558423145 1619341716 09/16/2019
WALKER 1619070604 1376590117 07/09/2018
NIEMIEC 1558691311 1063426377 01/20/2020
Page 562 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 11354 QUEENS
8500 2018 2 10532 WESTCHESTER
8500 2015 3 10468 BRONX
8500 2017 4 10032 NEW YORK
8500 2019 4 10010 NEW YORK
-8500 2013 2 14605 MONROE
-21250 2014 1 11722 SUFFOLK
8500 2015 3 12603 DUTCHESS
8500 2020 4 10038 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2015 3 11003 NASSAU
8500 2018 6 11937 SUFFOLK
8500 2021 3 10004 NEW YORK
8500 2020 5 10038 NEW YORK
8500 2016 3 10032 NEW YORK
21250 2016 1 13676 ST.LAWRENCE
8500 2021 4 10010 NEW YORK
8500 2020 3 10032 NEW YORK
8500 2018 3 11220 KINGS
8500 2016 5 13210 ONONDAGA
8500 2018 2 10038 NEW YORK
Page 563 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
XU MINGXU MD (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ANTHONY L JORDAN HEALTH CTR (43.161748, -77.620143) 1666 2093 56
KIRSHENBAUM PERUSO & KAUFMAN (40.820237, -73.119032) 1421 2179 3
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
EAST END PEDIATRICS PC (40.820237, -73.119032) 1421 2179 3
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
HADDAD JOSEPH JR MD (40.726966, -74.005966) 737 2095 50
CANTON-POTSDAM HOSPITAL (44.689468, -75.242045) 1581 2140 41
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 564 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
224
37 176
37 108
37 108
50 844
137
63
37 108
37 108
93
137
37 108
37 108
37 108
919
37 108
37 108
37 27
755
37 108
Page 565 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST DAVID
PHYSICIAN ANNE
PHYSICIAN PREETI
PHYSICIANS ASSISTANT JENNIFER
PHYSICIAN AHMED
NURSE PRACTITIONER JESSICA
PHYSICIAN ABDUL-HAKI
NURSE PRACTITIONER NORMA
PHYSICIAN PADMINI
PHYSICIAN CONSOLACION
NURSE PRACTITIONER KAREN
NURSE PRACTITIONER JAMES
PHYSICIAN HEIDI
PHYSICIAN EMILY
PHYSICIAN MONICA
PHYSICIAN J
PHYSICIAN TIFFANY
PHYSICIAN WAI-KWAN
PHYSICIAN JULIE
PHYSICIAN JAY
PHYSICIAN ASRA
Page 566 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEVINSKY 1902894843 1043224355 10/04/2021
VAN ARSDALE 1407015183 1063525152 03/18/2019
VISWANATHAN 1568721736 1063525152 09/30/2019
MONNA 1851643936 1669568465 04/23/2018
ELSHERYIE 1275564759 1508812892 01/21/2019
NELSON 1255730552 1013928159 08/31/2020
ISSAH 1770684920 1770684920 05/21/2018
CHRISTIAN 1326235888 1063525152 11/04/2019
PURWAR 1629209481 1952325367 02/11/2019
PIMENTEL 1780756361 1427063270 06/28/2021
KIELISZEK 1811951031 1881789014 11/04/2019
HARRINGTON 1932554797 1831122977 10/21/2019
BEUTLER 1053385864 1194832477 12/16/2019
BROWN 1891855086 1467454967 02/22/2021
FOREMAN-HYACINTHE 1700966264 1063525152 01/27/2020
ROCCAFORTE 1114912375 1073535027 03/05/2018
LU 1568725257 1063525152 06/29/2020
LEE 1760421036 1619341716 05/21/2018
KHLEVNER 1962636423 1447518550 11/27/2017
GRAHAM 1932116530 1063525152 04/19/2021
BATOOL 1912203829 1386689248 06/04/2018
Page 567 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 2 10038 NEW YORK
8500 2017 4 10461 BRONX
8500 2018 6 10467 BRONX
8500 2015 2 14551 WAYNE
8500 2017 5 11418 QUEENS
8500 2019 3 12801 WARREN
8500 2016 4 10029 NEW YORK
8500 2018 6 10461 BRONX
8500 2017 3 11501 NASSAU
8500 2020 2 10038 NEW YORK
8500 2018 3 14207 ERIE
8500 2018 2 11208 KINGS
8500 2018 6 10032 NEW YORK
8500 2020 5 10532 WESTCHESTER
8500 2018 5 10704 WESTCHESTER
21250 2016 1 10038 NEW YORK
8500 2019 4 10461 BRONX
8500 2016 3 11220 KINGS
8500 2016 4 10032 NEW YORK
8500 2020 6 10467 BRONX
8500 2016 3 12208 ALBANY
Page 568 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FINGER LAKES MIGRANT HLTH (43.144336, -77.117995) 318 631 54
JAMAICA ANESTHESIA PC (40.749338, -73.789673) 828 2137 11
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
ISSAH ABDUL-HAKI MD (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
NORTHWEST BUFFALO COMM H C (42.888143, -78.795544) 62 2041 63
HOUSING WORKS SER,INC AADC (40.65642, -73.950691) 809 2090 31
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
Page 569 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 176
809
37 111
522
37 108
37 176
93
37 108
646
37 27
37 108
224
224
37 108
37 176
37 27
37 108
37 176
1 573
Page 570 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN FALGUNI
PHYSICIAN MARY
NURSE PRACTITIONER ANNE MARIE
NURSE PRACTITIONER GIOVANNI
PHYSICIAN DAVID
PHYSICIAN SAUL
PHYSICIAN LEAH
PHYSICIAN LUBNA
NURSE PRACTITIONER SANDRA
DENTIST SIDNEY
NURSE PRACTITIONER WENDY
PHYSICIAN MAQSOODUR
PHYSICIAN KWANG
PHYSICIAN SOPHIA
PHYSICIAN LEONID
PHYSICIAN ALVERIS
PHYSICIAN SUZANNE
PHYSICIAN ALBERT
PHYSICIAN HAMID
PHYSICIAN SOPHIE
Page 571 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ASRANI 1942596465 1467469023 07/17/2017
GOVER 1861770521 1063525152 01/08/2018
MULLE 1447401583 1578612412 01/28/2019
DUGAY 1043205412 1508266347 09/23/2019
STEIN 1326126640 1679587679 05/25/2020
HYMES 1063623411 1083660575 09/04/2017
BALSAM 1184683096 1801857172 05/28/2018
WANI 1699720458 1063468239 08/28/2017
PERSAUD 1770926115 1467469023 09/17/2018
STERNBERGER 1285876805 1447298070 04/16/2018
GEEHRENG 1598909079 1083660575 10/28/2019
RAHMAN 1033245238 1063577831 02/15/2021
CHUN 1598869810 1063525152 06/29/2020
AU 1942393178 1063525152 04/12/2021
BUKHMAN 1144334699 1144334699 03/12/2018
MOLINA 1386605566 1386605566 10/30/2017
BIALECK 1790003051 1346380870 07/31/2017
THOMAS 1225084494 1063426377 01/14/2019
GILAK 1881745834 1134137375 06/08/2020
BALK 1225113608 1063525152 03/19/2018
Page 572 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2015 2 10451 BRONX
8500 2017 4 11212 KINGS
8500 2018 3 10032 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2015 2 11794 SUFFOLK
8500 2016 2 11554 NASSAU
8500 2015 4 13202 ONONDAGA
21250 2016 1 10038 NEW YORK
21250 2016 1 11237 KINGS
8500 2018 4 11940 SUFFOLK
8500 2020 2 10038 NEW YORK
8500 2019 2 10467 BRONX
8500 2020 5 10467 BRONX
8500 2016 5 10029 NEW YORK
8500 2015 3 11372 QUEENS
21250 2016 1 11212 KINGS
8500 2017 2 10038 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2016 6 10461 BRONX
Page 573 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
WYCKOFF HGHTS DENTAL SERV P C (40.65642, -73.950691) 809 2090 31
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
EAST NY D & T CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BUKHMAN LEONID MD (40.726966, -74.005966) 737 2095 50
MOLINA ALVERIS MD (40.749338, -73.789673) 828 2137 11
BROOKDALE HSP MED CTR (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SEGUNDO RUIZ BELVIS D & T CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 574 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 27
37 108
37 108
137
93
755
37 108
37 27
137
37 108
37 176
37 176
37 108
37 111
37 27
37 108
37 108
37 176
Page 575 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JOSEPH
PHYSICIAN CATHY
PHYSICIAN JOHN
DENTIST KEITH
PHYSICIAN HONGSHU
PHYSICIAN MARK
PHYSICIAN FELIKS
DENTIST ROBERT
CERTIFIED NURSE MIDWIFE MELISSA
DENTIST JUNG-MIN
DENTIST NIRA
PHYSICIAN NASRULLAH
PHYSICIAN ELIZABETH
PHYSICIAN RUBINA
NURSE PRACTITIONER HELEN
PHYSICIAN LAWRENCE
PHYSICIAN MOHAMED
PHYSICIAN BRETT
PHYSICIAN SCHUYLER
PHYSICIAN ELISABETH
NURSE PRACTITIONER LORI
NURSE PRACTITIONER SHAUNA
Page 576 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KITA 1982619433 1902098494 08/12/2019
COLEMAN 1962444869 1083660575 07/09/2018
WALSH 1588638035 1184694291 09/11/2017
HELLER 1356640551 1366589038 05/28/2018
FENG 1184645442 1184645442 05/25/2020
EHRENPREIS 1417920349 1417920349 12/09/2019
TSATSKIN 1336154079 1336154079 10/02/2017
DOMOZYCH 1235271362 1235271362 03/12/2019
PEARD 1598996175 1417959701 12/16/2019
KIM 1174679740 1174679740 02/28/2020
DWIVEDI 1497935704 1063426377 01/18/2021
KHAN 1457428088 1457428088 12/03/2018
CHAPMAN 1588031827 1063525152 06/29/2020
BHATIA 1942387360 1467454967 04/27/2020
BRADY 1104915586 1083639587 03/26/2018
REICH 1194745042 1063426377 04/27/2020
HELAL 1366503047 1366503047 05/18/2018
ANDERSON 1922298165 1447518550 12/17/2018
HENDERSON 1952451932 1073535027 06/07/2021
BARON 1790976819 1467865063 06/12/2017
MARSHALL 1801249594 1508850280 07/31/2017
ROACH 1619219649 1295729408 07/03/2017
Page 577 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
5667 2018 6 14127 ERIE
8500 2016 5 11772 SUFFOLK
8500 2015 2 10453 BRONX
8500 2016 2 11215 KINGS
8500 2019 6 11204 KINGS
8500 2018 6 11375 QUEENS
8500 2015 5 11230 KINGS
-21250 2014 1 11730 SUFFOLK
8500 2018 4 10012 NEW YORK
-8500 2014 2 10001 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2017 2 11226 KINGS
8500 2019 3 10451 BRONX
8500 2019 3 10532 WESTCHESTER
8500 2016 2 12184 COLUMBIA
8500 2019 4 10038 NEW YORK
-8500 2013 2 11209 KINGS
8500 2017 4 10032 NEW YORK
8500 2020 3 10038 NEW YORK
21250 2016 1 10003 NEW YORK
21250 2016 1 13069 OSWEGO
21250 2016 1 10453 BRONX
Page 578 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CARROW STREET PEDIATRICS PLLC (42.888143, -78.795544) 62 2041 63
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
BROOKLYN DENTAL SERVICES PC (40.65642, -73.950691) 809 2090 31
FENG HONGSHU MD (40.65642, -73.950691) 809 2090 31
EHRENPREIS MARK DAVID MD (40.749338, -73.789673) 828 2137 11
TSATSKIN FELIKS MD (40.65642, -73.950691) 809 2090 31
DOMOZYCH ROBERT A DDS (40.820237, -73.119032) 1421 2179 3
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
KIM JUNG-MIN DDS (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KHAN NASRULLAH MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HELAL MOHAMED A MD (40.65642, -73.950691) 809 2090 31
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
Page 579 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
646
137
37 176
37 27
37 27
37 111
37 27
137
37 108
37 108
37 108
37 27
37 176
224
388
37 108
37 27
37 108
37 108
37 108
533
37 176
Page 580 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN TIM
PHYSICIAN ARTHUR
PHYSICIAN INNA
PHYSICIAN KATHRYN
PHYSICIAN SUSAN
PHYSICIAN KARINA
NURSE PRACTITIONER ANGELA
PHYSICIAN PHYLLIS
PHYSICIAN MANIKYAM
DENTIST EMILIE
PHYSICIAN PATRICE
PHYSICIAN MARJORIE
PHYSICIAN IRINA
CERTIFIED NURSE MIDWIFE RONNIE
PHYSICIAN NELSON
NURSE PRACTITIONER MELINDA
DENTIST JOSHUA
PHYSICIAN ANDREAS
PHYSICIAN REVATHI
PHYSICIAN MANDEEP
Page 581 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SCHWARTZ 1649430067 1043224355 12/09/2019
MANDEL 1780736702 1447518550 11/12/2018
HUGHES 1255455648 1184725525 11/25/2019
NAVARRO 1629054440 1063568053 02/19/2018
KOTLIER 1487701785 1013924372 06/21/2021
GRITSENKO 1982842787 1063525152 09/11/2017
KARNES 1144314741 1255360517 09/23/2019
WEINGARTEN 1336229350 1336229350 11/18/2019
MUTYALA 1326068198 1184670465 11/04/2019
FONG 1245358191 1164555124 11/18/2019
BROWNE 1427027879 1043224355 09/20/2021
STEIN 1922191162 1063525152 04/12/2021
MEYER 1558430124 1720177066 02/08/2021
LICHTMAN 1720027493 1467529529 04/30/2018
MILLER 1548264153 1376618843 05/14/2018
LOEFKE 1306899885 1881789014 08/07/2017
CANTER 1568509149 1568509149 11/12/2018
COHRSSEN 1316947518 1972877017 08/19/2019
BALAKRISHNAN 1922268598 1073535027 05/10/2021
SIDHU 1225133754 1386689248 03/26/2018
Page 582 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
8500 2017 3 10032 NEW YORK
8500 2018 6 14642 MONROE
21250 2016 1 10901 ROCKLAND
8500 2020 2 10038 NEW YORK
8500 2015 3 10467 BRONX
8500 2018 6 14621 MONROE
8500 2018 4 10901 ROCKLAND
8500 2018 4 11355 QUEENS
8500 2018 2 10010 NEW YORK
8500 2021 3 10038 NEW YORK
8500 2020 3 10467 BRONX
8500 2020 5 11249 KINGS
8500 2016 3 10013 NEW YORK
8500 2015 5 12307 SCHENECTADY
8500 2015 4 14207 ERIE
8500 2017 5 11204 KINGS
8500 2018 5 10011 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2015 4 12208 ALBANY
Page 583 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
PREFERRED PEDIATRICS OF ROCKLAND
LL
(41.127287, -74.017033) 1546 628 27
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
WEINGARTEN-KANN PHYLLIS E MD (41.127287, -74.017033) 1546 628 27
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
MEDICAL HLTH RESEARCH ASC NYC (40.726966, -74.005966) 737 2095 50
PLANNED PTHD MOHAWK HUDSON (42.809233, -73.946838) 74 2142 42
NORTHWEST BUFFALO COMM H C (42.888143, -78.795544) 62 2041 63
CANTER JOSHUA JAY DDS (40.65642, -73.950691) 809 2090 31
THE INSTITUTE FOR FAMILY HEALTH (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
Page 584 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
50 844
154
37 108
37 176
50 844
154
37 111
37 108
37 108
37 176
37 27
37 108
617
646
37 27
37 108
37 108
1 573
Page 585 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER BECKY
PHYSICIAN RUHY
NURSE PRACTITIONER NICOLE
PHYSICIAN JUAN
PHYSICIAN HENRY
PHYSICIAN CARLOS
PHYSICIAN ORIT
PHYSICIAN MYINT
PHYSICIAN MARC
PHYSICIAN BOBBY
PHYSICIAN IRENE
PHYSICIAN EDWARD
CERTIFIED NURSE MIDWIFE JENNEY
NURSE PRACTITIONER EVELYN
PHYSICIAN JAZILA
DENTIST DESTINY
PHYSICIAN WESLEY
PHYSICIAN WASFY
PHYSICIAN STEPHEN
PHYSICIAN GABRIELE
DENTIST KEITH
Page 586 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MERITT 1538518659 1639267933 01/08/2018
AFZA 1114157963 1033124961 09/25/2017
NIEDZWIEDZ 1205029097 1205029097 10/28/2019
ROCCA 1588820435 1063525152 04/12/2021
ISSENBERG 1154321131 1467454967 02/22/2021
MARTINEZ BALZANO 1497073555 1063468239 11/19/2018
OPPENHEIMER 1164623500 1467454967 02/22/2021
TIN 1063741809 1619341716 08/13/2018
SILVERMAN 1891713129 1740595917 01/20/2020
GEARING 1669752846 1841224508 01/07/2019
RUSU JUTAGIR 1083915060 1679587679 06/14/2021
PHILBIN 1750376679 1386689248 03/05/2018
STRINGER 1083048680 1932143153 11/04/2019
CHAPMAN 1275619546 1063525152 10/18/2021
MANTIS 1710082847 1801803903 05/24/2021
BEAN 1558709378 1295997724 02/24/2020
HO 1033437496 1295729408 08/14/2017
ZAKI 1326120304 1467469023 09/04/2017
WILLIAMS 1750552790 1073535027 11/08/2021
DE VOS 1992863146 1679587679 07/27/2020
HELLER 1356640551 1366589038 02/18/2019
Page 587 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 14623 MONROE
21250 2016 1 10038 NEW YORK
8500 2018 2 14127 ERIE
8500 2020 5 10467 BRONX
8500 2020 4 10595 WESTCHESTER
8500 2017 2 13210 ONONDAGA
8500 2020 5 10532 WESTCHESTER
8500 2016 3 11220 KINGS
8500 2018 2 10457 BRONX
8500 2017 4 12603 DUTCHESS
8500 2020 3 10038 NEW YORK
8500 2015 5 12208 ALBANY
8500 2018 5 14642 MONROE
8500 2021 3 10467 BRONX
8500 2020 4 10038 NEW YORK
8500 2019 4 11753 NASSAU
8500 2015 3 12401 ULSTER
21250 2016 1 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2017 3 11215 KINGS
Page 588 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HILLSIDE CHLDRNS CTR LABURNUM (43.161748, -77.620143) 1666 2093 56
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NIEDZWIEDZ NICOLE (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
NURSE MIDWIFERY GRP UNIV ROCH (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
BROOKLYN DENTAL SERVICES PC (40.65642, -73.950691) 809 2090 31
Page 589 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 108
646
37 176
224
755
224
37 27
37 176
63
37 108
1 573
50 844
37 176
37 108
93
198
37 108
37 108
37 108
37 27
Page 590 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN NIRIT
CERTIFIED NURSE MIDWIFE VIRGINIA
PHYSICIAN CHRISTOPHER
PHYSICIAN LAURENCE
PHYSICIAN ALBERT
PHYSICIAN MANOJ
PHYSICIAN CATHERINE
PHYSICIAN RENEE
PHYSICIAN CARDINALE
NURSE PRACTITIONER EILEEN
PHYSICIAN ELIZABETH
DENTIST LINDA
PHYSICIAN STEVEN
PHYSICIAN MORIS
DENTIST ALBERT
PHYSICIAN GENEVIEVE
PHYSICIAN KATHARINE
PHYSICIAN A.
PHYSICIAN SREENIVASA
NURSE PRACTITIONER TOVIAH
Page 591 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WEISS 1063488625 1497029581 05/03/2021
FIORIBELLO 1578903530 1679587679 05/17/2021
GITZELMANN 1952639866 1740205566 07/31/2017
WILLIAMS 1548237555 1063525152 06/29/2020
HONG 1760626212 1760626212 06/12/2017
CHHABRA 1326146721 1780766964 04/30/2018
KRAFFT 1144563628 1255360517 12/02/2019
BARGMAN 1013100486 1124032982 05/17/2021
SMITH 1932307600 1750649612 04/26/2021
FLYNN RICHARDS 1780671446 1043663107 02/08/2021
HARRIS 1023229242 1063525152 01/15/2018
ROSENBERG 1134329568 1164555124 02/25/2019
LIVERPOOL 1790779403 1205868528 07/16/2018
ANGULO 1477573269 1952325367 11/11/2019
ELIAV 1629256276 1629256276 10/26/2017
SICURANZA 1174516215 1487691481 02/11/2019
KELTER 1871793208 1063525152 08/21/2017
HILL 1902918394 1043224355 06/07/2021
SANIKAM 1619038205 1427005065 11/11/2019
NARVA 1831347673 1306898432 09/18/2017
Page 592 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 5 10029 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2015 5 14642 MONROE
8500 2019 3 10032 NEW YORK
21250 2016 1 11432 QUEENS
8500 2016 3 11215 KINGS
8500 2018 3 14642 MONROE
8500 2020 6 10038 NEW YORK
8500 2020 6 10029 NEW YORK
8500 2020 3 11722 SUFFOLK
8500 2016 5 10461 BRONX
8500 2017 2 10010 NEW YORK
8500 2016 2 11203 KINGS
8500 2018 6 11501 NASSAU
-21250 2013 1 11222 KINGS
8500 2017 2 11501 NASSAU
8500 2015 5 10461 BRONX
8500 2020 2 10038 NEW YORK
8500 2018 6 11355 QUEENS
8500 2015 3 10011 NEW YORK
Page 593 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY OF ROCHESTER SURG (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
HONG ALBERT MD (40.749338, -73.789673) 828 2137 11
PARK SLOPE PEDIATRIC MED PC (40.65642, -73.950691) 809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
LISH INC (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
SUNY HEALTH SCIENCE CENTER AT
BKLYN
(40.65642, -73.950691) 809 2090 31
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
ELIAV ALBERT G (40.65642, -73.950691) 809 2090 31
OB-GYN CONTEMPORARY CARE (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JAMAICA PSYCHIATRIC SERV PC (40.749338, -73.789673) 828 2137 11
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -74.005966) 737 2095 50
Page 594 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
50 844
37 108
37 111
37 27
50 844
37 108
37 108
137
37 176
37 108
37 27
93
37 27
93
37 176
37 108
37 111
37 108
Page 595 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN KENNETH
CERTIFIED NURSE MIDWIFE HEATHER
PHYSICIAN KELLY
PHYSICIAN ELIZABETH
PHYSICIAN EEVA
PHYSICIAN HAROLD
PHYSICIAN SARIKA
PHYSICIAN JESSICA
CERTIFIED NURSE MIDWIFE LISHA
NURSE PRACTITIONER MEREDITH
NURSE PRACTITIONER TAYO
PHYSICIAN BERNARD
NURSE PRACTITIONER SYLVIA
NURSE PRACTITIONER ARTURO
PHYSICIAN RUI
PHYSICIAN JULES
PHYSICIAN YINAN
PHYSICIAN ZHU-PING
PHYSICIAN JAMES
PHYSICIAN BORIS
Page 596 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HUPART 1356300701 1124032982 02/04/2019
FINDLETAR 1851334643 1538114723 08/21/2017
EBERHARDT 1811027998 1336578772 07/09/2018
CLARK 1528146586 1063525152 03/11/2019
MIKKOLA 1528220712 1740211143 02/19/2018
GOLDMAN 1467510685 1679587679 06/25/2018
SUNKU 1891701579 1891701579 11/26/2018
MORRISON 1013209600 1255360517 02/11/2019
COSTER 1316009467 1467487637 07/23/2018
ABBASI 1528405255 1952357493 06/28/2021
ADJAPON-YAMOAH 1164806287 1619341716 03/22/2021
LAU 1861490252 1083660575 10/28/2019
AYOKO 1184097545 1043224355 09/20/2021
CENIZA 1801024419 1801803903 11/25/2019
YANG 1215280532 1063525152 03/18/2019
BEAL 1811136187 1063525152 01/29/2018
LAN 1609139195 1073535027 06/07/2021
ZHOU 1871655944 1871655944 10/02/2017
PFEIFF 1336225150 1174860761 03/25/2019
ABAYEV 1700808466 1093743197 09/04/2017
Page 597 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 10038 NEW YORK
8500 2015 3 11733 SUFFOLK
21250 2016 1 10041 NEW YORK
8500 2017 4 10467 BRONX
8500 2016 2 10024 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2017 2 10710 WESTCHESTER
8500 2017 4 14621 MONROE
8500 2016 3 10562 WESTCHESTER
8500 2020 6 14642 MONROE
8500 2020 4 11220 KINGS
8500 2018 4 11733 SUFFOLK
8500 2021 4 10038 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2017 2 10467 BRONX
8500 2016 3 10467 BRONX
8500 2020 4 10038 NEW YORK
8500 2015 2 11354 QUEENS
8500 2017 5 13421 MADISON
8500 2015 4 11374 QUEENS
Page 598 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SERVICE PROG OLDER PEOPLE (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
SUNKU SARIKA GUPTA MD (41.039278, -73.805386) 1440 2185 53
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
UNIVERSITY UROLOGY ASSOC (43.161748, -77.620143) 1666 2093 56
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ZHOU ZHU PING MD (40.749338, -73.789673) 828 2137 11
ONEIDA MEDICAL SERVICES PLLC (42.986917, -75.720031) 351 2092 46
PAIN MGT & REHABILITATION SVCS (40.749338, -73.789673) 828 2137 11
Page 599 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
137
37 108
37 176
37 108
37 108
224
50 844
224
50 844
37 27
137
37 108
37 108
37 176
37 176
37 108
37 111
723
37 111
Page 600 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN EVE
PHYSICIAN CHO
DENTIST GREGORY
PHYSICIAN NORMAN
PHYSICIAN KENNETH
PHYSICIAN LAURENCE
DENTIST HARMON
PHYSICIAN RAJESH
PHYSICIAN LEVON
PHYSICIAN LESLIE
DENTIST LISA
PHYSICIAN SUSAN
PHYSICIAN ANNA
PHYSICIAN DANIEL
NURSE PRACTITIONER VIRGINIA
CERTIFIED NURSE MIDWIFE BERNADETTE
PHYSICIAN JENNIFER
PHYSICIAN JANICE
PHYSICIAN LILY
PHYSICIAN DIANA
PHYSICIAN WILLIAM
PHYSICIAN M
Page 601 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LOWENSTEIN 1003813916 1043224355 05/31/2021
THIN 1134459597 1619341716 05/21/2018
BROWNE 1942327614 1164555124 01/20/2020
MORRISON 1952322240 1033124961 10/11/2021
KAMLER 1285657502 1568534766 09/11/2017
WILLIAMS 1548237555 1063525152 04/12/2021
COOPER 1588636799 1164555124 01/06/2020
PATEL 1396837191 1396837191 08/28/2017
AGDERE 1356308548 1780766964 04/30/2018
LAM 1558551416 1063525152 09/11/2017
TIBERI 1023298452 1013937143 11/13/2017
DUBERSTEIN COAD 1447548599 1063525152 03/04/2019
LASAK 1528152881 1063525152 03/11/2019
CHENG 1508860461 1467469023 07/20/2020
COMAN 1023135605 1053688572 01/22/2018
KANE 1326195918 1417959701 07/31/2017
DONOVAN 1710202544 1013928159 02/11/2019
WIESMAN 1982666988 1073535027 08/10/2020
YEE 1790777894 1790777894 12/25/2017
WOLFE 1972755445 1063525152 04/19/2021
KOSTUN 1457320061 1457320061 09/09/2019
VANDERHOOF 1013022805 1013022805 02/12/2018
Page 602 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 2 10038 NEW YORK
8500 2016 3 11220 KINGS
8500 2018 3 10010 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2015 4 11385 QUEENS
8500 2020 4 10032 NEW YORK
8500 2018 3 10010 NEW YORK
8500 2015 4 10457 BRONX
8500 2016 3 11215 KINGS
8500 2015 4 10467 BRONX
21250 2016 1 12747 SULLIVAN
8500 2017 2 10467 BRONX
8500 2017 4 10461 BRONX
8500 2019 3 10038 NEW YORK
21250 2016 1 11590 NASSAU
8500 2015 4 10012 NEW YORK
8500 2017 2 12853 WARREN
8500 2019 2 10038 NEW YORK
8500 2016 2 11354 QUEENS
8500 2020 3 10461 BRONX
8500 2018 6 12182 RENSSELAER
8500 2016 6 13421 MADISON
Page 603 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
AMB MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
PATEL RAJESH JAYANTILAL MD (40.85589, -73.868294) 675 2032 52
PARK SLOPE PEDIATRIC MED PC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRASAD CHILDS DENTAL HLTH PGR (41.705166, -74.711705) 1024 2180 32
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
NORTH SHORE-LIJ MEDICAL PC (40.715749, -73.601185) 1455 2094 6
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
YEE LILY FONG CHO MD (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KOSTUN WILLIAM A MD (42.70098, -73.628669) 38 2138 33
VANDERHOOF MARIA IRENE MD (42.986917, -75.720031) 351 2092 46
Page 604 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
37 108
37 108
37 111
37 108
37 108
37 176
37 27
37 176
283
37 176
37 176
37 108
93
37 108
522
37 108
37 111
37 176
40 473
723
Page 605 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DANIEL
NURSE PRACTITIONER COLLETTE
PHYSICIAN LAURA
PHYSICIAN ROBERT
DENTIST EARL
PHYSICIAN DIANA
PHYSICIAN KYLE
PHYSICIAN KRISTEN
NURSE PRACTITIONER ANNE MARIE
PHYSICIAN QILI
PHYSICIAN THOMAS
NURSE PRACTITIONER MARIANNE
PHYSICIAN MOHAMMAD
PHYSICIAN BRADLEY
PHYSICIAN JULIA
PHYSICIAN PAUL
PHYSICIAN UKUKU
PHYSICIAN ISAK
PHYSICIAN ISSAM
PHYSICIAN DOUGLAS
NURSE PRACTITIONER ELENA
Page 606 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ZINN 1912983024 1043224355 09/11/2017
BROWN 1932203239 1063525152 07/06/2020
MIESZERSKI 1083702278 1619969458 08/28/2017
FRYER 1821006636 1447518550 09/30/2019
CLARKSON 1659397578 1467469023 03/22/2021
MCPHEE 1861629503 1427063270 11/01/2021
LEONARD 1871886978 1013928159 02/11/2019
THORNTON 1821010869 1740220698 03/26/2018
MULLE 1447401583 1578612412 11/04/2019
LI 1871564971 1538379045 11/12/2018
OW 1891094850 1063525152 11/11/2019
O'HARA 1578657839 1063525152 10/25/2021
RAHMAN 1295859023 1407278229 11/19/2018
SCHIFF 1457318487 1063525152 11/25/2019
GRAY 1396890299 1063525152 06/22/2020
HUANG 1619931201 1073535027 11/08/2021
DIKE 1487714952 1114928462 09/04/2017
ISAKOV 1770521775 1770521775 09/11/2017
KOLEILAT 1730340340 1063525152 03/04/2019
BENNETT 1942314513 1942314513 12/23/2019
CAHOONE 1134500150 1083664221 11/25/2019
Page 607 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2019 6 10458 BRONX
8500 2015 2 10566 WESTCHESTER
8500 2018 4 10032 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2021 4 10038 NEW YORK
8500 2017 2 12804 WARREN
8500 2016 5 14642 MONROE
8500 2018 5 11212 KINGS
8500 2017 4 11354 QUEENS
8500 2018 4 10467 BRONX
8500 2021 6 10467 BRONX
8500 2017 3 11040 NASSAU
8500 2018 6 10467 BRONX
8500 2019 4 10538 WESTCHESTER
8500 2021 5 10038 NEW YORK
8500 2015 3 11801 NASSAU
8500 2015 3 11374 QUEENS
8500 2017 2 10461 BRONX
5667 2018 3 14621 MONROE
8500 2018 3 13326 OTSEGO
Page 608 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HUDSON RIVER HEALTHCARE INC (41.039278, -73.805386) 1440 2185 53
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
FLUSHING OB GYN PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
RITECARE MEDICAL OFFICE PC (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CENTRAL NASSAU GUIDANCE & CNS (40.715749, -73.601185) 1455 2094 6
ISAKOV ISAK (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BENNETT DOUGLAS H (43.161748, -77.620143) 1666 2093 56
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
Page 609 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
224
37 108
37 108
37 108
522
50 844
37 27
37 111
37 176
37 176
93
37 176
224
37 108
93
37 111
37 176
50 844
529
Page 610 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN KETKI
CERTIFIED NURSE MIDWIFE PATRINA
PHYSICIAN MICHAEL
PHYSICIAN JAMES
PHYSICIAN ROBERT
PHYSICIAN JOSEPH
PHYSICIAN RAJESH
PHYSICIAN MOHD
DENTIST SAMUEL
PHYSICIAN GEETHA
PHYSICIAN JEFFREY
PHYSICIAN HARRY
PHYSICIAN ANDRE
PHYSICIAN SUSAN
PHYSICIAN TINA
NURSE PRACTITIONER MARLENE
NURSE PRACTITIONER MARIA
PHYSICIAN STEPHEN
PHYSICIAN ALIREZA
Page 611 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHAH 1053406959 1417027558 05/07/2018
ROYES 1144594516 1497700736 09/25/2017
DEMISHEV 1326275256 1538114723 01/21/2019
SEXTON 1760416879 1063468239 08/21/2017
FEINGOLD 1144310855 1063525152 11/27/2017
GEORGES 1396818480 1427005065 11/04/2019
BISNAUTH 1154427490 1467454967 11/25/2019
HOSSAIN 1083931919 1083931919 01/01/2018
KRAMER 1497811699 1164555124 11/22/2021
CHARI 1912992538 1043224355 09/06/2021
SCHULTZ 1417038845 1063525152 01/15/2018
DELANY 1639248420 1679587679 07/27/2020
PANAGOS 1083701155 1073535027 02/26/2018
WALKER 1013950955 1083660575 10/01/2018
WONG 1497847578 1689009854 02/12/2018
OTHONIEL 1891853651 1619341716 09/23/2019
HERNANDEZ 1336480664 1477505220 01/14/2019
RYAN 1447252796 1255360517 09/18/2017
MEHDIZADEH 1902032022 1417027558 01/20/2020
Page 612 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 2 10456 BRONX
21250 2016 1 11692 QUEENS
8500 2017 5 11733 SUFFOLK
8500 2015 4 13202 ONONDAGA
8500 2016 3 10467 BRONX
8500 2018 5 11435 QUEENS
8500 2018 5 10532 WESTCHESTER
8500 2016 3 11432 QUEENS
8500 2021 5 10010 NEW YORK
8500 2021 3 10038 NEW YORK
8500 2016 5 10467 BRONX
8500 2019 2 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2017 5 11940 SUFFOLK
8500 2015 3 11220 KINGS
8500 2018 4 11211 KINGS
8500 2017 4 11418 QUEENS
21250 2015 1 14621 MONROE
8500 2018 4 10456 BRONX
Page 613 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -73.789673) 828 2137 11
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JAMAICA PSYCHIATRIC SERV PC (40.749338, -73.789673) 828 2137 11
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MOHD A HOSSAIN (40.749338, -73.789673) 828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
EXCELSIOR INTEGRATED MEDICAL
GROUP
(40.65642, -73.950691) 809 2090 31
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
Page 614 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 111
137
755
37 176
37 111
224
37 111
37 108
37 108
37 176
37 108
37 108
137
37 27
37 27
37 111
50 844
37 176
Page 615 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN BARBARA
NURSE PRACTITIONER JASON
PHYSICIAN KATHERINE
NURSE PRACTITIONER CHIH-YUN
DENTIST MYRON
NURSE PRACTITIONER KATHLEEN
PHYSICIAN HAMISH
PHYSICIAN HERSCHEL
PHYSICIAN NAOMI
CERTIFIED NURSE MIDWIFE JENNEY
PHYSICIAN GOLALI
PHYSICIAN GREGORY
NURSE PRACTITIONER KATHRYN
PHYSICIAN LOUIS
PHYSICIAN MUHAMMED
PHYSICIAN ANTHONY
PHYSICIAN ANDREA
PHYSICIAN RASHEDA
PHYSICIAN LYNN
PHYSICIAN ERVIN
PHYSICIAN CURTIS
Page 616 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SPITZER 1851699979 1750352381 09/30/2019
LEE 1275717423 1508266347 02/18/2019
DUFFY 1740216357 1346285657 08/28/2017
LUO 1053404707 1063426377 10/04/2021
KLEIN 1265443675 1164555124 02/18/2019
PENDERGAST 1093803421 1255360517 09/25/2017
KERR 1730172628 1700816626 03/25/2019
LESSIN 1972564805 1841224508 08/21/2017
LUBARR 1386843381 1558627844 08/28/2017
STRINGER 1083048680 1932143153 08/07/2017
NEJATI 1922231604 1922231604 11/27/2017
WESTON 1003132861 1063525152 10/14/2019
TANNER 1275949497 1295729408 05/14/2018
FURLAN 1588613665 1588613665 12/23/2019
HAQUE 1225103583 1235301631 02/25/2019
ANDREWS 1457348781 1225072051 03/26/2018
POPESCU-MARTINEZ 1689741167 1013924372 10/04/2021
PRESCOTT 1174685028 1619341716 02/04/2019
SIMPSON 1720010374 1154346021 04/30/2018
RIANO MARIN 1265863898 1184670465 01/21/2019
SPRAGUE 1649220252 1295729408 07/31/2017
Page 617 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 3 10065 NEW YORK
8500 2017 2 10032 NEW YORK
8500 2015 4 14642 MONROE
8500 2021 6 10038 NEW YORK
8500 2017 2 10010 NEW YORK
8500 2015 2 14609 MONROE
8500 2017 6 12110 ALBANY
8500 2015 4 12603 DUTCHESS
8500 2015 2 10003 NEW YORK
8500 2015 2 14642 MONROE
8500 2015 3 11226 KINGS
8500 2018 2 10461 BRONX
8500 2016 2 10453 BRONX
8500 2018 2 10023 NEW YORK
8500 2017 5 10027 NEW YORK
8500 2016 5 13202 ONONDAGA
8500 2021 4 10038 NEW YORK
8500 2017 5 11220 KINGS
8500 2016 5 10032 NEW YORK
8500 2017 2 11355 QUEENS
8500 2015 4 12561 ULSTER
Page 618 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
STRONG MEMORIAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
NURSE MIDWIFERY GRP UNIV ROCH (43.161748, -77.620143) 1666 2093 56
NEJATI GOLALI MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
FURLAN LOUIS E MD (40.726966, -74.005966) 737 2095 50
139 MEDICAL FACILITY PC (40.726966, -74.005966) 737 2095 50
OPHTHALMOLOGY MEDICAL SVC GROUP (43.065629, -76.168033) 713 2132 43
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
DEPARTMENT OF OBSTETRICS GYN (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
Page 619 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
50 844
37 108
37 108
50 844
1 573
63
37 108
50 844
37 27
37 176
37 176
37 108
37 108
755
37 108
37 27
37 108
37 111
198
Page 620 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN REZA
PHYSICIAN MELISSA
NURSE PRACTITIONER DEBORAH
PHYSICIAN CAROLYN
PHYSICIAN GENIA
DENTIST JOHN
PHYSICIAN DAVID
PHYSICIAN W. ROY
PHYSICIAN DAVID
PHYSICIAN KAREN
PHYSICIAN ROBERT
PHYSICIAN MICHAEL
PHYSICIAN DAVID
PHYSICIAN BENJAMIN
PHYSICIAN SETH
PHYSICIAN DOMINIQUE
PHYSICIAN MICHAEL
DENTIST KIMBERLY
CERTIFIED NURSE MIDWIFE DEBORAH
PHYSICIAN RAY
Page 621 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MESBAH 1235465089 1235465089 01/20/2020
PESKIN-STOLZE 1346512761 1538114723 01/21/2019
KLUGMAN 1619008844 1194832477 06/04/2018
HIRSCHMANN 1477819787 1841224508 09/09/2019
BEKKER 1679540926 1437256617 03/19/2018
RATHBAUER 1619990330 1164555124 11/22/2021
STEIN 1326126640 1679587679 09/27/2021
MICHAELIS 1295828424 1063525152 09/04/2017
CONTI 1295737740 1548290455 09/25/2017
WARMAN 1780769141 1063525152 01/15/2018
BERNSTEIN 1467439430 1942433891 08/28/2017
SHOEMAKER 1558374223 1255360517 12/03/2018
BARBER 1396800454 1508850280 11/27/2017
GARTRELL 1043414451 1063525152 10/28/2019
SOKOL 1902996739 1679587679 08/17/2020
JAN 1790726982 1063525152 08/21/2017
CHEN-ILLAMOS 1205274727 1467487637 07/05/2021
FERGUSON 1598913337 1467487637 05/28/2018
SMITH 1013073931 1679587679 09/27/2021
WHITT 1528127974 1013924372 06/01/2020
Page 622 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 11432 QUEENS
8500 2017 4 11733 SUFFOLK
8500 2016 5 10032 NEW YORK
8500 2018 4 12603 DUTCHESS
8500 2016 6 11235 KINGS
8500 2021 5 10010 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2015 2 10475 BRONX
8500 2015 4 12208 ALBANY
8500 2016 5 10461 BRONX
8500 2015 3 10023 NEW YORK
8500 2017 6 14590 WAYNE
8500 2016 3 13142 OSWEGO
8500 2018 4 44101 OUT OF STATE
8500 2019 4 10038 NEW YORK
8500 2015 3 10467 BRONX
8500 2020 4 10562 WESTCHESTER
8500 2016 3 10562 WESTCHESTER
8500 2021 5 10038 NEW YORK
8500 2019 2 10038 NEW YORK
Page 623 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MESBAH REZA (40.749338, -73.789673) 828 2137 11
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
ADVANCED GYNECOLOGY & SURGERY
PLLC
(40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SLRHC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
MONTEFIORE PROF BILLING GROUP
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 624 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
137
37 108
63
37 27
37 108
37 108
37 176
1 573
37 176
37 108
809
533
37 108
37 176
224
224
37 108
37 108
Page 625 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN RAVI
PHYSICIAN SHARON
PHYSICIAN MATHEW
PHYSICIAN FERNANDO
NURSE PRACTITIONER ANDREA
PHYSICIAN ISAAC
NURSE PRACTITIONER ELSBET
PHYSICIAN TRAN
PHYSICIAN ROKSOLANA
PHYSICIAN MUHAMMAD
PHYSICIAN KATIE
PHYSICIAN BANSIDHAR
PHYSICIAN SIKHA
PHYSICIAN SAADIA
CERTIFIED NURSE MIDWIFE KIM
PHYSICIAN SARAH
NURSE PRACTITIONER SARAH
PHYSICIAN JOHN
PHYSICIAN GINGER
PHYSICIAN MICHELLE
Page 626 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ADHIKARY 1518158799 1215978184 09/16/2019
BERKOWITZ 1225065238 1740220698 04/16/2018
EDNICK 1295942266 1083660575 12/24/2018
CAMACHO 1427095785 1063525152 06/22/2020
STENGEL 1235225871 1043663107 03/29/2021
HOLMES 1689994881 1073535027 06/01/2020
SERVAY 1982032827 1902009319 09/11/2017
HUYNH 1154603363 1801857172 12/30/2019
KUCHMA 1063435238 1255360517 06/18/2018
ARIF 1679709380 1063468239 11/12/2018
WEICHMAN 1194995894 1063525152 10/18/2021
CHAUHAN 1427123090 1427063270 08/10/2020
GUHA 1851485114 1063525152 10/28/2019
RASHID 1376741454 1063525152 11/11/2019
CARAWAY 1437297520 1194832477 01/28/2019
CARAISCO 1184650996 1548208127 08/10/2020
GONZALEZ 1447793773 1194832477 05/29/2017
RUGGE 1992719520 1013928159 08/06/2018
WEY 1063661833 1063525152 04/05/2021
LOVE 1053496372 1194832477 01/28/2019
Page 627 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 4 13210 ONONDAGA
8500 2016 6 14642 MONROE
8500 2017 3 11733 SUFFOLK
8500 2019 5 10467 BRONX
8500 2020 2 11722 SUFFOLK
8500 2019 3 10038 NEW YORK
8500 2015 2 10003 NEW YORK
8500 2018 3 11554 NASSAU
8500 2016 4 14605 MONROE
8500 2017 3 13210 ONONDAGA
8500 2021 5 10461 BRONX
8500 2019 2 10038 NEW YORK
8500 2018 5 10467 BRONX
8500 2018 5 10467 BRONX
8500 2017 5 10032 NEW YORK
8500 2019 2 10038 NEW YORK
21250 2016 1 10034 NEW YORK
8500 2016 5 12885 WARREN
8500 2020 4 10028 NEW YORK
8500 2017 4 10032 NEW YORK
Page 628 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UNIVERSITY RADIOLOGY ASSOC (43.065629, -76.168033) 713 2132 43
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LISH INC (40.820237, -73.119032) 1421 2179 3
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
Page 629 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
755
50 844
137
37 176
137
37 108
37 108
93
50 844
755
37 176
37 108
37 176
37 176
37 108
37 108
37 108
522
37 108
37 108
Page 630 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN LISA
PHYSICIAN AMITASRIGOWRI
PHYSICIAN CECILIA
NURSE PRACTITIONER DEBORAH
PHYSICIAN NADAV
PHYSICIAN ROBERT
PHYSICIAN JAMES
PHYSICIAN SUDHA
PHYSICIAN MICHAEL
PHYSICIAN RUSSELL
PHYSICIAN WEI
NURSE PRACTITIONER JESSICA
PHYSICIAN KATHLEEN
NURSE PRACTITIONER CHIH-YUN
NURSE PRACTITIONER MARTHA
PHYSICIAN NATHAN
NURSE PRACTITIONER LAURIE
PHYSICIAN DEENA
NURSE PRACTITIONER ANGELA
DENTIST MARK
PHYSICIAN RAZIA
PHYSICIAN DARIANA
Page 631 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GRAY 1851563571 1659315869 11/26/2018
MURTHY 1083703680 1073535027 09/04/2017
MERCADO 1164488821 1073535027 10/09/2017
ARNOLD 1134280571 1073535027 01/01/2018
TRAEGER 1811997257 1467454967 08/26/2019
FRYER 1821006636 1447518550 02/25/2019
FUCHS 1922026277 1285667634 08/21/2017
VIJAYKUMAR 1669695912 1669695912 08/06/2018
DIAZ 1730229584 1720177066 07/13/2020
TOBE 1659539773 1154369056 01/28/2019
SUN 1588633135 1619191343 02/11/2019
BLUE 1033193768 1417959701 08/07/2017
GARBOOSHIAN 1689646549 1407892342 10/01/2018
LUO 1053404707 1063426377 02/26/2018
SMITH 1285069112 1083664221 08/17/2020
NUSSBAUM 1760620082 1073535027 12/09/2019
WHITE ABBATESSA 1134381437 1356390918 11/19/2018
NELSON 1992701551 1801803903 04/20/2020
KARNES 1144314741 1255360517 08/14/2017
SCHLESINGER 1669479408 1164555124 08/24/2020
FERDOUS 1154521326 1497700736 11/06/2017
FRANCOIS 1124315254 1801803903 04/20/2020
Page 632 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 3 14642 MONROE
21250 2016 1 10038 NEW YORK
21250 2016 1 10038 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2018 5 10532 WESTCHESTER
8500 2017 3 10032 NEW YORK
8500 2015 4 12801 WARREN
8500 2016 4 11432 QUEENS
8500 2019 3 11249 KINGS
8500 2017 5 10920 ROCKLAND
8500 2017 4 10013 NEW YORK
8500 2015 4 10012 NEW YORK
8500 2016 5 13440 ONEIDA
21250 2016 1 10038 NEW YORK
8500 2019 4 13326 OTSEGO
8500 2018 2 10038 NEW YORK
8500 2017 3 14201 ERIE
8500 2019 4 10038 NEW YORK
8500 2015 3 14621 MONROE
8500 2019 4 10010 NEW YORK
21250 2016 1 11692 QUEENS
8500 2019 4 10038 NEW YORK
Page 633 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OB PERINATOLOGY GRP OF U OF R (43.161748, -77.620143) 1666 2093 56
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
ADIRONDACK PEDIATRICS PC (43.403024, -73.716044) 128 2183 35
VIJAYKUMAR SUDHA MD (40.749338, -73.789673) 828 2137 11
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
ARC HEALTHRESOURCES OF ROCKLAND (41.127287, -74.017033) 1546 628 27
CHINATOWN KIDNEY CARE PLLC (40.726966, -74.005966) 737 2095 50
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
ROME MEDICAL GROUP PC (43.149482, -75.361773) 1281 625 40
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
EHS, INC (42.888143, -78.795544) 62 2041 63
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -73.789673) 828 2137 11
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 634 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 108
37 108
37 108
224
37 108
522
37 111
37 27
154
37 108
37 108
794
37 108
529
37 108
646
37 108
50 844
37 108
37 111
37 108
Page 635 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MARINA
PHYSICIAN JOSEPH
PHYSICIAN CAMERON
PHYSICIAN TINA
PHYSICIAN LUCY
PHYSICIAN FORTUNATO
CERTIFIED NURSE MIDWIFE CARA
PHYSICIAN CARLOS
PHYSICIAN VANCE
DENTIST MARK
PHYSICIAN TAMAR
PHYSICIAN ANDREY
PHYSICIAN SOPHIA
PHYSICIAN XIAOGUANG
PHYSICIAN MELISSA
PHYSICIAN ABRAHAM
PHYSICIAN ELIZABETH
PHYSICIAN RICHARD
PHYSICIAN CARLOS
NURSE PRACTITIONER CHRISTINE
PHYSICIAN ASHOK
Page 636 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MATATOVA 1881977304 1073535027 07/30/2018
BOYER 1356341663 1467454967 12/24/2018
NIENABER 1366763609 1477505220 11/04/2019
CHENG 1013174499 1063426377 02/08/2021
GORDON 1417157942 1063426377 08/19/2019
DIFRANCO 1669458295 1669458295 02/18/2019
DAL NOGARE 1366871014 1013924372 09/06/2021
TEJERA 1538255401 1457418337 04/16/2018
SMITH 1942414511 1063525152 03/25/2019
ZHARNITSKY 1538295530 1538295530 11/30/2017
TORONJADZE 1942332002 1184670465 09/04/2017
APINIS 1013999150 1063525152 04/12/2021
BICHOTTE-LIGONDE 1609815612 1336578772 12/10/2018
LIU 1386851251 1033124961 04/06/2020
WASSERSTEIN 1023066198 1063525152 10/09/2017
ORRON 1629161013 1023024882 09/25/2017
CIFRA 1831350792 1740595917 07/31/2017
SCHIFELING 1558318105 1366473183 11/04/2019
SALAMA 1619981321 1063426377 04/13/2020
MERLE 1881649093 1508266347 09/23/2019
KHANNA 1780608836 1124032982 02/01/2021
Page 637 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2017 4 10532 WESTCHESTER
8500 2018 5 11418 QUEENS
8500 2020 4 10038 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2017 5 11417 QUEENS
8500 2021 4 10038 NEW YORK
8500 2016 4 11357 QUEENS
8500 2017 2 10467 BRONX
-21250 2013 1 11373 QUEENS
8500 2015 3 11355 QUEENS
8500 2020 3 10467 BRONX
8500 2017 4 10041 NEW YORK
8500 2019 3 10038 NEW YORK
21250 2016 1 10467 BRONX
21250 2016 1 10038 NEW YORK
21250 2016 1 10457 BRONX
8500 2018 4 14203 ERIE
8500 2019 4 10038 NEW YORK
8500 2018 3 10032 NEW YORK
8500 2020 5 10038 NEW YORK
Page 638 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
DI FRANCO FORTUNATO SANTI MD (40.749338, -73.789673) 828 2137 11
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TRANSITIONAL SERVICES FOR NY (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ZHARNITSKY MARK (40.749338, -73.789673) 828 2137 11
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 639 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 111
37 108
37 108
37 111
37 108
37 111
37 176
37 111
37 111
37 176
37 108
37 108
37 176
37 108
37 176
646
37 108
37 108
37 108
Page 640 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ZHIGUANG
NURSE PRACTITIONER MAURA
PHYSICIAN LESLIE
NURSE PRACTITIONER LAUREN
DENTIST PRABHAKAR
PHYSICIAN TIM
PHYSICIAN MAURICIO
PHYSICIAN ILAN
NURSE PRACTITIONER THERESA
PHYSICIAN MARIA
PHYSICIAN QIUQU
NURSE PRACTITIONER MARY
PHYSICIAN MICHELE
PHYSICIAN ROBERT
NURSE PRACTITIONER JULIE
DENTIST TAUSEEL
PHYSICIAN JOSEPH
PHYSICIAN LUISA
PHYSICIAN ELIZABETH
PHYSICIAN VIRESH
PHYSICIAN MILI
Page 641 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ZHANG 1457349375 1457349375 07/05/2021
ABBOTT 1881876415 1437176047 08/07/2017
PURNELL 1689621500 1083716088 01/20/2020
MUSSHAFEN 1043612401 1457395766 12/10/2018
KOPPIKAR 1871646430 1871646430 04/08/2019
SCHWARTZ 1649430067 1043224355 06/21/2021
MONRROY PRADO 1285836353 1386689248 03/25/2019
SEMANDOV 1669602520 1720177066 07/13/2020
SEGUIN 1851568612 1861836652 11/26/2018
DIAZ 1871778308 1710902200 02/12/2018
ZHAO 1750499901 1619341716 10/02/2017
SCHMITT 1083829972 1083664221 03/12/2018
MOKRZYCKI 1215048822 1063525152 01/22/2018
BROWN 1053488437 1427063270 03/29/2021
SCHNUR 1215925946 1093075368 10/07/2019
KHAN 1255471389 1669470019 12/09/2019
LUX 1750357919 1073535027 09/20/2021
GONZALEZ 1144345984 1417027558 07/31/2017
ETIENNE 1134517089 1063525152 11/15/2021
KUMAR 1932169711 1063525152 10/25/2021
SHUM 1407134224 1467454967 12/24/2018
Page 642 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 5 11220 KINGS
21250 2016 1 10032 NEW YORK
8500 2018 3 14605 MONROE
8500 2017 2 14626 MONROE
-21250 2014 1 11367 QUEENS
8500 2020 3 10038 NEW YORK
8500 2017 2 12208 ALBANY
8500 2019 3 11249 KINGS
8500 2017 2 14642 MONROE
8500 2016 6 14701 CHAUTAUQUA
8500 2015 4 11220 KINGS
21250 2016 1 13326 OTSEGO
8500 2016 5 10467 BRONX
8500 2020 4 10038 NEW YORK
8500 2018 3 11213 KINGS
8500 2018 2 10977 ROCKLAND
8500 2021 5 10038 NEW YORK
21250 2016 1 10457 BRONX
8500 2021 2 10459 BRONX
8500 2021 6 11216 KINGS
8500 2017 2 10532 WESTCHESTER
Page 643 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ZHANG ZHIGUANG MD (40.65642, -73.950691) 809 2090 31
TRUSTEES OF COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
ANTHONY L JORDAN HEALTH CTR (43.161748, -77.620143) 1666 2093 56
UNITY HOSPITAL ROCHESTER (43.161748, -77.620143) 1666 2093 56
KOPPIKAR PRABHAKAR MURLIDHAR (40.749338, -73.789673) 828 2137 11
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
HIGHLANDS WOMENS HEALTH (43.161748, -77.620143) 1666 2093 56
SOUTHERN TIER PEDS PRAC PC (42.246904, -79.315313) 1743 2035 57
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
ELI ROSEN FAMILY MED AND PEDIATRIC (40.65642, -73.950691) 809 2090 31
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
Page 644 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 108
50 844
50 844
37 111
37 108
1 573
37 27
50 844
447
37 27
529
37 176
37 108
37 27
154
37 108
37 176
37 176
37 27
224
Page 645 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SAAD
PHYSICIAN JENNIFER
PHYSICIAN ANNE
PHYSICIAN JOHN
PHYSICIAN SAPANA
PHYSICIAN MARCIA
PHYSICIAN HAN
PHYSICIAN PEYMAN
NURSE PRACTITIONER CHARLES
PHYSICIAN MAHBUB
PHYSICIAN FAISAL
PHYSICIAN LAUREN
DENTIST SAFDAR
PHYSICIAN ROBERT
CERTIFIED NURSE MIDWIFE RENEE
DENTIST DAVID
PHYSICIAN MICHAEL
PHYSICIAN MICHELE
PHYSICIAN GINA
DENTIST DANIEL
PHYSICIAN VIPLOV
Page 646 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BHATTI 1891960316 1063426377 11/18/2019
RINGSTAD 1174598973 1477640258 09/23/2019
RYAN 1366731572 1740220698 12/03/2018
LOVIER 1386614436 1114954682 04/30/2018
SHAH 1265407050 1073535027 05/17/2021
DEITZ 1952419665 1124032982 02/04/2019
ZHANG 1598723702 1003873274 07/27/2020
ALAGHBAND 1356610281 1124032982 05/11/2020
RINN 1417034679 1063576312 11/26/2018
AHMED 1689732257 1689732257 02/12/2018
CHAUDHRY 1366559668 1043224355 10/04/2021
MEILHEDE 1275793416 1285667634 04/16/2018
CHADDA 1760555106 1164555124 01/06/2020
PODELL 1306997176 1720177066 08/06/2018
HANSEN 1912337718 1164464921 12/23/2019
TARRAB 1164802575 1164555124 02/25/2019
ROSE 1972896934 1043224355 06/07/2021
FRECH 1093800476 1881789014 01/21/2019
BADALATO 1932363546 1700824315 08/21/2017
TAVELINSKY 1831319268 1669470019 04/26/2021
MEHTA 1760590236 1760590236 07/31/2017
Page 647 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
8500 2018 3 10701 WESTCHESTER
8500 2017 2 14642 MONROE
21250 2016 1 12953 FRANKLIN
8500 2020 4 10038 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2019 5 11229 KINGS
8500 2019 4 10038 NEW YORK
8500 2017 3 13210 ONONDAGA
8500 2016 2 11218 KINGS
8500 2021 3 10004 NEW YORK
8500 2016 5 12801 WARREN
8500 2018 3 10010 NEW YORK
8500 2016 5 11249 KINGS
8500 2018 4 14141 ERIE
8500 2017 2 10010 NEW YORK
8500 2020 2 10038 NEW YORK
8500 2017 6 14207 ERIE
21250 2015 1 10032 NEW YORK
8500 2020 3 10977 ROCKLAND
21250 2016 1 11213 KINGS
Page 648 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ST JOSEPHS HOSP (41.039278, -73.805386) 1440 2185 53
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
ALICE HYDE MEDICAL CENTER (44.705699, -74.340621) 278 621 35
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
JANLIAN MEDICAL GROUP LLC (40.65642, -73.950691) 809 2090 31
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MADISON IRVING PEDIATRICS PC (43.065629, -76.168033) 713 2132 43
AHMED MAHBUB MD (40.65642, -73.950691) 809 2090 31
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ADIRONDACK PEDIATRICS PC (43.403024, -73.716044) 128 2183 35
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NORTHWEST BUFFALO COMM H C (42.888143, -78.795544) 62 2041 63
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
MEHTA VIPLOV K MD (40.65642, -73.950691) 809 2090 31
Page 649 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
50 844
29 926
37 108
37 108
37 27
37 108
755
37 27
37 108
522
37 108
37 27
646
37 108
37 108
646
37 108
154
37 27
Page 650 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN XIAO
NURSE PRACTITIONER VERONICA
PHYSICIAN JING
DENTIST LEON
PHYSICIAN MALTI
PHYSICIAN DILFUZA
PHYSICIAN MANJU
PHYSICIAN SERGEY
PHYSICIAN AKSIM
PHYSICIAN YAMILEE
PHYSICIAN IRFAN
PHYSICIAN JORDAN
PHYSICIAN AYILAM
PHYSICIAN NATHALIE
PHYSICIAN RICHARD
PHYSICIAN DEBRA
PHYSICIAN JULIE
PHYSICIAN PRADEEP
PHYSICIAN PRASUNA
Page 651 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LI 1720076292 1720076292 08/12/2019
OGULA 1215999040 1003093436 04/23/2018
WANG 1639348733 1073535027 03/05/2018
MELIDEO 1295937787 1295937787 05/28/2018
TRIVEDI 1902911092 1124032982 09/11/2017
NURITDINOVA 1083982789 1427063270 12/09/2019
PAUL 1306002985 1063468239 11/12/2018
AYZENBERG 1306031125 1093777492 07/03/2017
RIVERA 1841586971 1679587679 05/29/2017
JACQUES 1881823649 1124189782 01/29/2018
WARSY 1003041948 1467454967 04/20/2020
GLASER 1821084732 1700931359 12/25/2017
SUDHAKAR 1316100506 1417027558 01/28/2019
MOISE 1659697464 1194832477 03/19/2018
KENNEDY 1881659845 1083716088 11/13/2017
BUCHAN 1689618498 1063468239 02/26/2018
YANG 1245461524 1063525152 11/11/2019
SHARMA 1164480570 1164480570 03/26/2018
NUKALAPATI 1497744841 1497744841 11/12/2018
Page 652 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 6 10013 NEW YORK
8500 2016 2 10016 NEW YORK
21250 2016 1 10032 NEW YORK
21250 2016 1 11788 SUFFOLK
21250 2016 1 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2017 5 13202 ONONDAGA
21250 2016 1 11219 KINGS
21250 2015 1 10038 NEW YORK
21250 2015 1 12901 CLINTON
8500 2019 3 10532 WESTCHESTER
8500 2016 3 10304 RICHMOND
8500 2017 2 10456 BRONX
8500 2016 2 10032 NEW YORK
-8500 2013 2 14605 MONROE
8500 2016 5 13202 ONONDAGA
8500 2018 5 10461 BRONX
8500 2016 3 11385 QUEENS
8500 2017 5 10458 BRONX
Page 653 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LI XIAO-QING MD (40.726966, -74.005966) 737 2095 50
HELP/PROJECT SAMARITAN SVCS CORP (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MELIDEO LEON RICHARD DDS (40.820237, -73.119032) 1421 2179 3
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
CHAMPLAIN VALLEY PHYSICIANS (44.731944, -73.548883) 202 2038 35
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
JORDAN B GLASER MD PC (40.566763, -74.148102) 609 2139 47
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ANTHONY L JORDAN HEALTH CTR (43.161748, -77.620143) 1666 2093 56
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SHARMA PRADEEP S MD (40.749338, -73.789673) 828 2137 11
NUKALAPATI PRASUNA R MD (40.85589, -73.868294) 675 2032 52
Page 654 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
137
37 108
37 108
755
37 27
37 108
920
224
37 7
37 176
37 108
50 844
755
37 176
37 111
37 176
Page 655 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN PIERRE
NURSE PRACTITIONER GLORIA
PHYSICIAN KRISTIN
PHYSICIAN SHITAL
PHYSICIAN OTIS
PHYSICIAN STEVEN
PHYSICIAN AMY
PHYSICIAN LAI-MING
PHYSICIAN JAMIE
NURSE PRACTITIONER SUSAN
PHYSICIAN VANNITA
PHYSICIAN SALEEM
PHYSICIAN AMY
DENTIST CHETAN
NURSE PRACTITIONER TRACI
PHYSICIAN JOSHUA
PHYSICIAN ANTHONY
PHYSICIAN DODI
PHYSICIAN SURYA
PHYSICIAN MARTHA
NURSE PRACTITIONER SOPHIA
PHYSICIAN MOHAMMAD
Page 656 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WILLIOT 1366417032 1366417032 10/16/2017
PEREZ 1942220009 1548208127 03/05/2018
ROYE 1205865649 1467454967 09/02/2019
SHETH 1932150877 1932150877 09/06/2021
JONES 1861563538 1003093436 07/31/2017
LAGER 1437131711 1023024882 11/25/2019
HARRINGTON 1437151354 1346285657 07/31/2017
CHAN 1457793838 1467454967 08/02/2021
OSMAN-WAGER 1093006652 1063525152 10/11/2021
MERGUERIAN 1801097274 1285701672 12/30/2019
SIMMA-CHIANG 1518192830 1801803903 10/09/2017
NASIR 1376629105 1801803903 09/04/2017
LAI 1003888157 1184670465 04/30/2018
SAWHNEY 1396062212 1295997724 12/31/2018
SALTER 1376779546 1255360517 09/18/2017
SCHULMAN-MARCUS 1073756938 1386689248 09/14/2020
GREENIDGE 1679610471 1417027558 08/05/2019
MEYER 1205815792 1194832477 07/31/2017
SEKAR 1235114596 1548217763 05/14/2018
RODEN 1639433394 1881789014 01/21/2019
WILSON 1457613861 1194832477 01/28/2019
MOMTAZ 1437297504 1427063270 11/01/2021
Page 657 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 14222 ERIE
21250 2016 1 10038 NEW YORK
8500 2018 5 10532 WESTCHESTER
8500 2020 6 11550 NASSAU
21250 2016 1 10016 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2015 4 14642 MONROE
8500 2021 5 10532 WESTCHESTER
8500 2021 5 10467 BRONX
8500 2018 4 10532 WESTCHESTER
21250 2016 1 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2016 4 11418 QUEENS
8500 2017 2 11753 NASSAU
8500 2015 3 14621 MONROE
8500 2019 4 12208 ALBANY
-8500 2014 2 10457 BRONX
8500 2015 4 10032 NEW YORK
8500 2016 3 11355 QUEENS
8500 2017 2 14207 ERIE
8500 2017 2 10032 NEW YORK
8500 2021 4 10038 NEW YORK
Page 658 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WILLIOT PIERRE EMILE MD (42.888143, -78.795544) 62 2041 63
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
SHETH SHITAL MD (40.715749, -73.601185) 1455 2094 6
HELP/PROJECT SAMARITAN SVCS CORP (40.726966, -74.005966) 737 2095 50
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
STRONG MEMORIAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PLANNED PRTD HUDSON-PECONIC I (41.039278, -73.805386) 1440 2185 53
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
FLUSHING HOSPITAL & MED CTR (40.749338, -73.789673) 828 2137 11
NORTHWEST BUFFALO COMM H C (42.888143, -78.795544) 62 2041 63
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
Page 659 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
646
37 108
224
93
37 108
37 108
50 844
224
37 176
224
37 108
37 108
37 111
93
50 844
1 573
37 176
37 108
37 111
646
37 108
37 108
Page 660 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER ELAINE
PHYSICIAN EMILIO
PHYSICIAN ROSE
PHYSICIAN ROBERT
PHYSICIAN MIKHAIL
PHYSICIAN ROBERT
PHYSICIAN SOPHIA
PHYSICIAN JOSEPH
PHYSICIAN PANAGIOTA
PHYSICIAN SUBHADRA
PHYSICIAN ANILA
PHYSICIAN KRISTINA
CERTIFIED NURSE MIDWIFE DENISE
PHYSICIAN REHAN
NURSE PRACTITIONER SUSAN
NURSE PRACTITIONER MADONNA
PHYSICIAN ARGYRO
PHYSICIAN JASON
PHYSICIAN RACHEL
PHYSICIAN GRACE
PHYSICIAN JAYASHRI
Page 661 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHABEN 1780662965 1508850280 11/27/2017
ARTEAGA-SOLIS 1821117292 1447518550 12/09/2019
YOUNG 1134147267 1801857172 05/18/2020
FEINGOLD 1144310855 1063525152 06/15/2020
CHERNOV 1346223526 1063525152 06/22/2020
WONG 1508026907 1417027558 05/07/2018
FRANCIS STEWART 1730324625 1073689600 09/17/2018
DEROSE 1386629921 1063525152 01/29/2018
KORENIS 1881832780 1437231693 02/11/2019
SIEGEL 1215060108 1467454967 01/01/2018
SIDDIQI 1376624544 1801803903 05/07/2018
CHAE 1790079739 1063525152 08/31/2020
WHARTON 1134204142 1023024882 06/19/2017
ASIF 1801093505 1255360517 06/18/2018
DELISLE 1427078153 1508266347 09/23/2019
REDDINGTON 1245519800 1922073774 04/16/2018
KARIDIS 1922374032 1922374032 01/01/2018
WINKLER 1043537624 1467454967 04/20/2020
WELLER 1477529683 1447518550 08/14/2017
KAJITA 1235176991 1063525152 06/15/2020
BHASKAR 1083801898 1255360517 06/18/2018
Page 662 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 4 13142 OSWEGO
8500 2018 3 10032 NEW YORK
8500 2019 3 11725 SUFFOLK
8500 2019 6 10467 BRONX
8500 2019 2 10467 BRONX
8500 2016 2 10456 BRONX
8500 2016 4 11545 NASSAU
8500 2016 5 10461 BRONX
8500 2017 2 10456 BRONX
8500 2016 3 10532 WESTCHESTER
8500 2016 2 10038 NEW YORK
8500 2019 4 10467 BRONX
21250 2015 1 10038 NEW YORK
8500 2016 5 14621 MONROE
8500 2018 3 10032 NEW YORK
8500 2016 6 14207 ERIE
8500 2015 3 11542 NASSAU
8500 2019 2 10532 WESTCHESTER
8500 2015 5 10032 NEW YORK
8500 2019 4 10466 BRONX
8500 2016 2 14621 MONROE
Page 663 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
ADVANTAGE CARE D AND T CTR (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
ELMWOOD HEALTH CENTER (42.888143, -78.795544) 62 2041 63
KARIDIS ARGYRO (40.715749, -73.601185) 1455 2094 6
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
Page 664 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
533
37 108
137
37 176
37 176
37 176
93
37 176
37 176
224
37 108
37 176
37 108
50 844
37 108
646
93
224
37 108
37 176
50 844
Page 665 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER BERTHA
PHYSICIAN RICHARD
PHYSICIAN FRANCIS
DENTIST JOEL
NURSE PRACTITIONER YAEL
PHYSICIAN CHUN-LUN
PHYSICIAN PURA
PHYSICIAN HONG
PHYSICIAN KENNETH
PHYSICIAN JANA
CERTIFIED NURSE MIDWIFE MARY LOU
PHYSICIAN VALERIE
PHYSICIAN JAVIER
PHYSICIAN LI
PHYSICIAN KWANG
PHYSICIAN PAMELA
PHYSICIAN KRISTEN
PHYSICIAN LEAH
NURSE PRACTITIONER JULIA
PHYSICIAN MELINDA
Page 666 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BOGDAN 1306025168 1194832477 03/19/2018
GHILLANI 1083657241 1063426377 08/16/2021
HAYDEN 1346334653 1346334653 09/11/2017
SILVER 1093946717 1164555124 11/15/2021
SAADON 1245494897 1619341716 04/20/2020
LI 1912934555 1740322148 08/21/2017
CASTILLO 1558301143 1548208127 03/05/2018
YE 1376595710 1528222577 02/12/2018
GARBARINO 1629046081 1366473183 01/14/2019
SHAW 1548208820 1770539066 08/21/2017
CHAPPELL 1194899476 1194913749 09/25/2017
DUNN 1215964895 1255360517 06/18/2018
DEPAZ 1396707956 1477505220 05/07/2018
KAN 1679643027 1679643027 01/18/2021
CHOI 1548248107 1043224355 12/09/2019
SAHA 1144274143 1598770018 03/16/2020
MARKS 1255421426 1952332801 02/11/2019
KAUFMAN 1033289483 1235170150 05/25/2020
STANDEFER 1386076560 1295729408 08/03/2020
AQUINO 1124103510 1063525152 10/30/2017
Page 667 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 2 10128 NEW YORK
8500 2021 6 10038 NEW YORK
8500 2015 5 10462 BRONX
8500 2021 5 10010 NEW YORK
8500 2019 5 11215 KINGS
8500 2015 3 10013 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2015 4 11220 KINGS
8500 2017 2 14120 NIAGARA
8500 2015 4 13601 JEFFERSON
21250 2016 1 13021 CAYUGA
8500 2016 4 14621 MONROE
8500 2016 4 11418 QUEENS
8500 2020 4 11355 QUEENS
8500 2018 2 10038 NEW YORK
-21250 2015 1 10014 NEW YORK
8500 2017 4 10032 NEW YORK
8500 2019 6 13210 ONONDAGA
8500 2019 4 10011 NEW YORK
8500 2015 3 10467 BRONX
Page 668 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HAYDEN FRANCIS FITZGERALD II (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
JAMES LI MD PLLC (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
DR YE S MEDICAL OFFICE PC (40.65642, -73.950691) 809 2090 31
KALEIDA HEALTH (43.134634, -78.856419) 1107 2131 62
PEDIATRIC SERVICE GROUP (44.019295, -75.898971) 1466 2089 41
AUBURN MEMORIAL MEDICAL SERVICES
PC
(42.940095, -76.560755) 343 618 43
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
KAN LI MD (40.749338, -73.789673) 828 2137 11
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PROJECT RENEWAL (40.726966, -74.005966) 737 2095 50
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 669 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 176
37 108
37 27
37 108
37 108
37 27
835
705
660
50 844
37 111
37 111
37 108
37 108
37 108
755
37 108
37 176
Page 670 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN CHRISTY
PHYSICIAN DILIP
PHYSICIAN STEPHEN
PHYSICIAN PHILIPP
DENTIST ROBERT
PHYSICIAN SUZETTE
PHYSICIAN LANA
PHYSICIAN JAMES
PHYSICIAN ALCOTT
DENTIST ILA
NURSE PRACTITIONER NOREEN
PHYSICIAN NATALIE
PHYSICIAN ANGELA
PHYSICIAN DAVID
NURSE PRACTITIONER MARY
PHYSICIAN MICHAEL
NURSE PRACTITIONER GLORIA
DENTIST JAMIE
PHYSICIAN JULIANA
PHYSICIAN RUTH
PHYSICIAN LEACROFT
Page 671 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KIM 1912211384 1467454967 04/27/2020
DOCTOR 1134291420 1134291420 09/25/2017
BLUMBERG 1811908940 1679587679 08/14/2017
LEUCHT 1740414119 1073535027 10/11/2021
SCHULSINGER 1780695049 1619969458 03/05/2018
GRAHAM-HILL 1689641466 1043224355 09/20/2021
RAYEV 1144479502 1336578772 11/26/2018
CROSBY 1861485351 1821266321 09/18/2017
HAMLET 1184798423 1184798423 12/25/2017
HERCULES 1801991716 1306954631 12/25/2017
FLYNN 1730367855 1063525152 04/12/2021
NEU 1235100173 1447518550 01/01/2018
SHTERN 1992767438 1679587679 08/14/2017
KAUFMAN 1124103817 1063525152 04/05/2021
RODGERS 1871935593 1083664221 03/25/2019
CASTELLOT 1821431339 1063525152 07/06/2020
TATSAPAUGH 1063504934 1619969458 08/21/2017
CHARLAND 1063700599 1982674917 11/06/2017
OPATICH 1982771028 1538114723 12/25/2017
WEINSTOCK 1831132752 1063468239 04/16/2018
GREEN 1740290279 1740595917 01/20/2020
Page 672 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 5 10532 WESTCHESTER
8500 2015 4 11374 QUEENS
21250 2016 1 10038 NEW YORK
8500 2021 3 10038 NEW YORK
8500 2015 2 10566 WESTCHESTER
8500 2021 3 10038 NEW YORK
8500 2017 4 10041 NEW YORK
8500 2015 2 13905 BROOME
8500 2016 3 10705 WESTCHESTER
8500 2016 5 11101 QUEENS
8500 2020 6 10461 BRONX
8500 2016 6 10032 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2020 6 10467 BRONX
8500 2017 2 13326 OTSEGO
8500 2019 3 10467 BRONX
8500 2015 3 12522 DUTCHESS
8500 2015 2 12010 MONTGOMERY
8500 2016 2 11733 SUFFOLK
8500 2016 5 13214 ONONDAGA
8500 2018 2 10457 BRONX
Page 673 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
DOCTOR DILIP SHIKHARCHAND MD (40.749338, -73.789673) 828 2137 11
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HUDSON RIVER HEALTHCARE INC (41.039278, -73.805386) 1440 2185 53
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
HAMLET ALCOTT H MD (41.039278, -73.805386) 1440 2185 53
FLOATING HOSPITAL (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
NEW DIMENSIONS IN HEALTH CARE (42.933637, -74.341972) 1221 624 36
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
Page 674 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 111
37 108
37 108
224
37 108
37 108
346
224
37 111
37 176
37 108
37 108
37 176
529
37 176
63
699
137
755
37 176
Page 675 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER KATHRYN
PHYSICIAN JESUS
CERTIFIED NURSE MIDWIFE ROBIN
PHYSICIAN SHANNON
DENTIST BENJAMIN
PHYSICIAN JULIE
PHYSICIAN THOMAS
PHYSICIAN LISA
PHYSICIAN KATHRYN
NURSE PRACTITIONER MARIANNE
PHYSICIAN SCOTT
PHYSICIAN ANN
PHYSICIAN MARK
NURSE PRACTITIONER DIONNE
PHYSICIAN DAVID
PHYSICIAN JACK
PHYSICIAN JOSEPH
PHYSICIAN KEVIN
PHYSICIAN BRITT
PHYSICIAN MARIE-JEANNE
Page 676 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PAGET 1720497977 1861907321 12/09/2019
LANZA 1134421407 1659710796 04/30/2018
AFTUCK 1467553347 1184654477 08/31/2020
COLT 1669560603 1669560603 12/10/2018
SELZER 1780835868 1780835868 02/07/2019
YANG 1245461524 1063525152 03/18/2019
YUEN 1992867055 1285893719 01/21/2019
BOGUSKI-FILGUEIRA 1013978733 1275802811 04/23/2018
RUTENBERG 1700887205 1922411065 03/25/2019
POWERS 1629009519 1932281706 04/16/2018
POSTELL 1053386268 1720177066 09/04/2017
LEE 1184820425 1073535027 09/06/2021
BEZBATCHENKO 1710942818 1417036708 08/05/2019
WALKER 1891112611 1619341716 04/20/2020
COSTABILE 1669441499 1467454967 12/24/2018
SKOWRON 1285694240 1336578772 09/30/2019
THOMAS 1023082039 1023082039 10/22/2018
CURRAN 1982725032 1750352381 10/30/2017
LUNDE 1285893016 1063426377 02/08/2021
DESRAVINES 1285741199 1508850280 01/07/2019
Page 677 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 4 10032 NEW YORK
21250 2016 1 11237 KINGS
8500 2019 5 14760 CATTARAUGUS
8500 2017 6 12095 FULTON
-21250 2014 1 11214 KINGS
8500 2017 4 10461 BRONX
8500 2017 4 10573 WESTCHESTER
8500 2015 2 10029 NEW YORK
8500 2017 4 10019 NEW YORK
8500 2016 5 12414 GREENE
21250 2016 1 11249 KINGS
8500 2021 5 10038 NEW YORK
8500 2018 5 14026 ERIE
8500 2019 4 11220 KINGS
8500 2017 4 10532 WESTCHESTER
8500 2018 3 10041 NEW YORK
8500 2017 4 11746 SUFFOLK
21250 2016 1 10065 NEW YORK
8500 2020 6 10038 NEW YORK
8500 2017 6 13142 OSWEGO
Page 678 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TRUSTEES OF COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
WYCKOFF PROFESSIONAL MEDICAL
SERVIC
(40.65642, -73.950691) 809 2090 31
SOUTHERN TIER COMMUNITY HLTH (42.224267, -78.606673) 1719 2034 57
COLT-CONNAWAY SHANNON J (43.06014, -74.331296) 1227 2085 42
SELZER BENJAMIN (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
GREENE CNTY PUB HLTH NURS SER (42.298326, -73.973376) 88 2087 36
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MICHAEL D TERRANOVA & MARK D
BEZBAT
(42.888143, -78.795544) 62 2041 63
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
THOMAS JOSEPH MD (40.820237, -73.119032) 1421 2179 3
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
Page 679 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
427
830
37 27
37 176
224
37 108
37 108
435
37 27
37 108
646
37 27
224
37 108
137
37 108
37 108
533
Page 680 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN BARBARA
PHYSICIAN STEPHANIE
PHYSICIAN DANIELLE
PHYSICIAN SOFYA
PHYSICIAN NARAYAN
PHYSICIAN ADEDOKUN
PHYSICIAN CHIRAG
PHYSICIAN MOI
PHYSICIAN HOLLY
DENTIST ALI
PHYSICIAN ANNE MARIE
PHYSICIAN STEPHEN
NURSE PRACTITIONER MARY
PHYSICIAN ROMAN
DENTIST WAYNE
DENTIST HARVEY
PHYSICIAN JENNIFER
PHYSICIAN GREGORY
PHYSICIAN MATHEW
PHYSICIAN KASI
PHYSICIAN GABRIELE
Page 681 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WEZENTER 1437374543 1801803903 09/20/2021
RAND 1689989436 1063525152 10/28/2019
CASAGRANDE 1235254376 1386691822 01/01/2018
MASLYANSKAYA 1245491307 1063525152 04/05/2021
AGRAWAL 1568438570 1568438570 02/11/2019
AKINYOOYE 1174574461 1427192194 03/26/2018
SHAH 1164629770 1063525152 03/25/2019
LOUIE 1699977652 1033124961 08/07/2017
TOTOUOM-TANGHO 1902935950 1013924372 04/20/2020
PAYAMI 1891954442 1063426377 01/20/2020
ROE 1598845158 1679587679 05/25/2020
WALL 1740345719 1073535027 08/14/2017
SCHUMER 1821012683 1790727543 11/18/2019
PEREZ-SOLER 1316027808 1063525152 10/28/2019
KYE 1154430965 1164555124 11/22/2021
HENTELEFF 1124054176 1972781375 09/14/2020
SACKS 1548404932 1669535548 05/28/2018
RUNKEL 1972517837 1013928159 03/12/2018
EDNICK 1295942266 1083660575 10/28/2019
MCCUNE 1538326954 1508266347 04/26/2021
DE VOS 1992863146 1679587679 06/14/2021
Page 682 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 6 10038 NEW YORK
8500 2018 4 10467 BRONX
21250 2015 1 11203 KINGS
8500 2020 5 10467 BRONX
8500 2017 4 11366 QUEENS
8500 2016 5 11434 QUEENS
8500 2017 3 10461 BRONX
21250 2016 1 10038 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2019 3 10038 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2018 4 14214 ERIE
8500 2018 5 10467 BRONX
8500 2021 6 10010 NEW YORK
8500 2019 4 13901 BROOME
8500 2016 3 13212 ONONDAGA
8500 2015 4 12883 ESSEX
8500 2018 4 11733 SUFFOLK
8500 2020 5 10032 NEW YORK
8500 2020 3 10038 NEW YORK
Page 683 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY PHYSICIANS OF BROOKLYN (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
AGRAWAL NARAYAN DAS MD (40.749338, -73.789673) 828 2137 11
DEN RAN MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SISTERS OF CHARITY HOSP (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
JOSE VARGAS MD (43.065629, -76.168033) 713 2132 43
WARRENSBURG HEALTH CENTER (44.166026, -73.685145) 287 2084 35
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
Page 684 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 27
37 176
37 111
37 111
37 176
37 108
37 108
37 108
37 108
37 108
646
37 176
37 108
346
755
911
137
37 108
37 108
Page 685 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN KWOK-MAN
PHYSICIAN GAY
DENTIST YEHUDA
NURSE PRACTITIONER JULIE
PHYSICIAN MICHAEL
PHYSICIAN RAY
PHYSICIAN KRISTIN
PHYSICIAN ESTHER
PHYSICIAN DAWN
PHYSICIAN DAVID
PHYSICIAN HOWARD
PHYSICIAN HOMAIRA
PHYSICIAN JACK
NURSE PRACTITIONER MELISSA
PHYSICIAN JUDITH
DENTIST JAMES
PHYSICIAN LISA
PHYSICIAN VIJAY
PHYSICIAN ALEXIS
PHYSICIAN MARILYN
Page 686 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEE 1538262464 1538262464 08/07/2017
PERESS 1386734481 1801803903 12/31/2018
MARCIANO 1558780445 1053482067 09/04/2017
ALBERT 1952601536 1457395766 09/11/2017
TEITEL 1376509364 1639430671 08/31/2020
MERCADO 1275606030 1275606030 12/23/2019
POWELL 1609009943 1063525152 11/27/2017
KOAI 1437421856 1063525152 10/02/2017
SWEENEY 1790757599 1609806488 12/03/2018
BRESSLER 1669400719 1063426377 11/18/2019
BOSTWICK 1083606818 1467454967 02/22/2021
RAHIMI 1790954006 1205940152 10/28/2019
BURTON 1700897121 1124032982 03/25/2019
REYNOLDS 1164747317 1609946821 06/18/2018
BERGER 1629031943 1740595917 05/03/2021
APLTAUER 1114250859 1164555124 02/18/2019
LAI 1003135310 1376590117 06/19/2017
LAPSIA 1235325093 1144581182 04/23/2018
BONEPARTH 1528232394 1447518550 12/17/2018
FABBRI 1972527570 1063426377 08/23/2021
Page 687 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10013 NEW YORK
8500 2017 2 10038 NEW YORK
21250 2016 1 11784 SUFFOLK
8500 2015 2 14611 MONROE
8500 2019 3 10003 NEW YORK
8500 2018 3 10461 BRONX
8500 2016 2 10466 BRONX
8500 2015 2 10461 BRONX
8500 2017 6 14642 MONROE
8500 2018 3 10038 NEW YORK
8500 2020 5 10532 WESTCHESTER
5667 2018 6 14642 MONROE
8500 2017 2 10038 NEW YORK
8500 2016 3 13601 JEFFERSON
8500 2020 3 10457 BRONX
8500 2017 2 10010 NEW YORK
21250 2016 1 13210 ONONDAGA
8500 2015 2 10029 NEW YORK
8500 2017 2 10032 NEW YORK
8500 2021 6 10038 NEW YORK
Page 688 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEE KWOK MAN MC PC (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
SUNY AT STONY BROOK (40.820237, -73.119032) 1421 2179 3
UNITY HOSPITAL ROCHESTER (43.161748, -77.620143) 1666 2093 56
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
MERCADO RAY ANTHONY MD (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
U OF R ANESTHESIOLOGY GROUP (43.161748, -77.620143) 1666 2093 56
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY (43.161748, -77.620143) 1666 2093 56
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
NORTH COUNTRY CHILDRENS CLIN (44.019295, -75.898971) 1466 2089 41
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 689 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
137
50 844
37 108
37 176
37 176
37 176
50 844
37 108
224
50 844
37 108
705
37 176
37 108
755
37 108
37 108
37 108
Page 690 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST CARL
PHYSICIAN BARBARA
CERTIFIED NURSE MIDWIFE VIRGINIA
PHYSICIAN ANGEL
NURSE PRACTITIONER B
PHYSICIAN JOPLIN
PHYSICIAN SUSAN
PHYSICIAN KATHRYN
PHYSICIAN MATTHEW
PHYSICIAN CARLOS
NURSE PRACTITIONER ANN
PHYSICIAN GRACE
PHYSICIAN JEFFREY
CERTIFIED NURSE MIDWIFE CHRISTINE
PHYSICIAN XIAOXI
CERTIFIED NURSE MIDWIFE JESSICA
PHYSICIAN JULIANE
PHYSICIAN RICHARD
PHYSICIAN DAVID
PHYSICIAN SUMAN
PHYSICIAN RADHIKA
Page 691 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BLUMSTEIN 1962518282 1962518282 06/12/2019
SANDERS 1194800201 1063525152 11/04/2019
FIORIBELLO 1578903530 1679587679 10/04/2021
DE LA CRUZ 1144261512 1801803903 12/31/2018
DOOLEY 1407809957 1083664221 09/18/2017
STEINWEISS 1780834473 1679587679 12/09/2019
KERR 1457325300 1649293820 05/21/2018
SCOTT 1194953273 1770539066 08/21/2017
KAPLAN 1659332419 1124032982 12/30/2019
TEJERA 1538255401 1457418337 09/02/2019
FRICKE 1295760965 1184725525 09/23/2019
GATHUNGU 1639354269 1083660575 10/28/2019
PASSICK 1023011368 1124032982 02/04/2019
OBREMSKI 1598719155 1285701672 08/13/2018
HU 1063433589 1598953721 08/12/2019
HILSENROTH 1962410175 1538114723 03/26/2018
MACIEJEWSKI 1194814004 1972944080 01/21/2019
XU 1851475677 1760554059 05/14/2018
BEGUIN 1275598559 1003861782 03/26/2018
SWARNKAR 1467497503 1063468239 09/04/2017
SREERAM 1427342575 1063525152 10/21/2019
Page 692 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
-21250 2014 1 10952 ROCKLAND
8500 2018 4 10467 BRONX
8500 2021 5 10038 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2015 2 12043 SCHOHARIE
8500 2018 2 10038 NEW YORK
8500 2016 4 14222 ERIE
21250 2015 1 13210 ONONDAGA
8500 2018 3 10038 NEW YORK
8500 2018 6 11357 QUEENS
8500 2018 4 14642 MONROE
8500 2018 4 11733 SUFFOLK
8500 2017 2 10038 NEW YORK
8500 2016 2 10532 WESTCHESTER
8500 2018 4 11220 KINGS
8500 2016 4 11733 SUFFOLK
8500 2017 6 14213 ERIE
8500 2016 5 11354 QUEENS
8500 2016 6 12901 CLINTON
8500 2015 4 13202 ONONDAGA
8500 2018 3 10709 WESTCHESTER
Page 693 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BLUMSTEIN CARL MARK DDS (41.127287, -74.017033) 1546 628 27
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MARY IMOGENE BASSETT HSP (42.643426, -74.434606) 1173 629 44
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY NEUROLOGY INC (42.888143, -78.795544) 62 2041 63
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
TRANSITIONAL SERVICES FOR NY (40.749338, -73.789673) 828 2137 11
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
PLANNED PRTD HUDSON-PECONIC I (41.039278, -73.805386) 1440 2185 53
UNIVERSAL MEDICAL SERVICE LLC (40.65642, -73.950691) 809 2090 31
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
JERICHO ROAD MINISTRIES (42.888143, -78.795544) 62 2041 63
QUEENS-LONG ISLAND ONCOLOGY (40.749338, -73.789673) 828 2137 11
PRIMARY CARE HLTH PTRS NYLLP (44.731944, -73.548883) 202 2038 35
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
Page 694 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
154
37 176
37 108
37 108
572
37 108
646
755
37 108
37 111
50 844
137
37 108
224
37 27
137
646
37 111
920
755
224
Page 695 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ANINDITA
PHYSICIAN SAPNA
CERTIFIED NURSE MIDWIFE MARSHA
PHYSICIAN ADDI
PHYSICIAN ADITYA
PHYSICIAN NIKITA
PHYSICIAN JOSEPH
DENTIST TANZILA
PHYSICIAN FADY
PHYSICIAN MELEEN
PHYSICIAN JESUS
PHYSICIAN MANIKA
PHYSICIAN MUSULU
CERTIFIED NURSE MIDWIFE STEPHANIE
PHYSICIAN REBECCA
PHYSICIAN GEORGES
NURSE PRACTITIONER RUDOLPH
PHYSICIAN KATHLEEN
PHYSICIAN TANIA
PHYSICIAN NATHALIE
PHYSICIAN JOSEPH
Page 696 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NANDI 1669563995 1790988996 09/25/2017
PRABHAKARAN 1992938534 1457665937 08/17/2020
FILS-AIME 1245524230 1477505220 09/25/2017
FEINSTEIN 1285861930 1427063270 07/27/2020
MANGLA 1548453285 1184670465 08/14/2017
BARAI 1801152731 1043224355 12/02/2019
HALBACH 1164498788 1063426377 08/16/2021
CHAUDHRY 1831582931 1831582931 01/11/2021
HAJAL 1447334537 1285628552 08/07/2017
CHUANG 1851614507 1063525152 03/12/2018
MOTA 1861730046 1427063270 12/23/2019
SURYADEVARA 1124295696 1770539066 04/16/2018
MBAYANGA 1124283569 1417027558 06/26/2017
BUSSMANN 1104105691 1609897453 09/18/2017
LEVINE 1457506107 1063525152 01/22/2018
SYLVESTRE 1538273321 1184670465 08/21/2017
SHAKES 1588706220 1063426377 05/11/2020
ZAFRA 1366709487 1467586792 02/05/2018
LOPEZ PICHARDO 1578851242 1063426377 05/18/2020
BURG 1023022233 1063426377 12/31/2018
TRUGLIO 1023277365 1659639524 04/23/2018
Page 697 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 3 10003 NEW YORK
8500 2019 3 10457 BRONX
8500 2015 4 11423 QUEENS
8500 2019 2 10038 NEW YORK
8500 2015 2 11418 QUEENS
8500 2018 2 10038 NEW YORK
8500 2021 6 10038 NEW YORK
-21250 2016 1 10029 NEW YORK
21250 2016 1 10701 WESTCHESTER
8500 2016 4 10467 BRONX
8500 2018 2 10038 NEW YORK
8500 2016 4 13210 ONONDAGA
21250 2016 1 10457 BRONX
21250 2016 1 10002 NEW YORK
8500 2016 2 10461 BRONX
8500 2015 3 11355 QUEENS
8500 2019 3 10038 NEW YORK
21250 2016 1 11219 KINGS
8500 2019 3 10038 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2015 4 10029 NEW YORK
Page 698 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHAUDHRY TANZILA (40.726966, -74.005966) 737 2095 50
JULIA DYCKMAN ANDRUS MEMORIAL, INC (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
BETANCES HEALTH CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BORO PARK OBSTETRICS & GYNECOLOGY
P
(40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
Page 699 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 111
37 108
37 111
37 108
37 108
37 108
224
37 176
37 108
755
37 176
37 108
37 176
37 111
37 108
37 27
37 108
37 108
37 108
Page 700 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER ARIEL
PHYSICIAN ROCHELLE
PHYSICIAN JOHN
PHYSICIAN NATASHA
CERTIFIED NURSE MIDWIFE IFELOLUWA
DENTIST YANA
PHYSICIAN CIGDEM
PHYSICIAN DIMITRI
NURSE PRACTITIONER LIZA
PHYSICIAN KERRY
CERTIFIED NURSE MIDWIFE MARGARET
PHYSICIAN THOMAS
PHYSICIAN ASMAA
NURSE PRACTITIONER ELIZABETH
PHYSICIAN TANYA
PHYSICIAN SIMONE
DENTIST SONAL
DENTIST MARYAM
PHYSICIAN JELENA
PHYSICIAN SUSAN
PHYSICIAN CHERRY
DENTIST RENEE
Page 701 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RIVERA 1851785950 1194832477 07/10/2017
BRAUN 1982679692 1982679692 01/15/2018
GARWOOD 1134198401 1740505726 10/09/2017
O'MALLEY 1992042527 1346251758 03/26/2018
AKINADE 1962822155 1043224355 09/06/2021
ZAMECHEK 1407900285 1669470019 04/26/2021
AKMAN 1487600953 1447518550 04/26/2021
ALVAREZ 1114184637 1295729408 08/07/2017
JOHN 1326454372 1063525152 04/05/2021
MORRONE 1265734297 1063525152 03/18/2019
RE 1144307190 1063426377 05/07/2018
CAMPBELL 1427085216 1740220698 04/16/2018
HASHIM 1457315244 1063525152 10/18/2021
MCSWEENEY 1699790352 1669470019 04/26/2021
MADRID 1578553707 1902009319 08/06/2018
BETCHEN 1518048966 1093777492 01/01/2018
SHAH 1265620181 1164555124 02/25/2019
HARIRI 1851627376 1972781375 04/22/2019
PAVLOVIC 1972863801 1063525152 01/08/2018
GOTTLIEB 1619961190 1780766964 09/14/2020
MAR-CHAN 1629041504 1447389630 04/16/2018
PELLEGRINO 1023240173 1255360517 12/23/2019
Page 702 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10032 NEW YORK
21250 2016 1 11210 KINGS
21250 2016 1 10029 NEW YORK
8500 2016 2 14642 MONROE
8500 2021 3 10038 NEW YORK
8500 2020 2 10977 ROCKLAND
8500 2020 5 10032 NEW YORK
8500 2015 4 10035 NEW YORK
8500 2020 5 10467 BRONX
8500 2017 2 10467 BRONX
21250 2016 1 10038 NEW YORK
8500 2016 6 14642 MONROE
8500 2021 6 10466 BRONX
8500 2020 3 10977 ROCKLAND
8500 2016 5 10003 NEW YORK
8500 2016 2 11219 KINGS
8500 2017 2 10010 NEW YORK
8500 2017 2 13901 BROOME
21250 2016 1 10461 BRONX
8500 2019 4 11215 KINGS
8500 2016 4 10314 RICHMOND
8500 2018 4 14420 MONROE
Page 703 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
BRAUN ROCHELLE (40.65642, -73.950691) 809 2090 31
MOUNT SINAI SCHOOL OF MEDICINE (40.726966, -74.005966) 737 2095 50
UNIVERSITY ORTHOPAEDIC ASSOC (43.161748, -77.620143) 1666 2093 56
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PARK SLOPE PEDIATRIC MED PC (40.65642, -73.950691) 809 2090 31
KINWELL MEDICAL SERVICES PC (40.566763, -74.148102) 609 2139 47
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
Page 704 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
37 108
50 844
37 108
154
37 108
37 108
37 176
37 176
37 108
50 844
37 176
154
37 108
37 27
37 108
346
37 176
37 27
37 7
50 844
Page 705 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER MONA
PHYSICIAN KELLY
NURSE PRACTITIONER MARY
PHYSICIAN SPIROS
PHYSICIAN ALIDA
PHYSICIAN BEATRICE
PHYSICIAN REHAN
PHYSICIAN JENNIFER
PHYSICIAN JANICE
PHYSICIAN NADIA
PHYSICIAN CHRIS
PHYSICIAN KHONDEKER
PHYSICIAN MANANA
NURSE PRACTITIONER JUDITH
PHYSICIAN GAUTAM
PHYSICIAN JOSE
PHYSICIAN VALERIAN
PHYSICIAN CAROL
PHYSICIAN FRANCIS
PHYSICIAN FJONA
Page 706 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EMILIEN 1669443396 1043224355 08/28/2017
EBERHARDT 1811027998 1336578772 11/11/2019
MCELWAIN PETRICCIONE 1396931770 1750352381 02/04/2019
HIOTIS 1235123027 1770823551 04/23/2018
PODRUMAR 1427059609 1801857172 05/18/2020
DESHOMMES 1659382414 1255360517 02/11/2019
KHAN 1700078649 1700078649 11/12/2018
DURPHY 1295927952 1811921786 08/09/2021
VERLEY 1881653707 1801857172 09/09/2019
OVCHINSKY 1144349796 1063525152 04/08/2019
KJOLHEDE 1003873472 1083664221 04/08/2019
RAHMAN 1306880547 1306880547 12/10/2018
PETROV 1881620227 1881620227 08/28/2017
BURDICK 1659680064 1255360517 04/16/2018
KAMTHAN 1376868810 1063426377 10/23/2017
VICENS-VILLAFANA 1285989715 1912131392 10/30/2017
HAZAN 1861577249 1063525152 11/11/2019
WOO 1366498644 1063426377 11/18/2019
CHABOT 1912996273 1821093402 03/19/2018
FUNDO 1629237136 1417027558 04/30/2018
Page 707 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2018 3 10041 NEW YORK
8500 2017 2 10065 NEW YORK
8500 2015 3 10029 NEW YORK
8500 2019 3 11554 NASSAU
8500 2017 6 14621 MONROE
8500 2017 3 11373 QUEENS
8500 2021 4 12208 ALBANY
8500 2018 3 11554 NASSAU
8500 2017 5 10467 BRONX
8500 2017 6 13326 OTSEGO
8500 2017 2 11596 NASSAU
8500 2015 4 11226 KINGS
21250 2015 1 14432 ONTARIO
21250 2016 1 10038 NEW YORK
8500 2015 3 10532 WESTCHESTER
8500 2018 4 10709 WESTCHESTER
8500 2018 3 10038 NEW YORK
8500 2015 4 13480 ONEIDA
8500 2016 4 10457 BRONX
Page 708 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
KHAN REHAN (40.749338, -73.789673) 828 2137 11
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
RAHMAN KHONDEKER MOHAMMAD M (40.715749, -73.601185) 1455 2094 6
PETROV MANANA MD (40.65642, -73.950691) 809 2090 31
ROCHESTER GENERAL HOSPITAL (42.894571, -77.252045) 178 2133 54
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WESTCHESTER MEDICAL CENTER
ADVANCED
(41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ST ELIZABETH MED CTR (43.149482, -75.361773) 1281 625 40
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
Page 709 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
93
50 844
37 111
1 573
93
37 176
529
93
37 27
691
37 108
224
224
37 108
794
37 176
Page 710 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN CARMEN
PHYSICIAN VICTORIA
NURSE PRACTITIONER SARAH
PHYSICIAN YESIM
CERTIFIED NURSE MIDWIFE LUISETTE
NURSE PRACTITIONER MICHELLE
PHYSICIAN CORINNE
PHYSICIAN SATYAKAM
DENTIST YONG
PHYSICIAN LUCIA
PHYSICIAN JEAN-CLAUDE
NURSE PRACTITIONER CASSONDRA
PHYSICIAN TIFFANY
PHYSICIAN LLOYD
PHYSICIAN HEIDI
PHYSICIAN ANDREA
PHYSICIAN AARON
PHYSICIAN GEORGE
PHYSICIAN SEJAL
PHYSICIAN GEETHA
PHYSICIAN ROSE-MARIE
PHYSICIAN SANJEEV
Page 711 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARTINEZ 1457349607 1518907096 08/21/2017
MUGGIA 1972693711 1063525152 09/04/2017
KIM 1972891117 1073535027 12/09/2019
DEMIRDAG 1134330921 1447518550 12/09/2019
CUEBAS 1184697963 1184694291 06/21/2021
NULTON 1306837810 1063557189 09/10/2018
YEH 1669636437 1679587679 07/27/2020
BHAGAVATI 1467430389 1477500916 05/28/2018
CHANG 1386704211 1609946821 08/14/2017
MCLENDON 1407080781 1972877017 08/19/2019
DESROSIERS 1578713806 1578612412 08/06/2018
MEJAK 1295907905 1255360517 08/21/2017
COKE 1568750057 1427063270 02/15/2021
WASSERMAN 1154484384 1073535027 01/22/2018
WILSON 1659486520 1063557189 10/16/2017
MIGNATTI 1245464577 1801857172 10/02/2017
TOKAYER 1336220755 1063525152 09/04/2017
AGLIALORO 1770506727 1619341716 02/04/2019
PAREKH 1720491145 1477505220 03/29/2021
CHARI 1912992538 1043224355 06/07/2021
REGIS 1295813616 1578612412 05/11/2020
GUPTA 1831274315 1063525152 03/11/2019
Page 712 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 13210 ONONDAGA
8500 2015 4 10467 BRONX
8500 2018 4 10038 NEW YORK
8500 2018 6 10032 NEW YORK
8500 2020 6 10453 BRONX
8500 2016 3 13783 DELAWARE
8500 2019 2 10038 NEW YORK
21250 2016 1 11210 KINGS
21250 2016 1 13601 JEFFERSON
8500 2018 5 10035 NEW YORK
8500 2016 2 11212 KINGS
8500 2015 3 14621 MONROE
8500 2020 4 10038 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2015 2 13760 BROOME
21250 2016 1 10016 NEW YORK
8500 2015 4 10467 BRONX
8500 2017 4 11209 KINGS
8500 2020 6 11416 QUEENS
8500 2020 2 10038 NEW YORK
8500 2019 4 11212 KINGS
8500 2017 4 10461 BRONX
Page 713 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
LOURDES HOSPITAL OB GROUP (42.242972, -74.997944) 395 2039 32
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY PHYS BROOKLYN INC (40.65642, -73.950691) 809 2090 31
NORTH COUNTRY CHILDRENS CLIN (44.019295, -75.898971) 1466 2089 41
THE INSTITUTE FOR FAMILY HEALTH (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
NASSAU UNIVERSITY MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 714 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
755
37 176
37 108
37 108
37 176
410
37 108
37 27
705
37 108
37 27
50 844
37 108
37 108
346
37 108
37 176
37 27
37 111
37 108
37 27
37 176
Page 715 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ROBERT
PHYSICIAN GERALD
PHYSICIAN EMMANUEL
PHYSICIAN MAUNG
PHYSICIAN SCOTT
NURSE PRACTITIONER HELEN
PHYSICIAN BARRETT
PHYSICIAN JOSEPH
NURSE PRACTITIONER CATHLEEN
PHYSICIAN OLUWATOYOSI
PHYSICIAN WISSAM
PHYSICIAN LYNNE
PHYSICIAN HEATHER
NURSE PRACTITIONER BARBARA
PHYSICIAN MOHAMAD
PHYSICIAN FREGENS
PHYSICIAN BETH
PHYSICIAN PETER
PHYSICIAN VIJAYA
DENTIST GARY
NURSE PRACTITIONER KARLENE
Page 716 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
READER 1366449217 1073535027 11/08/2021
HOLLANDER 1689632069 1093777492 01/21/2019
MASIH 1306905294 1184670465 09/25/2017
MAUNG 1548219041 1922287697 11/19/2018
STANISLAWSKI 1629381058 1801857172 07/03/2017
NAZARIO 1568665172 1063525152 11/27/2017
KATZ 1750478830 1063525152 08/21/2017
SPARANO 1508946096 1063525152 01/29/2018
NIEDERMAYER 1548577539 1356390918 12/09/2019
DAIRO 1871686642 1417287905 09/18/2017
AKKARY 1881081016 1043224355 09/20/2021
DICOSTANZO 1821102021 1689669079 05/03/2021
SEALY 1871562884 1578612412 04/26/2021
NAPOLI 1619093473 1528192515 02/11/2019
MAHMOUD 1639203847 1255360517 09/18/2017
DUVALSAINT 1184655664 1508812892 08/21/2017
RAPAPORT 1255590691 1063426377 01/18/2021
JANCZUK 1598727158 1477505220 04/30/2018
SOMA 1942311816 1063525152 10/28/2019
HERSKOVITS 1942376389 1164555124 02/18/2019
DALE 1750343513 1427063270 05/29/2017
Page 717 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 4 10038 NEW YORK
8500 2017 4 11219 KINGS
8500 2015 2 11418 QUEENS
8500 2017 6 11354 QUEENS
21250 2016 1 11554 NASSAU
8500 2016 2 10467 BRONX
8500 2015 4 10467 BRONX
8500 2016 5 10461 BRONX
8500 2018 3 14201 ERIE
8500 2015 4 11435 QUEENS
8500 2021 3 10004 NEW YORK
8500 2020 4 12518 ORANGE
8500 2020 3 11212 KINGS
8500 2017 2 11772 SUFFOLK
8500 2015 3 48981 OUT OF STATE
8500 2015 4 11418 QUEENS
8500 2020 5 10038 NEW YORK
8500 2015 2 11418 QUEENS
8500 2018 3 10467 BRONX
8500 2017 2 10010 NEW YORK
21250 2015 1 10029 NEW YORK
Page 718 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MAUNG MAUNG MD PLLC (40.749338, -73.789673) 828 2137 11
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
EHS, INC (42.888143, -78.795544) 62 2041 63
AMAZING MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
VXL MEDICAL CARE PC (40.820237, -73.119032) 1421 2179 3
ROCHESTER GENERAL HOSPITAL
JAMAICA ANESTHESIA PC (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
Page 719 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
37 111
37 111
93
37 176
37 176
37 176
646
37 111
37 108
76
37 27
137
37 111
37 108
37 111
37 176
37 108
37 108
Page 720 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DEBRA
CERTIFIED NURSE MIDWIFE BRONWYN
PHYSICIAN VIHREN
PHYSICIAN MARSHALL
DENTIST KONRAD
PHYSICIAN CHRISTINA
NURSE PRACTITIONER MARILYN
PHYSICIAN INESSA
PHYSICIAN NIA
NURSE PRACTITIONER MICHELE
PHYSICIAN DENISA
CERTIFIED NURSE MIDWIFE MELISSA
PHYSICIAN CHRISTINE
PHYSICIAN MARIA
PHYSICIAN PARTHIV
NURSE PRACTITIONER CYNTHIA
PHYSICIAN MARC
PHYSICIAN MICHELE
PHYSICIAN SHIDEH
PHYSICIAN CARLOS
PHYSICIAN OLGA
Page 721 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MENESS 1538195433 1467432765 12/25/2017
FLEMING-JONES 1679980825 1619341716 03/22/2021
DIMITROV 1720159163 1427063270 08/10/2020
GLESBY 1396891644 1952332801 12/23/2019
WIKTORZAK 1780864488 1295997724 12/31/2018
ROOSA 1033304803 1184654477 08/21/2017
MILLER 1649200585 1083639587 11/12/2018
GENDLINA 1851663660 1063525152 04/12/2021
COULIBALY 1154651503 1033124961 08/05/2019
RICHARDSON 1528373677 1255360517 12/03/2018
FERASTRAOARU 1871866889 1679587679 11/01/2021
RESNICK 1437259736 1417027558 01/28/2019
WILSON 1407931975 1467526889 07/20/2020
COCO 1649360546 1063525152 01/15/2018
RATHOD 1619233343 1467469023 11/25/2019
RIPPLE 1730117565 1962417352 02/18/2019
SHERMAN 1528097953 1568534766 07/22/2019
MOKRZYCKI 1215048822 1063525152 03/11/2019
MAYBODY 1972580215 1972580215 05/14/2018
VALLE 1760440770 1689618977 08/14/2017
TSEYKO 1962468108 1962468108 03/26/2018
Page 722 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 2 13617 ST.LAWRENCE
8500 2020 2 11220 KINGS
8500 2019 2 10038 NEW YORK
8500 2018 4 10032 NEW YORK
8500 2017 3 11753 NASSAU
8500 2015 4 14760 CATTARAUGUS
8500 2017 5 12534 COLUMBIA
8500 2020 3 10461 BRONX
8500 2018 2 10038 NEW YORK
8500 2017 2 14513 WAYNE
8500 2021 5 10004 NEW YORK
8500 2017 4 10456 BRONX
8500 2019 3 13815 CHENANGO
8500 2016 5 10467 BRONX
8500 2018 2 10038 NEW YORK
8500 2017 4 14810 STEUBEN
8500 2018 6 11788 SUFFOLK
8500 2017 6 10467 BRONX
21250 2016 1 11102 QUEENS
21250 2016 1 12534 COLUMBIA
8500 2016 5 11213 KINGS
Page 723 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UCPA OF THE NORTH COUNTRY (44.689468, -75.242045) 1581 2140 41
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
SOUTHERN TIER COMMUNITY HLTH (42.224267, -78.606673) 1719 2034 57
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
CHENANGO MEMORIAL HOSPITAL (42.481798, -75.570013) 451 2037 45
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
KEUKA FAMILY PRACTICE ASSOC (42.270053, -77.324618) 1757 2178 58
AMB MEDICAL SERVICES PC (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MAYBODY SHIDEH (40.749338, -73.789673) 828 2137 11
COLUMBIA CNTY DEPT HUMAN SVCS (42.276913, -73.682168) 977 619 33
TSEYKO OLGA MD (40.65642, -73.950691) 809 2090 31
Page 724 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
919
37 27
37 108
37 108
93
427
388
37 176
37 108
809
37 108
37 176
493
37 176
37 108
454
137
37 176
37 111
388
37 27
Page 725 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER NISHA
PHYSICIAN LEESHA
PHYSICIAN JEAN
PHYSICIAN SNEHA
PHYSICIAN ESTEBAN
PHYSICIAN WARREN
PHYSICIAN NIKKI
PHYSICIAN PRASHIL
PHYSICIAN MIU
NURSE PRACTITIONER ROBERT
DENTIST MARGARET
PHYSICIAN BARBARA
PHYSICIAN IYA
DENTIST YAKDIEL
PHYSICIAN ARMAND
PHYSICIAN SAFA
PHYSICIAN JESSLYN
PHYSICIAN MOHAMAD
NURSE PRACTITIONER DARLENE
DENTIST MARTIN
Page 726 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRADEEP 1023455995 1801803903 03/29/2021
HOILETTE 1881767150 1821029463 08/07/2017
BURG 1366524027 1023024882 10/09/2017
SHRIVASTAVA 1396033015 1689669079 08/14/2017
ORTEGA 1235175811 1184694291 02/26/2018
SEIGEL 1902829120 1124032982 03/22/2021
TIMKO 1588631527 1194832477 06/04/2018
GOVIND 1790748374 1184670465 10/30/2017
MA 1205890175 1205890175 08/28/2017
SMELTZ 1790905677 1073535027 07/13/2020
YEW 1699181982 1972781375 12/16/2019
SPITZER 1851699979 1750352381 02/04/2019
DUBSON 1730327677 1043224355 01/08/2018
JIMENEZ 1467425462 1184694291 03/05/2018
CACCIARELLI 1962489880 1730440777 08/03/2020
MAKLAD 1598924219 1821266321 04/16/2018
PERRY 1205860186 1205860186 11/04/2019
ERFANI 1093036469 1366418709 03/19/2018
BREZINSKY 1588628622 1669568465 12/16/2019
LAPIDUS 1639172638 1164555124 08/24/2020
Page 727 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 5 10038 NEW YORK
8500 2015 4 14642 MONROE
21250 2016 1 10038 NEW YORK
21250 2016 1 12518 ORANGE
8500 2016 2 10453 BRONX
8500 2020 3 10038 NEW YORK
8500 2016 5 10032 NEW YORK
8500 2015 3 11355 QUEENS
8500 2015 4 10013 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2018 3 13901 BROOME
8500 2017 2 10065 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2016 2 10453 BRONX
8500 2019 4 10003 NEW YORK
8500 2016 3 13790 BROOME
8500 2018 3 14201 ERIE
8500 2015 3 10453 BRONX
8500 2018 6 14527 YATES
8500 2019 4 10010 NEW YORK
Page 728 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MA MIU K MD (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
PERRY JESSLYN LOUISE MD (42.888143, -78.795544) 62 2041 63
ESSEN MEDICAL ASSOCIATES PC (40.85589, -73.868294) 675 2032 52
FINGER LAKES MIGRANT HLTH (42.634338, -77.078311) 2225 58
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
Page 729 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
50 844
37 108
76
37 176
37 108
37 108
37 111
37 108
37 108
346
37 108
37 108
37 176
37 108
346
646
37 176
581
37 108
Page 730 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DALJEET
PHYSICIAN SEPIDEH
ACUTE CARE HOSPITALS UNIVERSITY HOSPITAL OF BROOKLYN
PHYSICIAN EVA
PHYSICIAN LINDSAY
PHYSICIAN SARAH
PHYSICIAN SOFYA
CERTIFIED NURSE MIDWIFE EILEEN
DENTIST DOINA
DENTIST ELLIOT
PHYSICIAN AARON
PHYSICIAN JOHN
CERTIFIED NURSE MIDWIFE BARBARA
PHYSICIAN MORDECAI
DENTIST SANG-CHOON
PHYSICIAN SANDRA
PHYSICIAN VICTOR
NURSE PRACTITIONER BRIAN
NURSE PRACTITIONER CHRISTOPHER
PHYSICIAN ELIAS
Page 731 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SINGH 1164508289 1164508289 06/18/2018
MEHRI 1407002272 1073535027 10/09/2017
1639179328 08/28/2017
METALIOS 1619066941 1063525152 01/27/2020
PHILLIPS 1275560302 1740220698 08/07/2017
LUSMAN 1376705756 1447518550 12/17/2018
KAGAN 1518041243 1124032982 08/14/2017
CONDE 1548350317 1467487637 08/19/2019
COMAN 1881676310 1881676310 01/14/2019
SABBAGH 1255314639 1639247976 08/14/2017
WALFISH 1982659181 1063426377 01/25/2021
LEGGAT 1093743890 1063468239 09/11/2017
SENGENBERGER 1639255466 1679587679 05/29/2017
KOENIGSBERG 1457444622 1063525152 06/22/2020
CHO 1497064240 1164555124 11/22/2021
SEMPLE 1609934348 1427063270 06/28/2021
FERASTRAOARU 1851689798 1063525152 07/06/2020
LIPES 1629008685 1063468239 11/12/2018
ZEOLI 1477595114 1477595114 07/30/2018
SAKALIS 1861563876 1073535027 05/25/2020
Page 732 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 4 11432 QUEENS
21250 2016 1 10038 NEW YORK
631253.86 2015 3 11203 KINGS
8500 2018 5 10451 BRONX
8500 2015 5 14642 MONROE
8500 2017 5 10032 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2018 4 10562 WESTCHESTER
8500 2016 2 11385 QUEENS
-21250 2012 1 10463 BRONX
8500 2020 5 10038 NEW YORK
8500 2015 4 13202 ONONDAGA
21250 2015 1 10038 NEW YORK
8500 2019 2 10467 BRONX
8500 2021 3 10010 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2019 4 10467 BRONX
8500 2017 2 13210 ONONDAGA
8500 2016 2 11776 SUFFOLK
8500 2019 3 10038 NEW YORK
Page 733 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SINGH DALJEET MD (40.749338, -73.789673) 828 2137 11
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY HOSP OF BROOKLYN (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
COMAN DOINA DDS (40.749338, -73.789673) 828 2137 11
ELLIOT SABBAGH DDS PC (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
ZEOLI CHRISTOPHER (40.820237, -73.119032) 1421 2179 3
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 734 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
37 27
37 176
50 844
37 108
37 108
224
37 111
37 176
37 108
755
37 108
37 176
37 108
37 108
37 176
755
137
37 108
Page 735 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MAYANK
PHYSICIAN JOSEPH
PHYSICIAN GEORGE
PHYSICIAN MADHU
DENTIST FLORALBA
PHYSICIAN NAHEED
DENTIST MAGDY
PHYSICIAN NERYS
PHYSICIAN PAUL
PHYSICIAN JOANNE
NURSE PRACTITIONER RACHEL
PHYSICIAN BARBARA
PHYSICIAN BARBARA
PHYSICIAN AVELINA
PHYSICIAN VARDHINI
PHYSICIAN XIN
PHYSICIAN MIRIAM
DENTIST KATSUSHI
PHYSICIAN THOMAS
NURSE PRACTITIONER SHOSHANA
Page 736 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PATEL 1336191220 1336191220 12/10/2018
FARRAYE 1386602035 1063426377 08/16/2021
PORTER 1659354884 1316986391 08/07/2017
RAJANNA 1275626434 1427005065 06/11/2018
GARCIA 1205996345 1205996345 08/03/2020
SULTANA 1679580948 1679580948 09/16/2019
TADROS 1205123403 1205123403 03/16/2020
BENFIELD 1033245972 1063525152 10/21/2019
LEVY 1356429518 1063525152 09/18/2017
ANDRADES 1801101662 1033124961 03/15/2021
LACELLE 1871772376 1821093402 03/05/2018
SPITZER 1851699979 1750352381 10/23/2017
STOUTER 1073568358 1508835398 03/19/2018
MARALIT 1982797304 1801803903 11/18/2019
DESIKAN 1295984383 1467454967 11/25/2019
CHEN 1134163231 1184670465 03/22/2021
VINCENT 1922093764 1205868528 12/25/2017
OKAZAKI 1134536857 1164555124 11/25/2019
PORTUESE 1407055734 1013928159 08/06/2018
ARONOWITZ 1053705376 1407907215 09/04/2017
Page 737 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 4 11004 QUEENS
8500 2021 6 10038 NEW YORK
8500 2015 5 14642 MONROE
8500 2016 3 11418 QUEENS
8500 2019 3 10451 BRONX
8500 2018 4 11432 QUEENS
-21250 2016 1 10453 BRONX
8500 2018 5 10461 BRONX
8500 2015 4 10467 BRONX
8500 2020 4 10038 NEW YORK
8500 2015 4 13323 ONEIDA
21250 2016 1 10065 NEW YORK
8500 2015 2 14220 ERIE
8500 2018 2 10038 NEW YORK
8500 2018 3 10532 WESTCHESTER
8500 2020 6 11374 QUEENS
8500 2016 2 11203 KINGS
8500 2018 3 10010 NEW YORK
8500 2016 6 12801 WARREN
21250 2016 1 13601 JEFFERSON
Page 738 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PATEL MAYANK MD (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PEDIATRIC CARDIOLOGY U OF R (43.161748, -77.620143) 1666 2093 56
JAMAICA PSYCHIATRIC SERV PC (40.749338, -73.789673) 828 2137 11
GARCIA FLORALBA DDS (40.85589, -73.868294) 675 2032 52
SULTANA NAHEED MD (40.749338, -73.789673) 828 2137 11
TADROS MAGDY SHOHDY (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ST ELIZABETH MED CTR (43.149482, -75.361773) 1281 625 40
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
KIDS ALLIANCE PED GRP LLC (42.888143, -78.795544) 62 2041 63
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
SUNY HEALTH SCIENCE CENTER AT
BKLYN
(40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
PLANNED PRTHD NORTH COUNTRY NY, (44.019295, -75.898971) 1466 2089 41
Page 739 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
50 844
37 111
37 176
37 111
37 176
37 176
37 176
37 108
794
37 108
646
37 108
224
37 111
37 27
37 108
522
705
Page 740 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MARTHA
PHYSICIAN JAMES
PHYSICIAN THERESA
PHYSICIAN REN
PHYSICIAN SUSAN
PHYSICIAN BETHANY
NURSE PRACTITIONER MARY
PHYSICIAN MICHAEL
PHYSICIAN EUGENE
NURSE PRACTITIONER JILL
PHYSICIAN TERRY-JAN
PHYSICIAN MICHAEL
NURSE PRACTITIONER CHERYL
PHYSICIAN ANDREW
PHYSICIAN JOHN
PHYSICIAN ENRIQUE
PHYSICIAN SHIRA
PHYSICIAN HARMIT
PHYSICIAN ASHIT
Page 741 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LOUIS 1407965429 1184670465 09/14/2020
EDMOND 1912100819 1548290455 07/02/2018
SHAO 1134399306 1750649612 10/21/2019
LIU 1154437267 1033124961 07/13/2020
GUNDUZ 1255426110 1164896346 08/26/2019
BRODERICK 1407804834 1396711982 10/25/2021
NORTON 1255411849 1386689248 12/21/2020
YURCHESHEN 1861591547 1346285657 03/26/2018
KIM 1942400254 1073535027 10/09/2017
GALLIN 1316066020 1619136140 08/19/2019
BLACKETT-BONNETT 1568689099 1568689099 11/06/2017
LEIT 1952361578 1255360517 12/03/2018
MEDDLES-TORRES 1295962454 1568534766 08/06/2018
TING 1477520294 1063426377 05/25/2020
MCADAM 1972547677 1619341716 10/02/2017
BONFILS-ROBERTS 1437221702 1427063270 03/29/2021
ALTER 1639177637 1467586792 11/27/2017
KALIA 1518136860 1063525152 03/11/2019
PATEL 1093987828 1548290455 08/09/2021
Page 742 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 6 11419 QUEENS
8500 2016 3 12208 ALBANY
8500 2018 5 10011 NEW YORK
8500 2019 2 10038 NEW YORK
5667 2018 4 11731 SUFFOLK
8500 2021 6 12307 SCHENECTADY
8500 2020 6 12208 ALBANY
8500 2016 5 14642 MONROE
21250 2016 1 10038 NEW YORK
8500 2018 5 10591 WESTCHESTER
8500 2015 5 11213 KINGS
8500 2017 5 14621 MONROE
8500 2016 5 11385 QUEENS
8500 2019 2 10038 NEW YORK
8500 2015 3 11220 KINGS
8500 2020 4 10038 NEW YORK
8500 2015 5 11219 KINGS
8500 2017 6 10467 BRONX
8500 2021 6 12208 ALBANY
Page 743 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INC
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NORTHPORT PEDIATRICS PLLC (40.820237, -73.119032) 1421 2179 3
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
STRONG MEMORIAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
BLACKETT-BONNETT TERRY MD (40.65642, -73.950691) 809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
AMB MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
BORO PARK OBSTETRICS & GYNECOLOGY
P
(40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
Page 744 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
1 573
37 108
37 108
137
617
1 573
50 844
37 108
224
37 27
50 844
37 111
37 108
37 27
37 108
37 27
37 176
1 573
Page 745 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN NOEEN
PHYSICIAN JOSEPH
NURSE PRACTITIONER JAMIE
PHYSICIAN KEVAL
PHYSICIAN FAIKA
PHYSICIAN DAVID
DENTIST STEVEN
PHYSICIAN NATALIA
PHYSICIAN ALTAGRACIA
NURSE PRACTITIONER JENNIFER
PHYSICIAN HAN
PHYSICIAN FERNANDO
PHYSICIAN SAADAT
NURSE PRACTITIONER ELIZABETH
PHYSICIAN HOUSHANG
PHYSICIAN SMITHA
PHYSICIAN ROBERT
PHYSICIAN WALTER
CERTIFIED NURSE MIDWIFE SUSAN
PHYSICIAN JAGRUTI
DENTIST ANDREW
Page 746 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
AHMAD 1023391950 1467469023 11/25/2019
BOYER 1356341663 1467454967 12/25/2017
KOBAN 1821226085 1821226085 11/27/2017
JOSHI 1164661039 1679587679 09/27/2021
KHAN 1508003500 1073648705 09/28/2020
SLOVUT 1063443315 1063525152 08/21/2017
FISHER 1073744652 1164555124 08/17/2020
GOLDMAN 1992720742 1013924372 04/20/2020
TOLENTINO 1396815593 1063525152 04/23/2018
DESETTO 1215368303 1073689600 03/12/2018
ZHANG 1598723702 1003873274 01/28/2019
ONGKINGCO 1013010677 1861589384 12/11/2017
SHARIFF 1083974133 1063525152 10/09/2017
HOLLERAN 1447586870 1295729408 07/17/2017
SHAHIM 1063636637 1386714228 04/16/2018
PILLAI 1467465559 1063426377 09/09/2019
FELIX 1740281286 1841224508 09/09/2019
RALPH 1013983097 1417027558 05/07/2018
TANKE 1588740880 1679587679 11/18/2019
PATEL 1346200383 1184670465 01/21/2019
BOYD 1225325830 1164555124 02/18/2019
Page 747 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
8500 2016 3 10532 WESTCHESTER
8500 2015 2 14225 ERIE
8500 2021 5 10038 NEW YORK
8500 2019 4 11550 NASSAU
8500 2015 2 10461 BRONX
8500 2019 4 10010 NEW YORK
8500 2019 2 10038 NEW YORK
21250 2015 1 10459 BRONX
8500 2016 2 11545 NASSAU
8500 2017 3 11229 KINGS
8500 2015 3 13601 JEFFERSON
21250 2016 1 10467 BRONX
21250 2016 1 10035 NEW YORK
8500 2016 2 10595 WESTCHESTER
8500 2018 3 10038 NEW YORK
8500 2018 6 12603 DUTCHESS
8500 2016 4 10457 BRONX
8500 2018 2 10038 NEW YORK
8500 2017 4 11418 QUEENS
8500 2017 2 10010 NEW YORK
Page 748 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
KOBAN JAMIE LYNNE (42.888143, -78.795544) 62 2041 63
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
HEMPSTEAD MAIN MEDICAL PC (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ADVANTAGE CARE D AND T CTR (40.715749, -73.601185) 1455 2094 6
JANLIAN MEDICAL GROUP LLC (40.65642, -73.950691) 809 2090 31
CHILD & ADOLESCENT HLTH ASSOC (44.019295, -75.898971) 1466 2089 41
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -73.805386) 1440 2185 53
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
Page 749 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
646
37 108
93
37 176
37 108
37 108
37 176
93
37 27
705
37 176
37 108
224
37 108
63
37 176
37 108
37 111
37 108
Page 750 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JULIE
PHYSICIAN MARINA
PHYSICIAN ANTHONY
PHYSICIAN MONIQUE
PHYSICIAN ELEONOR
NURSE PRACTITIONER DENA
NURSE PRACTITIONER KIMBERLY
PHYSICIAN MAHA
PHYSICIAN ALLISON
PHYSICIAN SURESH
PHYSICIAN AHMED
PHYSICIAN NORMAN
PHYSICIAN TIMOTHY
DENTIST MELISSA
PHYSICIAN TANYA
NURSE PRACTITIONER LEIA
PHYSICIAN JANETTE
NURSE PRACTITIONER IRENE
PHYSICIAN SUMAN
NURSE PRACTITIONER BERNADETTE
Page 751 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PILITSIS 1861559163 1548290455 03/08/2021
REZNIK 1568532760 1063525152 06/29/2020
PETRUSO 1174847800 1255360517 09/04/2017
APOLLON 1699934729 1396059499 04/08/2019
LAZO 1639264997 1639264997 11/19/2018
KRANZBERG 1972844926 1417959701 12/16/2019
GEMAYEL 1518372473 1861836652 06/19/2017
BASSILA 1578634952 1063525152 02/05/2018
RAMSEY 1164534848 1255360517 09/30/2019
JAIN 1740203686 1184670465 01/21/2019
KHALIL 1396902730 1184670465 01/21/2019
MORRISON 1952322240 1033124961 04/13/2020
KANTER 1083706535 1417027558 05/07/2018
COPELLA 1316045297 1912225236 03/12/2018
PEREIRA 1780855460 1467454967 12/24/2018
RAPHAELIDIS 1790851814 1881761484 03/26/2018
TORRES 1447355102 1487051207 06/18/2018
WILLETT 1851794507 1083664221 03/12/2018
AGRAWAL 1639191976 1124032982 09/18/2017
DOLCE 1831343938 1578612412 11/04/2019
Page 752 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 4 12208 ALBANY
8500 2019 5 10451 BRONX
8500 2015 2 14642 MONROE
8500 2017 5 11575 NASSAU
8500 2017 6 11702 SUFFOLK
8500 2018 4 10012 NEW YORK
21250 2016 1 14642 MONROE
8500 2016 6 10467 BRONX
8500 2018 6 14642 MONROE
8500 2017 4 11418 QUEENS
8500 2017 5 11418 QUEENS
8500 2019 3 10038 NEW YORK
8500 2016 3 10456 BRONX
8500 2016 5 14604 MONROE
8500 2017 3 10532 WESTCHESTER
8500 2015 2 14850 TOMPKINS
8500 2016 5 10459 BRONX
21250 2016 1 13326 OTSEGO
21250 2016 1 10038 NEW YORK
8500 2018 5 11212 KINGS
Page 753 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
GUTIERREZ-LAZO ELEONOR PIQUER (40.820237, -73.119032) 1421 2179 3
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
HIGHLANDS WOMENS HEALTH (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
RUSHVILLE HEALTH CENTER INC (43.161748, -77.620143) 1666 2093 56
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
PLANNED PARENTHOOD SO FINGER
LAKES
(42.461024, -76.478784) 1786 2181 58
VAIL HEALTHCARE MEDICAL PLLC (40.85589, -73.868294) 675 2032 52
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
Page 754 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
1 573
37 176
50 844
93
137
37 108
50 844
37 176
50 844
37 111
37 111
37 108
37 176
50 844
224
496
37 176
529
37 108
37 27
Page 755 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MOHSEN
PHYSICIAN SONATA
PHYSICIAN ALAN
PHYSICIAN NIU
NURSE PRACTITIONER HEATHER
PHYSICIAN AJITKUMAR
NURSE PRACTITIONER EDWIN
PHYSICIAN XAVIER
PHYSICIAN STEVE
PHYSICIAN PHILIP
PHYSICIAN YOLAINE
PHYSICIAN FABIO
PHYSICIAN ASHOK
NURSE PRACTITIONER COLLEEN
NURSE PRACTITIONER MARIE
NURSE PRACTITIONER EILEEN
PHYSICIAN BETTY
PHYSICIAN USHA
PHYSICIAN STEVEN
NURSE PRACTITIONER MAKIA
DENTIST ROBERT
PHYSICIAN ALINA
Page 756 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HABIB 1053498865 1124032982 02/04/2019
COOPER 1881950558 1124060595 01/20/2020
TUSHER 1235115502 1043224355 09/06/2021
NIU 1417108440 1417108440 09/18/2017
MARTIN 1235457532 1346281268 12/29/2020
VASHI 1427068600 1124032982 02/15/2021
TORRES 1053715243 1063525152 12/25/2017
SAN MIGUEL 1689751638 1063426377 10/09/2017
TAM 1285605394 1548232655 12/31/2018
CRUZ 1780642009 1477505220 08/28/2017
ST.LOUIS 1619057916 1063752004 04/15/2019
FERRARI 1326337502 1073535027 06/01/2020
CHAUDHARI 1124181441 1013924372 04/26/2021
PALERMO 1053727941 1457395766 12/16/2019
O'BRIEN 1073860607 1376642371 06/26/2017
DAMANTE 1255429791 1063426377 08/14/2017
LAU 1346403706 1467469023 11/22/2021
MATHUR-WAGH 1598978371 1952332801 01/20/2020
INGLIS 1518927565 1184670465 09/04/2017
HUGHES 1477919835 1801803903 10/04/2021
GLICKMAN 1104915230 1164555124 08/17/2020
SEGURA-BUSTAMANTE 1750437224 1467469023 05/29/2017
Page 757 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 10038 NEW YORK
8500 2018 2 10457 BRONX
8500 2021 4 10038 NEW YORK
21250 2016 1 11355 QUEENS
-21250 2016 1 14642 MONROE
8500 2020 4 10038 NEW YORK
21250 2016 1 10467 BRONX
21250 2016 1 11373 QUEENS
8500 2017 5 10002 NEW YORK
8500 2015 3 11418 QUEENS
8500 2017 5 11553 NASSAU
8500 2019 3 10038 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2018 2 14611 MONROE
21250 2016 1 11777 SUFFOLK
21250 2015 1 10038 NEW YORK
8500 2021 3 10038 NEW YORK
8500 2018 3 10003 NEW YORK
8500 2015 3 11418 QUEENS
8500 2021 3 10038 NEW YORK
8500 2019 3 10010 NEW YORK
21250 2015 1 10038 NEW YORK
Page 758 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
ST BARNABAS OBGYN PC (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NIU NIU MD (40.749338, -73.789673) 828 2137 11
EMERGENCY ASSOCIATES (43.161748, -77.620143) 1666 2093 56
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.749338, -73.789673) 828 2137 11
MANHATTAN CARDIAC MEDICAL PC (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
YOLAINE ST LOUIS MD PC (40.715749, -73.601185) 1455 2094 6
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNITY HOSPITAL ROCHESTER (43.161748, -77.620143) 1666 2093 56
JOHN T MATHER MEMORIAL HOSPITAL (40.820237, -73.119032) 1421 2179 3
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
Page 759 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 108
37 111
50 844
37 108
37 176
37 111
37 108
37 111
93
37 108
37 108
50 844
137
37 108
37 108
37 108
37 111
37 108
37 108
37 108
Page 760 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ANITA
NURSE PRACTITIONER DEBORAH
PHYSICIAN SENDHAN
NURSE PRACTITIONER SOON JEE
PHYSICIAN CHO
PHYSICIAN HASSAN
PHYSICIAN SALONI
PHYSICIAN PAULA
PHYSICIAN AYAZ
NURSE PRACTITIONER SUSAN
NURSE PRACTITIONER ANGELA
PHYSICIAN FRANK
NURSE PRACTITIONER ISHEKA
NURSE PRACTITIONER PAULA
DENTIST AMIT
PHYSICIAN CONGRONG
PHYSICIAN LAURA
CERTIFIED NURSE MIDWIFE ANDREA
PHYSICIAN ROBERT
PHYSICIAN VICTORIA
Page 761 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SOFTNESS 1801999164 1194832477 07/31/2017
KLUGMAN 1619008844 1194832477 08/07/2017
RAJAMANICKAM 1508108192 1255360517 06/18/2018
OH 1053795104 1366418709 07/31/2017
THIN 1134459597 1619341716 10/02/2017
SHAWA 1467616912 1386689248 08/09/2021
WADIA 1700117058 1346261666 09/04/2017
MARCUS 1740350867 1063525152 09/07/2020
RASOOL 1467561043 1801803903 01/01/2018
CONVERSE 1679702336 1467526889 04/23/2018
SILVERNAIL 1154637619 1083664221 08/17/2020
NOTO 1134232176 1063426377 10/09/2017
WATKINS 1922385335 1295729408 05/03/2021
WHITE 1902200975 1407907215 02/04/2019
PATEL 1700218120 1669470019 10/12/2020
LIN 1457643306 1457643306 09/11/2017
KATZ 1710183777 1467454967 08/02/2021
BECKER 1417310277 1417310277 03/25/2019
THOMPSON 1386665057 1063426377 04/06/2020
TAN 1831273713 1477505220 09/14/2020
Page 762 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 10032 NEW YORK
8500 2015 4 10032 NEW YORK
8500 2016 4 14621 MONROE
21250 2016 1 10453 BRONX
8500 2015 2 11220 KINGS
8500 2021 6 12208 ALBANY
8500 2015 2 11432 QUEENS
8500 2019 6 10467 BRONX
21250 2015 1 10038 NEW YORK
21250 2016 1 13815 CHENANGO
8500 2019 5 13326 OTSEGO
21250 2016 1 10038 NEW YORK
8500 2020 5 10473 BRONX
8500 2017 2 12953 FRANKLIN
8500 2019 2 10977 ROCKLAND
21250 2016 1 11220 KINGS
8500 2021 6 10532 WESTCHESTER
8500 2017 2 12078 FULTON
8500 2019 2 10038 NEW YORK
8500 2019 6 11435 QUEENS
Page 763 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
ESSEN MEDICAL ASSOCIATES PC (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
ADVANCED CTR FOR PSYCHOTHERAP (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
CHENANGO MEMORIAL HOSPITAL (42.481798, -75.570013) 451 2037 45
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
PLANNED PRTHD NORTH COUNTRY NY,
INC
(44.705699, -74.340621) 278 621 35
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
LIN CONGRONG (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
BECKER ANDREA J (43.06014, -74.331296) 1227 2085 42
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
Page 764 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
50 844
37 176
37 27
1 573
37 111
37 176
37 108
493
529
37 108
37 176
29 926
154
37 27
224
830
37 108
37 111
Page 765 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ANGELA
PHYSICIAN ANITA
PHYSICIAN RENEE
NURSE PRACTITIONER ANN
PHYSICIAN MELISSA
NURSE PRACTITIONER RUTH
PHYSICIAN BRYAN
PHYSICIAN TIMOTHY
PHYSICIAN HARIKA
PHYSICIAN SHIDEH
PHYSICIAN EARL
PHYSICIAN GERALD
PHYSICIAN ANTONIO
PHYSICIAN MELVIN
DENTIST NORMAN
PHYSICIAN DUSTIN
PHYSICIAN CAROLE
PHYSICIAN COLBY
NURSE PRACTITIONER MARY ELLEN
PHYSICIAN OLGA
PHYSICIAN KATE
Page 766 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WEBB 1215249446 1952325367 02/11/2019
NARULA 1780850586 1417027558 05/21/2018
BARGMAN 1013100486 1124032982 11/18/2019
FRICKE 1295760965 1184725525 11/19/2018
PESKIN-STOLZE 1346512761 1538114723 12/25/2017
CICCATERI 1780779611 1376618843 09/04/2017
SMEAD 1265446066 1013928159 08/06/2018
VINCIGUERRA 1376530014 1164456067 11/18/2019
KONDAVEETI 1285925735 1295729408 05/14/2018
MAYBODY 1972580215 1972580215 08/05/2019
BREELAND 1932136306 1063426377 04/06/2020
ZUPNICK 1760568851 1285701672 04/30/2018
GONZALES 1801980313 1801980313 12/17/2012
KOPLOW 1437175023 1437175023 07/05/2021
SORKIN 1518016153 1164555124 11/22/2021
NGUYEN 1831196898 1609183540 10/01/2018
MARKS 1396817292 1376881029 10/09/2017
PREVITE 1801805320 1184668311 07/09/2018
MITCHELL 1235277161 1467454967 04/19/2021
DIOUKALOVA 1609868785 1093777492 08/26/2019
TWELKER 1699071183 1063426377 08/23/2021
Page 767 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 11501 NASSAU
8500 2016 4 10457 BRONX
8500 2018 4 10038 NEW YORK
8500 2017 3 14642 MONROE
8500 2016 3 11733 SUFFOLK
8500 2015 4 12305 SCHENECTADY
8500 2016 5 12814 WARREN
8500 2018 6 12208 ALBANY
8500 2016 3 10473 BRONX
8500 2018 3 11102 QUEENS
8500 2019 4 10038 NEW YORK
21250 2016 1 10532 WESTCHESTER
21250 2012 1 07624 OUT OF STATE
5667 2020 5 10312 RICHMOND
8500 2021 5 10010 NEW YORK
8500 2016 5 10013 NEW YORK
21250 2016 1 11207 KINGS
8500 2016 6 14642 MONROE
8500 2020 2 10573 WESTCHESTER
8500 2018 4 11219 KINGS
8500 2021 6 10038 NEW YORK
Page 768 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
PLANNED PTHD MOHAWK HUDSON (42.809233, -73.946838) 74 2142 42
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
MAYBODY SHIDEH (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PLANNED PRTD HUDSON-PECONIC I (41.039278, -73.805386) 1440 2185 53
GONZALES ANTONIO M
KOPLOW MELVIN DAVID MD (40.566763, -74.148102) 609 2139 47
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
TRIBECA INTERNAL MED & ACUPUNCTURE (40.726966, -74.005966) 737 2095 50
BROWNSVILLE COMMUNITY
DEVELOPMENT C
(40.65642, -73.950691) 809 2090 31
STRONG OB GYN GROUP (43.161748, -77.620143) 1666 2093 56
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 769 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 176
37 108
50 844
137
617
522
1 573
37 176
37 111
37 108
224
37 7
37 108
37 108
37 27
50 844
224
37 27
37 108
Page 770 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JENNIFER
PHYSICIAN MATTHEW
PHYSICIAN SERAFIN
PHYSICIAN MEREDITH
NURSE PRACTITIONER JOSEPHINE
PHYSICIAN MARK
PHYSICIAN VICTORIA
PHYSICIAN JOAN
PHYSICIAN TINH
NURSE PRACTITIONER HERMENEGILDE
NURSE PRACTITIONER TIFFANY
PHYSICIAN WAYNE
NURSE PRACTITIONER JOHANNA
PHYSICIAN ROBERT
PHYSICIAN OMAR
PHYSICIAN KAVEH
PHYSICIAN VANI
PHYSICIAN ELNA
DENTIST LENA
PHYSICIAN CHRYSOTHEMIS
PHYSICIAN KARAN
PHYSICIAN LISA
Page 771 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KWON 1851306450 1184725525 08/07/2017
KAPLAN 1659332419 1124032982 05/11/2020
SALES 1730103615 1124032982 02/04/2019
LYNN 1851737241 1548208127 03/05/2018
ALLEN 1104951524 1619341716 04/20/2020
HERSKOVITS 1982664934 1477505220 03/19/2018
TAN 1831273713 1477505220 09/04/2017
CURCIO 1003820143 1063426377 10/09/2017
DAO 1942301189 1790787919 10/15/2018
NALUYIMA 1346563624 1063557189 02/18/2019
RIVENBURGH 1942562178 1083664221 03/19/2018
LEE 1871639666 1063525152 10/28/2019
CAMACHO-RIVERA 1588897805 1609894641 06/18/2018
COONEY 1639136237 1376590117 12/10/2018
SAEED 1104003292 1063525152 11/04/2019
VALI 1538204748 1366473183 05/29/2017
GANDHI 1528084324 1477958007 07/02/2018
TAMAYO-PRADO 1023080819 1023080819 02/05/2018
ALSABBAN 1386842615 1164555124 11/25/2019
KISHORE 1558707802 1477764496 08/14/2017
GARG 1720230287 1063525152 02/18/2019
GRAY 1851563571 1659315869 09/23/2019
Page 772 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 5 14642 MONROE
8500 2019 4 10038 NEW YORK
8500 2017 2 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2019 3 11215 KINGS
8500 2015 2 11418 QUEENS
8500 2015 4 11435 QUEENS
21250 2016 1 10038 NEW YORK
8500 2016 2 14214 ERIE
8500 2017 2 13905 BROOME
8500 2016 3 13815 CHENANGO
8500 2018 4 10467 BRONX
8500 2016 5 10032 NEW YORK
8500 2017 6 13210 ONONDAGA
8500 2018 2 10467 BRONX
21250 2016 1 14222 ERIE
8500 2016 3 10025 NEW YORK
21250 2016 1 11203 KINGS
8500 2018 3 10010 NEW YORK
21250 2016 1 11432 QUEENS
8500 2017 2 10467 BRONX
8500 2018 4 14642 MONROE
Page 773 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COMM HLTH CTR BUFFALO INC (42.888143, -78.795544) 62 2041 63
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
MARY IMOGENE BASSETT HSP (42.481798, -75.570013) 451 2037 45
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NAOMI BERRIE DIABETES CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
ST LUKES-ROOSEVELT HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TAMAYO-PRADO ELNA MD (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
COMMUNITY HEALTHCARE NETWORK (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
OB PERINATOLOGY GRP OF U OF R (43.161748, -77.620143) 1666 2093 56
Page 774 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
37 108
37 108
37 108
37 27
37 111
37 111
37 108
646
346
493
37 176
37 108
755
37 176
646
37 108
37 27
37 108
37 111
37 176
50 844
Page 775 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ABRAHAM
NURSE PRACTITIONER MANUELA
PHYSICIAN AJAY
PHYSICIAN SHIRA
PHYSICIAN GABRIEL
PHYSICIAN EMMANUIL
PHYSICIAN CYNTHIA
PHYSICIAN ADA
PHYSICIAN RAQUEL
PHYSICIAN NISHA
PHYSICIAN KWAME
PHYSICIAN GERALD
PHYSICIAN NICHOLAS
PHYSICIAN SCOTT
PHYSICIAN RACHEL
PHYSICIAN LOLITA
PHYSICIAN DANIELLE
NURSE PRACTITIONER ROSE
PHYSICIAN TINDALO
PHYSICIAN KUMBLA
Page 776 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KRIKHELY 1861698870 1265598783 11/27/2017
MENENDEZ 1720008873 1548208127 12/30/2019
CHAUDHURI 1386631851 1366473183 11/04/2019
ALTER 1639177637 1467586792 02/12/2018
KUPCHIK 1770578098 1093777492 12/25/2017
RAKHMANCHIK 1003845660 1871522441 09/25/2017
COHEN 1326138785 1467454967 04/27/2020
BAR 1932284387 1063525152 10/07/2019
DAVIS 1528343498 1063525152 03/11/2019
GUPTA 1790072726 1255360517 06/18/2018
AMANKWAH 1508815762 1376590117 08/28/2017
HOLLANDER 1689632069 1093777492 07/22/2019
WISNOSKI 1225357072 1073535027 07/13/2020
STANISLAWSKI 1629381058 1801857172 05/10/2021
ROSANSKY 1740576669 1063525152 07/06/2020
SAYSENG 1285724187 1063525152 08/28/2017
NOVETSKY FRIEDMAN 1114186491 1750352381 10/28/2019
GOULBOURNE 1710234257 1467469023 09/04/2017
ADANIEL 1093724395 1124032982 02/04/2019
NAYAK 1467565697 1124032982 10/09/2017
Page 777 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 10032 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2018 3 14221 ERIE
8500 2016 6 11219 KINGS
8500 2016 2 11219 KINGS
21250 2016 1 11235 KINGS
8500 2019 6 10532 WESTCHESTER
8500 2018 6 10475 BRONX
8500 2017 2 10458 BRONX
8500 2016 2 14621 MONROE
8500 2015 4 13210 ONONDAGA
8500 2018 5 11219 KINGS
8500 2019 2 10038 NEW YORK
8500 2020 4 11554 NASSAU
8500 2019 3 10458 BRONX
8500 2015 5 10467 BRONX
8500 2018 3 10065 NEW YORK
21250 2016 1 11206 KINGS
8500 2017 2 10038 NEW YORK
21250 2016 1 10038 NEW YORK
Page 778 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
BORO PARK OBSTETRICS & GYNECOLOGY
P
(40.65642, -73.950691) 809 2090 31
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
REAL MEDICINE, P.C. (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.65642, -73.950691) 809 2090 31
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 779 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
646
37 27
37 27
37 27
224
37 176
37 176
50 844
755
37 27
37 108
93
37 176
37 176
37 108
37 27
37 108
37 108
Page 780 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST KATHERINE
PHYSICIAN JOHN
NURSE PRACTITIONER EMILIA
PHYSICIAN JOSEPH
PHYSICIAN SHRUTIKA
PHYSICIAN MARIA
DENTIST CHEONG
PHYSICIAN NNAEMEKA
DENTIST SHELDEN
DENTIST MICHAEL
PHYSICIAN SAMUEL
DENTIST WAYNE
PHYSICIAN DAVID
PHYSICIAN SHYAMALA
PHYSICIAN RICHARD
PHYSICIAN SALIM
PHYSICIAN ASM
PHYSICIAN SANDRA
PHYSICIAN MARVIN
NURSE PRACTITIONER KAREN
Page 781 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KIM 1851553259 1851553259 12/09/2019
GERMAN 1598787905 1548290455 07/30/2018
NWACHUKWU 1013274935 1801803903 03/29/2021
COLASACCO 1548346406 1184670465 09/14/2020
VASUDEVA 1053669127 1285717298 10/08/2018
TEAIWA-RUTHERFORD 1922028794 1922411065 03/25/2019
LEE 1760757512 1184694291 09/25/2017
ANYADIKE 1265614366 1063426377 04/06/2020
SACKS 1457335960 1457335960 09/04/2017
SCHEVON 1265490148 1730302019 05/07/2018
REYES 1598976391 1598976391 12/31/2012
KYE 1154430965 1164555124 11/18/2019
GREENWALD 1144305913 1730440777 11/25/2019
NAVADA 1215056304 1750649612 11/18/2019
BLINKHORN 1568575827 1386689248 03/25/2019
AL-SALEM 1689756017 1013924372 03/05/2018
CHOWDHURY 1356418511 1356418511 09/09/2019
CUNNINGHAM 1164591962 1679587679 09/04/2017
HEYBOER 1720195407 1275589582 04/16/2018
ROTH 1093714784 1255360517 10/02/2017
Page 782 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 5 10705 WESTCHESTER
8500 2016 5 12208 ALBANY
8500 2020 3 10038 NEW YORK
8500 2019 6 11418 QUEENS
8500 2017 2 14301 NIAGARA
8500 2017 4 10019 NEW YORK
21250 2016 1 10453 BRONX
8500 2019 4 10038 NEW YORK
21250 2016 1 13069 OSWEGO
21250 2016 1 10038 NEW YORK
21250 2012 1 14221 ERIE
8500 2018 3 10010 NEW YORK
8500 2018 4 10029 NEW YORK
8500 2018 2 10029 NEW YORK
8500 2017 6 12208 ALBANY
21250 2016 1 10038 NEW YORK
8500 2018 6 11208 KINGS
21250 2015 1 10038 NEW YORK
8500 2016 5 13210 ONONDAGA
8500 2015 2 14513 WAYNE
Page 783 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KIM KATHERINE KYUNGMIN DDS (41.039278, -73.805386) 1440 2185 53
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
NIAGARA FALLS MEM MED CTR (43.134634, -78.856419) 1107 2131 62
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SACKS SHELDEN N DDS (43.39123, -76.31133) 623 2135 41
UNITED CEREBRAL PALSY OF NYC (40.726966, -74.005966) 737 2095 50
REYES SAMUEL ASHER MD (42.888143, -78.795544) 62 2041 63
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHOWDHURY A S M SHAH ALAM MD (40.65642, -73.950691) 809 2090 31
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
UPSTATE EMERGENCY MEDICINE INC (43.065629, -76.168033) 713 2132 43
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
Page 784 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
1 573
37 108
37 111
835
37 108
37 176
37 108
533
37 108
646
37 108
37 108
37 108
1 573
37 108
37 27
37 108
755
809
Page 785 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN HARTLEY
PHYSICIAN BHUPENDRA
PHYSICIAN SHEILA
PHYSICIAN SHEKAR
PHYSICIAN SURESH KUMAR
PHYSICIAN AFSHIN
PHYSICIAN DONNA
PHYSICIAN ASHLEY
DENTIST FARIDEH
PHYSICIAN JEFFREY
PHYSICIAN DAVID
PHYSICIAN SUSAN
PHYSICIAN MICHAEL
PHYSICIAN JONATHAN
PHYSICIAN SHARON
PHYSICIAN JOSEPH
PHYSICIAN FARZANA
PHYSICIAN JOSEPH
PHYSICIAN JACLYN
PHYSICIAN BRIAN
Page 786 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BANCROFT 1023163953 1467454967 10/29/2018
WAGLEY 1376551333 1619341716 08/30/2021
NOLAN 1104016823 1467454967 12/24/2018
MURTHY 1518030428 1427063270 03/29/2021
NAYUDU 1447427711 1417027558 05/14/2018
SHAHKOOHI 1326198631 1720177066 01/07/2019
DESMONE 1356318703 1366473183 07/10/2017
FALCO 1740547991 1861437279 08/05/2019
KIA 1639571615 1003824608 03/05/2018
BIRNBAUM 1235104324 1205868528 12/23/2019
HART 1104814813 1447518550 10/23/2017
SHI 1649354036 1073633574 03/26/2018
ADAMS 1275662801 1427063270 08/10/2020
AREND 1487854824 1659639524 08/03/2020
ALGER-MAYER 1487653101 1386689248 07/09/2018
MALAK 1497723878 1497723878 02/18/2019
NIZAMI 1467512657 1467512657 12/10/2018
KITA 1982619433 1902098494 12/03/2018
ROBERTS 1922006238 1093777492 09/11/2017
RUBIN 1871678631 1063525152 11/27/2017
Page 787 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 10532 WESTCHESTER
8500 2021 5 11220 KINGS
8500 2017 3 10532 WESTCHESTER
8500 2020 4 10038 NEW YORK
8500 2016 2 10457 BRONX
8500 2017 6 11249 KINGS
21250 2016 1 14120 NIAGARA
8500 2018 4 14228 ERIE
21250 2016 1 10038 NEW YORK
8500 2018 4 11203 KINGS
8500 2016 4 10032 NEW YORK
8500 2015 4 11236 KINGS
8500 2019 2 10038 NEW YORK
8500 2019 5 10029 NEW YORK
8500 2016 6 12208 ALBANY
8500 2017 3 12601 DUTCHESS
8500 2017 6 11432 QUEENS
5667 2017 5 14127 ERIE
21250 2016 1 11219 KINGS
8500 2016 3 10467 BRONX
Page 788 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
KALEIDA HEALTH (43.134634, -78.856419) 1107 2131 62
TONAWANDA PEDIATRICS (42.888143, -78.795544) 62 2041 63
MORRISANIA D & T CTR (40.726966, -74.005966) 737 2095 50
SUNY HEALTH SCIENCE CENTER AT
BKLYN
(40.65642, -73.950691) 809 2090 31
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MEDWELL WOMENS MEDICAL SERVICES
PLL
(40.65642, -73.950691) 809 2090 31
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MALAK JOSEPH T MD (41.686216, -73.840468) 1022 2040 30
NIZAMI FARZANA MD (40.749338, -73.789673) 828 2137 11
CARROW STREET PEDIATRICS PLLC (42.888143, -78.795544) 62 2041 63
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 789 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
37 27
224
37 108
37 176
37 27
835
646
37 108
37 27
37 108
37 27
37 108
37 108
1 573
63
37 111
646
37 27
37 176
Page 790 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN GUANGDONG
PHYSICIAN KRISTINA
PHYSICIAN STELLA
ACUTE CARE HOSPITALS COMMUNITY MEMORIAL HOSPITAL
PHYSICIAN FREDRIC
NURSE PRACTITIONER ROBERTA
DENTIST KAY
NURSE PRACTITIONER PAMELA
PHYSICIAN ALAN
PHYSICIAN ALLISON
PHYSICIAN ELIZABETH
PHYSICIAN VALERIY
PHYSICIAN JOANNE
PHYSICIAN ROSE-MARIE
PHYSICIAN TRACY
NURSE PRACTITIONER MARIA
DENTIST MAIRAJ
PHYSICIAN MANJEET
PHYSICIAN HENRY
PHYSICIAN PHYLLIS
PHYSICIAN RACHEL
NURSE PRACTITIONER MARIA
Page 791 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LIU 1598858128 1033124961 05/25/2020
URSITTI 1639468929 1295729408 08/03/2020
KING 1528032646 1326088808 07/05/2021
1992707608 05/13/2019
DAUM 1568446839 1952325367 10/30/2017
KELLY 1962428904 1003093436 10/30/2017
OEN 1538390778 1164555124 12/02/2019
BACANI 1184098329 1063525152 01/29/2018
HIRSCHFELD 1457387318 1033124961 10/11/2021
TAYLOR 1588720429 1063525152 01/15/2018
CLARK 1528146586 1063525152 08/21/2017
CHERNOV 1144232257 1124032982 05/17/2021
DEMPSTER 1942370135 1194832477 08/07/2017
REGIS 1295813616 1578612412 04/26/2021
HEMMERDINGER 1992739395 1063426377 08/23/2021
DONZELLI 1457395121 1750352381 02/04/2019
AHMED 1114063930 1114063930 08/23/2019
DHALLU 1447270079 1417027558 05/07/2018
YAN 1750533428 1750533428 09/11/2017
SHERIFF-WHITE 1558387100 1467526889 12/10/2018
WAXMAN 1881828325 1043224355 03/05/2018
DIAZ 1326334848 1730124025 02/18/2019
Page 792 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 2 10038 NEW YORK
8500 2019 5 12428 ULSTER
8500 2020 6 14642 MONROE
46845.21 2018 3 13346 MADISON
21250 2015 1 11501 NASSAU
8500 2015 4 10016 NEW YORK
8500 2018 3 10010 NEW YORK
21250 2016 1 10467 BRONX
8500 2021 5 10038 NEW YORK
8500 2016 6 10467 BRONX
8500 2015 2 10467 BRONX
8500 2020 2 10038 NEW YORK
8500 2015 4 10032 NEW YORK
8500 2020 5 11212 KINGS
8500 2021 6 10038 NEW YORK
8500 2017 2 10065 NEW YORK
-21250 2014 1 10462 BRONX
8500 2016 2 10457 BRONX
21250 2016 1 11355 QUEENS
8500 2017 3 13815 CHENANGO
21250 2016 1 10038 NEW YORK
8500 2017 3 10027 NEW YORK
Page 793 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
PSYCHIATRIC CLINICAL GROUP (43.161748, -77.620143) 1666 2093 56
COMMUNITY MEMORIAL HOSPITAL (42.986917, -75.720031) 351 2092 46
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
HELP/PROJECT SAMARITAN SVCS CORP (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
AHMED MAIRAJ KARIM DDS (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
YAN HENRY JIANN MD (40.749338, -73.789673) 828 2137 11
CHENANGO MEMORIAL HOSPITAL (42.481798, -75.570013) 451 2037 45
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS AID SOC-LORD MEM CL (40.726966, -74.005966) 737 2095 50
Page 794 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
198
50 844
723
93
37 108
37 108
37 176
37 108
37 176
37 176
37 108
37 108
37 27
37 108
37 108
37 176
37 176
37 111
493
37 108
37 108
Page 795 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MARILYN
DENTIST RAHA
PHYSICIAN ROSEANNE
PHYSICIAN CARA
PHYSICIAN DARIN
NURSE PRACTITIONER AMY
DENTIST ERNEST
PHYSICIAN KATHERINE
CERTIFIED NURSE MIDWIFE DAWN
PHYSICIAN STEFAN
NURSE PRACTITIONER VALERIE
NURSE PRACTITIONER MICHELLE
PHYSICIAN SARI
PHYSICIAN DOROTA
PHYSICIAN ERIC
PHYSICIAN KIMBERLY
PHYSICIAN ALFREDO
PHYSICIAN SUSAN
PHYSICIAN CHEN
Page 796 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FABBRI 1972527570 1063426377 08/19/2019
IRAJ 1760545164 1285893719 08/28/2017
NEGLIO 1477555902 1063525152 09/04/2017
TAUBMAN 1508145269 1679587679 10/09/2017
PORTNOY 1629153739 1063525152 10/28/2019
WALDMAN 1710203096 1922050749 03/19/2018
GOLDMANN 1760603807 1760603807 08/21/2017
SEIBERT 1982616991 1619969458 01/21/2019
SCHWARTZ 1265597454 1679587679 05/25/2020
CADAG 1841408721 1902009319 02/11/2019
MICHAUD 1457598005 1619341716 04/20/2020
CABRERA 1619226305 1235301631 05/04/2020
GOLD 1487729802 1578612412 10/09/2017
GARDY 1710922364 1255360517 01/20/2020
GANZ 1346241858 1922411065 04/30/2018
GILBERT 1740458819 1063468239 08/21/2017
ASTUA 1134358609 1063426377 01/11/2021
SCHUVAL 1568517217 1083660575 09/04/2017
ZHOU 1235533266 1144203498 06/12/2017
Page 797 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 3 10038 NEW YORK
8500 2015 2 10573 WESTCHESTER
8500 2015 4 10461 BRONX
21250 2016 1 10038 NEW YORK
8500 2018 4 10458 BRONX
8500 2016 2 11520 NASSAU
8500 2015 2 11557 NASSAU
8500 2017 5 12701 SULLIVAN
8500 2019 3 10038 NEW YORK
8500 2017 5 10003 NEW YORK
8500 2019 4 11220 KINGS
8500 2019 6 10031 NEW YORK
21250 2016 1 11212 KINGS
8500 2018 2 14534 MONROE
8500 2016 3 10019 NEW YORK
8500 2015 4 13202 ONONDAGA
8500 2020 5 10038 NEW YORK
8500 2015 3 11794 SUFFOLK
21250 2016 1 11354 QUEENS
Page 798 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JACQUELINE DELMONT MD PC (40.715749, -73.601185) 1455 2094 6
GOLDMANN ERNEST S DDS (40.715749, -73.601185) 1455 2094 6
HUDSON RIVER HEALTHCARE INC (41.705166, -74.711705) 1024 2180 32
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
139 MEDICAL FACILITY PC (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
CHARLES B WANG COMM HTH CTR I (40.749338, -73.789673) 828 2137 11
Page 799 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 176
37 108
37 176
93
93
283
37 108
37 108
37 27
37 108
37 27
50 844
37 108
755
37 108
137
37 111
Page 800 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JOHN
PHYSICIAN BARNALI
PHYSICIAN LYNN
PHYSICIAN ZHENG-BO
PHYSICIAN EVELYN
PHYSICIAN SUZANNE
PHYSICIAN KATHERINE
PHYSICIAN YINAN
PHYSICIAN SWATI
PHYSICIAN EFRAIN
NURSE PRACTITIONER ANNA
PHYSICIAN JOANN
PHYSICIAN RASHMAE
CERTIFIED NURSE MIDWIFE JUDITH
PHYSICIAN MANOJ
PHYSICIAN OLANREWAJU
PHYSICIAN ROMAN
PHYSICIAN ERNEST
DENTIST MARIE
PHYSICIAN TARA
Page 801 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FOLK 1851325336 1235170150 04/16/2018
HASAN 1649505553 1649505553 05/03/2021
CHOI 1275851842 1548290455 01/08/2018
HUANG 1841231057 1386679736 02/24/2020
HURVITZ 1447225248 1013453273 01/18/2021
BLOOD 1831103555 1013928159 08/06/2018
GREENBERG 1497929806 1104861772 11/19/2018
LAN 1609139195 1073535027 06/08/2020
GOEL 1053632869 1063525152 06/15/2020
GONZALEZ 1407872211 1417027558 05/07/2018
WRATTEN 1588661011 1609946821 02/18/2019
KWAH 1770758609 1063525152 01/08/2018
CHARDAVOYNE 1467556746 1568534766 08/06/2018
MCCARTHY DALTON 1891857645 1467487637 03/19/2018
MALHOTRA 1427094473 1033124961 04/06/2020
ESAN 1861494239 1861494239 03/19/2018
ZELTSER 1780751172 1801857172 09/09/2019
SIMELA 1689759623 1396059499 08/02/2021
CONGIUSTA 1013305713 1164555124 02/18/2019
FARAHVASH 1801107461 1700037975 05/14/2018
Page 802 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 5 13202 ONONDAGA
8500 2020 5 11104 QUEENS
21250 2016 1 12208 ALBANY
8500 2019 3 11354 QUEENS
5667 2020 6 14228 ERIE
8500 2016 6 12804 WARREN
5667 2017 2 14642 MONROE
8500 2019 3 10038 NEW YORK
8500 2019 4 10467 BRONX
8500 2016 2 10456 BRONX
8500 2017 4 13601 JEFFERSON
21250 2016 1 10461 BRONX
8500 2016 4 11385 QUEENS
8500 2015 3 10562 WESTCHESTER
8500 2019 3 10038 NEW YORK
8500 2015 4 11552 NASSAU
8500 2018 2 11554 NASSAU
8500 2021 3 11575 NASSAU
8500 2017 2 10010 NEW YORK
8500 2016 2 10314 RICHMOND
Page 803 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
HASAN BARNALI MD (40.749338, -73.789673) 828 2137 11
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
INTEGRATIVE INTERNAL MED & GERIATRI (40.749338, -73.789673) 828 2137 11
MEDICAL HEALTH ASSOCIATES OF
WESTER
(42.888143, -78.795544) 62 2041 63
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
PEDIATRICS & ADOLESCENT MEDICINE (43.161748, -77.620143) 1666 2093 56
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
NORTH COUNTRY CHILDRENS CLIN (44.019295, -75.898971) 1466 2089 41
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
AMB MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ESAN OLANREWAJU OLUSOLA (40.715749, -73.601185) 1455 2094 6
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
AMBOY MEDICAL PRACTICE PC (40.566763, -74.148102) 609 2139 47
Page 804 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
755
37 111
1 573
37 111
646
522
50 844
37 108
37 176
37 176
705
37 176
37 111
224
37 108
93
93
93
37 108
37 7
Page 805 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DEANNA
PHYSICIAN NATALYA
PHYSICIAN STEPHEN
PHYSICIAN BETH
PHYSICIAN LOUIS
PHYSICIAN AJAY
NURSE PRACTITIONER DAYLE
PHYSICIAN W.
DENTIST ALAN
NURSE PRACTITIONER BRIDGET
NURSE PRACTITIONER WENDY
NURSE PRACTITIONER DEBORAH
PHYSICIAN JEFFREY
NURSE PRACTITIONER SALOME
PHYSICIAN FRANK
PHYSICIAN TEJ
PHYSICIAN CHRISTOPHER
PHYSICIAN NANCY
PHYSICIAN BINA
PHYSICIAN KELLY
DENTIST NIRA
Page 806 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MCDONALD 1932379559 1861437279 03/04/2019
KOZLOV 1497791974 1497791974 08/12/2019
GILHEENEY 1982759577 1750352381 10/28/2019
BAILEY 1043384613 1043384613 06/04/2018
VERARDO 1801958459 1982659470 08/28/2017
SHAH 1700970811 1417027558 01/29/2018
COMAR 1962402313 1548290455 08/21/2017
ELLIOTT 1891723805 1063468239 09/04/2017
WINIK 1659584084 1386714228 10/30/2017
PLATANIA 1174631501 1013952688 11/12/2018
GELLERT 1528087954 1235170150 12/24/2018
DIOTALLEVI 1841474046 1750352381 10/07/2019
TEITELBAUM 1992793657 1992793657 08/05/2019
ORDU 1568513448 1013924372 01/25/2021
NOTO 1134232176 1063426377 03/22/2021
KAUL 1831194513 1891791976 02/11/2019
DENATALE 1801025226 1073535027 05/10/2021
KING 1780819946 1740322148 04/16/2018
SHAH 1861528838 1073535027 06/07/2021
DONNELLY 1932369923 1811921786 08/23/2021
DWIVEDI 1497935704 1063426377 11/25/2019
Page 807 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
5667 2017 6 14228 ERIE
8500 2018 6 11224 KINGS
8500 2018 2 10065 NEW YORK
8500 2015 3 11545 NASSAU
8500 2015 3 11733 SUFFOLK
8500 2015 3 10457 BRONX
8500 2015 3 12208 ALBANY
8500 2015 4 13202 ONONDAGA
8500 2015 4 10595 WESTCHESTER
8500 2017 6 14642 MONROE
8500 2017 6 13202 ONONDAGA
8500 2018 2 10065 NEW YORK
8500 2018 2 11230 KINGS
8500 2020 3 10038 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2017 6 14304 NIAGARA
8500 2020 3 10038 NEW YORK
8500 2016 2 10013 NEW YORK
8500 2020 2 10038 NEW YORK
8500 2021 4 12208 ALBANY
8500 2018 2 10038 NEW YORK
Page 808 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TONAWANDA PEDIATRICS (42.888143, -78.795544) 62 2041 63
KOZLOV NATALYA (40.65642, -73.950691) 809 2090 31
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
BAILEY BETH PLATZER MD (40.715749, -73.601185) 1455 2094 6
STONY BROOK FAMILY MED GRP UFPC (40.820237, -73.119032) 1421 2179 3
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -73.805386) 1440 2185 53
PEDIATRIC PULMONARY SPECIALTY (43.161748, -77.620143) 1666 2093 56
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
TEITELBAUM JEFFREY MD (40.65642, -73.950691) 809 2090 31
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SUMMIT PEDIATRICS PC (43.134634, -78.856419) 1107 2131 62
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JAMES LI MD PLLC (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 809 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
646
37 27
37 108
93
137
37 176
1 573
755
224
50 844
755
37 108
37 27
37 108
37 108
835
37 108
37 108
37 108
1 573
37 108
Page 810 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN RAISSA MADELEINE
PHYSICIAN NHAN
PHYSICIAN ARPIT
NURSE PRACTITIONER LESLIE
PHYSICIAN ADAM
NURSE PRACTITIONER REBECCA
PHYSICIAN MATTHEW
PHYSICIAN GEORGE
PHYSICIAN NORBERT
PHYSICIAN ISRAEL
PHYSICIAN RUTH
DENTIST DERIK
PHYSICIAN OMAYMA
PHYSICIAN PROSHANTA
PHYSICIAN MARINA
PHYSICIAN ABIGAIL
PHYSICIAN THAMBIRAJAH
PHYSICIAN MARC
NURSE PRACTITIONER GOLDA
PHYSICIAN LEO
NURSE PRACTITIONER RENEE
PHYSICIAN ANJUM
Page 811 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ONG 1528370400 1255360517 12/03/2018
TAI 1992742100 1619969458 12/02/2019
GUPTA 1295099448 1013924372 08/14/2017
PALM-SCHWARTZ 1326009929 1255360517 06/18/2018
SCHWARTZ 1952677833 1073535027 05/17/2021
SCHROEDER 1639465693 1003062043 04/30/2018
GEARINGER 1093733651 1649428400 08/07/2017
HAN 1912296963 1013386812 03/12/2018
MOSKOVITS 1497713879 1093777492 01/01/2018
KOCHIN 1164416418 1780766964 11/02/2020
OSOWSKY 1699849083 1427063270 12/09/2019
STUCKER 1336314400 1619969458 05/28/2018
ZAHER 1700290889 1013924372 09/25/2017
SAHA 1083771463 1083771463 04/30/2018
CATALLOZZI 1396842852 1194832477 01/28/2019
ZUGER 1164455465 1477958007 09/04/2017
NANDAKUMAR 1669431110 1184670465 01/21/2019
GOTTLIEB 1104803287 1184670465 08/28/2017
CLARKE 1558334813 1356406136 03/12/2018
MENKES 1861661704 1124032982 07/27/2020
MENSAH 1427416866 1477764496 07/31/2017
MAQBOOL 1912966946 1801857172 07/05/2021
Page 812 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 5 17822 OUT OF STATE
8500 2018 5 12601 DUTCHESS
21250 2016 1 10038 NEW YORK
8500 2016 4 14607 MONROE
8500 2020 4 10038 NEW YORK
8500 2016 3 13210 ONONDAGA
8500 2015 5 14642 MONROE
21250 2016 1 10003 NEW YORK
8500 2016 3 11219 KINGS
8500 2019 6 11230 KINGS
8500 2018 2 10038 NEW YORK
8500 2016 3 12501 DUTCHESS
21250 2016 1 10038 NEW YORK
8500 2016 3 12010 MONTGOMERY
8500 2017 5 10032 NEW YORK
8500 2015 2 10025 NEW YORK
8500 2017 4 11418 QUEENS
8500 2015 3 11418 QUEENS
21250 2016 1 10038 NEW YORK
8500 2019 2 10038 NEW YORK
21250 2016 1 10459 BRONX
8500 2020 5 11554 NASSAU
Page 813 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ROCHESTER GENERAL HOSPITAL
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UPSTATE UROLOGY, INC (43.065629, -76.168033) 713 2132 43
UNIVERSITY OF ROCHESTER PEDIATRIC (43.161748, -77.620143) 1666 2093 56
ICAHN SCHOOL OF MEDICINE AT MOUNT S (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
PARK SLOPE PEDIATRIC MED PC (40.65642, -73.950691) 809 2090 31
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
SAHA PROSHANTA K MD (42.933637, -74.341972) 1221 624 36
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ST LUKES-ROOSEVELT HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
COMMUNITY HEALTHCARE NETWORK (40.85589, -73.868294) 675 2032 52
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
Page 814 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
63
37 108
50 844
37 108
755
50 844
37 108
37 27
37 27
37 108
63
37 108
699
37 108
37 108
37 111
37 111
37 108
37 108
37 176
93
Page 815 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SAMUEL
PHYSICIAN SANTOSH
PHYSICIAN ALEXANDER
PHYSICIAN CAROLINA
PHYSICIAN ELLEN
PHYSICIAN SHEKAR
PHYSICIAN CAROLINE
PHYSICIAN ALICIA
PHYSICIAN PETER
PHYSICIAN NICHOLAS
PHYSICIAN SUJATHA
PHYSICIAN PRATEEK
PHYSICIAN CYNTHIA
PHYSICIAN FARRUKH
NURSE PRACTITIONER JOANN
PHYSICIAN HARRIET
PHYSICIAN CHARLES
PHYSICIAN STANLEY
PHYSICIAN IRINA
PHYSICIAN NICOLE
Page 816 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DANIEL 1083622716 1730440777 11/04/2019
MUKKA 1801229505 1063557189 10/22/2018
SHAPSIS 1952325599 1780792119 09/02/2019
MARCUS 1902812738 1497702286 02/11/2019
SCHURMAN 1053378489 1770539066 03/26/2018
MURTHY 1518030428 1427063270 07/27/2020
STAMU-O'BRIEN 1568489409 1467469023 03/22/2021
MASSOP-FLOWERS 1992826994 1992826994 09/25/2017
CHU 1255390654 1427005065 04/29/2019
TARRICONE 1548265747 1013972801 04/16/2018
KOSURI 1073574463 1801857172 05/18/2020
CHAPALAMADUGU 1497002703 1497002703 09/02/2019
TAUB 1285628073 1063525152 01/29/2018
ANWER 1871554360 1740384247 10/22/2018
ERNST 1003240227 1063557189 08/27/2018
SMITH 1437166485 1063525152 01/15/2018
CASALE 1811074636 1386689248 09/21/2020
GOLDBERG 1720157506 1679587679 03/08/2021
KORNEEVA-VLADIMIRSKY 1437321460 1437321460 04/06/2020
NEVADUNSKY 1619131430 1063525152 08/28/2017
Page 817 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 6 10003 NEW YORK
8500 2016 2 13905 BROOME
8500 2018 6 11235 KINGS
5667 2017 5 14642 MONROE
8500 2016 5 13027 ONONDAGA
8500 2019 3 10038 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2015 4 11434 QUEENS
8500 2017 4 11355 QUEENS
8500 2016 4 13790 BROOME
8500 2019 3 11554 NASSAU
8500 2018 3 11235 KINGS
8500 2016 2 10461 BRONX
8500 2016 4 13021 CAYUGA
8500 2016 3 13905 BROOME
8500 2016 6 10461 BRONX
8500 2019 3 12208 ALBANY
8500 2020 3 10038 NEW YORK
8500 2019 6 11235 KINGS
8500 2015 5 10467 BRONX
Page 818 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
ATLANTIC GASTROENTEROLOGY PC (40.65642, -73.950691) 809 2090 31
ALLERGY IMMUN RHEUM CLINIC GR (43.161748, -77.620143) 1666 2093 56
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MASSOP-FLOWERS ALICIA DO (40.749338, -73.789673) 828 2137 11
JAMAICA PSYCHIATRIC SERV PC (40.749338, -73.789673) 828 2137 11
UNITED MEDICAL ASSOCIATES PC (42.122015, -75.933191) 479 2033 45
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
CHAPALAMADUGU PRATEEK (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
AUBURN PEDIATRICS PLLC (42.940095, -76.560755) 343 618 43
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
KORNEEVA-VLADIMIRSKY IRINA LVOVNA (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 819 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
346
37 27
50 844
755
37 108
37 108
37 111
37 111
346
93
37 27
37 176
660
346
37 176
1 573
37 108
37 27
37 176
Page 820 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ANDREA
PHYSICIAN DANIEL
PHYSICIAN MAUREEN
NURSE PRACTITIONER DONALD
PHYSICIAN GUL
NURSE PRACTITIONER ATHENA
PHYSICIAN ERIC
PHYSICIAN AMY
PHYSICIAN JOAN
DENTIST LEIGH
PHYSICIAN MARK
PHYSICIAN JEFFREY
NURSE PRACTITIONER CASSANDRA
DENTIST CARMEN
PHYSICIAN SANG
CERTIFIED NURSE MIDWIFE NISHA
PHYSICIAN MARGUERITE
NURSE PRACTITIONER NATASHA
PHYSICIAN RENEE
PHYSICIAN RACHEL
PHYSICIAN MAHMOOD
PHYSICIAN ERICA
Page 821 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KONDRACKE 1881717130 1073535027 10/16/2017
ANTONIELLO 1790851467 1063525152 11/27/2017
BURKE 1255627014 1235170150 09/02/2019
GARMON 1962608109 1265598783 07/30/2018
BAHTIYAR 1629378070 1467469023 12/09/2019
BROWN 1770830432 1063525152 10/25/2021
SICKELS 1700827110 1255378493 12/31/2018
CINER 1023053519 1467454967 10/22/2018
BUDD 1801967286 1063525152 03/11/2019
BUSCH 1366519993 1164555124 02/18/2019
JOSEFSKI 1013968569 1295729408 05/14/2018
SNEDEKER 1619959582 1619959582 06/08/2020
MENELAS 1790034759 1265596548 07/31/2017
ARZOLA 1730360280 1730360280 06/17/2019
KAN 1508833872 1508833872 09/04/2017
ARIKUPURATHU 1639401797 1477505220 05/07/2018
MAYERS 1003972944 1063525152 09/18/2017
SUSTACHE 1083060065 1063525152 10/28/2019
SPIEGEL 1689680399 1063426377 08/23/2021
ROSANSKY 1740576669 1063525152 04/12/2021
BEHNAM 1467642231 1669470019 12/09/2019
PHILLIPS 1164519237 1952332801 12/03/2018
Page 822 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2016 3 10461 BRONX
8500 2018 4 13210 ONONDAGA
8500 2016 2 10032 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2021 6 10467 BRONX
8500 2017 6 14225 ERIE
8500 2017 4 10532 WESTCHESTER
8500 2017 5 10475 BRONX
8500 2017 2 10010 NEW YORK
8500 2016 6 12401 ULSTER
8500 2019 6 14850 TOMPKINS
21250 2016 1 10459 BRONX
-21250 2014 1 10462 BRONX
8500 2015 3 10002 NEW YORK
8500 2016 4 11418 QUEENS
8500 2015 4 10467 BRONX
8500 2018 2 10465 BRONX
8500 2021 6 10038 NEW YORK
8500 2020 4 10458 BRONX
8500 2018 3 10977 ROCKLAND
8500 2017 2 11106 QUEENS
Page 823 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GENESEE TRANSIT PED LLP LLC (42.888143, -78.795544) 62 2041 63
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
SNEDEKER JEFFREY DAVID MD (42.461024, -76.478784) 1786 2181 58
URBAN HEALTH PLAN INC (40.85589, -73.868294) 675 2032 52
ARZOLA CARMEN (40.85589, -73.868294) 675 2032 52
KAN SANG MD (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
NY HOSPITAL (40.749338, -73.789673) 828 2137 11
Page 824 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
755
37 108
37 108
37 176
646
224
37 176
37 108
198
496
37 176
37 176
37 108
37 111
37 176
37 176
37 108
37 176
154
37 111
Page 825 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JOSEPH
PHYSICIAN GERALD
PHYSICIAN LE KEYAH
PHYSICIAN MICHAEL
NURSE PRACTITIONER KRISTINE
PHYSICIAN YUPING
NURSE PRACTITIONER BRIDGET
DENTIST MEHRDAD
PHYSICIAN NURUR
PHYSICIAN MORRIS
PHYSICIAN RIDWAN
PHYSICIAN HARRY
PHYSICIAN SHU
PHYSICIAN KOMAL
PHYSICIAN GWENDOLYN
PHYSICIAN JEAN-CLAUDE
PHYSICIAN DEANN
PHYSICIAN SYDNEY
CERTIFIED NURSE MIDWIFE MELISSA
DENTIST NANCY
PHYSICIAN AMANDA
Page 826 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DE NAGY 1982867941 1154354140 05/21/2018
GALST 1306921176 1063525152 01/08/2018
WILSON 1265556690 1255360517 06/18/2018
LIPTON 1366535502 1063525152 04/05/2021
MILLER 1457757221 1013928159 07/09/2018
CHEN 1801986500 1801986500 10/02/2017
THOMAS 1932417334 1881789014 11/13/2017
HAGHIGHI 1023272325 1023272325 01/21/2013
RAHMAN 1194839324 1033124961 08/10/2020
GAGLIARDI 1538157029 1548208127 07/20/2020
SHABSIGH 1982713871 1740595917 10/09/2017
ZINN 1508842808 1376590828 06/18/2018
CHIN 1881663904 1881663904 12/10/2018
BAJAJ 1205009628 1063525152 09/11/2017
STRETCH 1831134220 1982659470 12/25/2017
DESROSIERS 1578713806 1578612412 01/28/2019
MOORE 1982048690 1063525152 07/13/2020
MCCALLA 1013081231 1427063270 08/10/2020
RESNICK 1437259736 1417027558 05/07/2018
DOUGHERTY 1730263534 1073535027 08/28/2017
ASCHER 1194882480 1740595917 12/03/2018
Page 827 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 14203 ERIE
8500 2016 5 10461 BRONX
8500 2016 3 14621 MONROE
8500 2020 3 10467 BRONX
21250 2016 1 12885 WARREN
8500 2015 4 11354 QUEENS
8500 2016 5 14207 ERIE
21250 2012 1 07306 OUT OF STATE
8500 2019 2 10038 NEW YORK
8500 2019 2 10038 NEW YORK
21250 2016 1 10457 BRONX
21250 2016 1 11203 KINGS
8500 2017 6 10013 NEW YORK
8500 2015 4 10461 BRONX
8500 2016 3 11733 SUFFOLK
8500 2017 3 11212 KINGS
8500 2019 4 10458 BRONX
8500 2019 3 10038 NEW YORK
8500 2016 3 10457 BRONX
21250 2016 1 10461 BRONX
8500 2017 3 10457 BRONX
Page 828 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UNIVERSITY GYN & OB INC (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
CHEN YUPING MD (40.749338, -73.789673) 828 2137 11
NORTHWEST BUFFALO COMM H C (42.888143, -78.795544) 62 2041 63
HAGHIGHI MEHRDAD DDS
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
UNIVERSITY PHYS BROOKLYN INC (40.65642, -73.950691) 809 2090 31
CHIN SHU YAIN MD (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
STONY BROOK FAMILY MED GRP UFPC (40.820237, -73.119032) 1421 2179 3
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
Page 829 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
646
37 176
50 844
37 176
522
37 111
646
37 108
37 108
37 176
37 27
37 108
37 176
137
37 27
37 176
37 108
37 176
37 176
37 176
Page 830 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SAVI
NURSE PRACTITIONER ANN
PHYSICIAN SAPAN
PHYSICIAN CHRISTINE
PHYSICIAN CRYSTAL
PHYSICIAN JAMES
PHYSICIAN BRIAN
PHYSICIAN PHILIP
PHYSICIAN SYED
PHYSICIAN ABHIJIT
DENTIST NANCY
PHYSICIAN NANDITA
PHYSICIAN NOE
PHYSICIAN VIRESH
NURSE PRACTITIONER KELLY
PHYSICIAN ANIRBAN
PHYSICIAN JILL
PHYSICIAN MARIE-ALEX
PHYSICIAN DAVID
Page 831 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MUSHIYEV 1013179050 1013924372 04/13/2020
KELCHLIN 1013902048 1083664221 04/26/2021
POLEPALLE 1912954009 1346203536 09/04/2017
KERR 1578521423 1619969458 01/21/2019
SACHDEVA 1477796431 1063525152 03/18/2019
BOWERS 1851330468 1063525152 04/12/2021
COHEN 1275613754 1063525152 03/19/2018
MONTELEONE 1568492981 1770539066 10/12/2020
KAMAL 1770550733 1598720369 09/17/2018
LOHE 1376522052 1780766964 05/14/2018
YU 1801021944 1730124025 01/20/2020
SUGANDHI 1407098726 1477958007 06/26/2017
ROMO 1164715934 1679587679 02/26/2018
KUMAR 1932169711 1063525152 07/06/2020
RAUSCH 1982703674 1366473183 02/19/2018
BOSE 1245270644 1881641470 03/19/2018
HALTERMAN 1689605347 1821029463 04/16/2018
MICHEL 1477636397 1467469023 07/20/2020
SEIDMAN 1932268877 1932268877 01/05/2022
Page 832 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 3 10038 NEW YORK
8500 2020 5 13326 OTSEGO
8500 2015 3 10457 BRONX
8500 2017 5 10566 WESTCHESTER
8500 2017 2 10460 BRONX
8500 2020 5 10469 BRONX
8500 2016 3 10530 WESTCHESTER
8500 2019 4 13210 ONONDAGA
8500 2016 6 12801 WARREN
8500 2016 3 11215 KINGS
8500 2018 4 10027 NEW YORK
21250 2016 1 10025 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2019 4 11216 KINGS
21250 2015 1 14222 ERIE
8500 2016 6 14642 MONROE
8500 2016 6 14642 MONROE
8500 2019 3 10038 NEW YORK
1103688 HERKIMER
-8500 2014 4 10028 NEW YORK
Page 833 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
INTEGRATED MEDICAL PROFESSIONALS
PL
(40.85589, -73.868294) 675 2032 52
HUDSON RIVER HEALTHCARE INC (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
G F PEDIATRIC CONSULTANTS PC (43.403024, -73.716044) 128 2183 35
PARK SLOPE PEDIATRIC MED PC (40.65642, -73.950691) 809 2090 31
CHILDRENS AID SOC-LORD MEM CL (40.726966, -74.005966) 737 2095 50
ST LUKES-ROOSEVELT HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.65642, -73.950691) 809 2090 31
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
STRONG RENAL GROUP (43.161748, -77.620143) 1666 2093 56
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
(43.070026, -74.994246) 559 2088 44
SEIDMAN DAVID A MD (40.726966, -74.005966) 737 2095 50
Page 834 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
529
37 176
224
37 176
37 176
224
755
522
37 27
37 108
37 108
37 108
37 27
646
50 844
50 844
37 108
758
37 108
Page 835 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JENNIFER
PHYSICIAN DANIEL
PHYSICIAN THEODORA
PHYSICIAN TAMILA
NURSE PRACTITIONER MICHAEL
PHYSICIAN HOWARD
PHYSICIAN SYEDUR
DENTIST BARRY
PHYSICIAN YEHUDIT
PHYSICIAN OHAD
PHYSICIAN DELIA
PHYSICIAN DAVID
NURSE PRACTITIONER DIANA
PHYSICIAN CHARNA
NURSE PRACTITIONER MARIANNE
PHYSICIAN KAREN
PHYSICIAN ERIN
PHYSICIAN SABRINA
PHYSICIAN FRED
PHYSICIAN DEREK
PHYSICIAN AMANDA
PHYSICIAN LAURA
Page 836 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARTI 1447409560 1477756898 09/11/2017
LAVELLE 1114219201 1700816626 08/09/2021
KAY-NJEMANZE 1891974176 1063525152 11/15/2021
SELITSKY 1306981535 1164863890 01/01/2018
AGYEMAN 1427377761 1801803903 08/03/2020
KATZ 1528072121 1740595917 07/02/2018
CHOWDHURY 1942294392 1801803903 10/11/2021
KAHANE 1932313301 1336289842 01/18/2019
POLLACK 1801198957 1467454967 04/27/2020
ROTENBERG 1770663338 1063525152 03/25/2019
JANO 1467470351 1467469023 03/22/2021
LANDMAN 1700888013 1043224355 12/09/2019
CARPENTER 1629185087 1083664221 04/16/2018
KLEIN 1447331608 1063525152 07/10/2017
POWERS 1629009519 1932281706 10/02/2017
BALLABAN-GIL 1508941816 1063525152 08/21/2017
GOSS 1265729792 1063525152 03/11/2019
GRATIA 1386936367 1467469023 03/05/2018
AGRE 1821185745 1063525152 10/07/2019
WAKEMAN 1649483181 1740205566 11/19/2018
PERSAUD 1073821443 1366473183 02/12/2018
LEVINSON GAL 1275860561 1801803903 09/11/2017
Page 837 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 10003 NEW YORK
8500 2021 6 12110 ALBANY
8500 2021 4 11105 QUEENS
8500 2016 2 11228 KINGS
8500 2019 4 10038 NEW YORK
21250 2016 1 10457 BRONX
8500 2021 5 10038 NEW YORK
-21250 2014 1 11221 KINGS
8500 2019 5 10532 WESTCHESTER
8500 2017 4 10467 BRONX
8500 2020 3 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2016 4 13326 OTSEGO
21250 2016 1 10467 BRONX
8500 2015 4 12414 GREENE
8500 2015 5 10467 BRONX
8500 2017 4 10451 BRONX
21250 2016 1 10038 NEW YORK
8500 2018 3 10523 WESTCHESTER
8500 2017 2 14642 MONROE
21250 2015 1 14222 ERIE
21250 2016 1 10038 NEW YORK
Page 838 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.749338, -73.789673) 828 2137 11
TAMILA SELITSKY OB-GYN PC (40.65642, -73.950691) 809 2090 31
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
ALEXANDER D MILLER DDS (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GREENE CNTY PUB HLTH NURS SER (42.298326, -73.973376) 88 2087 36
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
UNIVERSITY OF ROCHESTER SURG (43.161748, -77.620143) 1666 2093 56
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 839 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
1 573
37 111
37 27
37 108
37 176
37 108
37 27
224
37 176
37 108
37 108
529
37 176
435
37 176
37 176
37 108
224
50 844
646
37 108
Page 840 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN NICOLE
PHYSICIAN KYAWT
NURSE PRACTITIONER ROSEMARY
PHYSICIAN SABURO
DENTIST ROBERTO
DENTIST LOUIS
PHYSICIAN ISRAA
NURSE PRACTITIONER DESTA
PHYSICIAN AHRON
PHYSICIAN MONIQUE
PHYSICIAN SOPHIA
PHYSICIAN SARIKA
PHYSICIAN MAXINE
PHYSICIAN MARGUERITE
PHYSICIAN JOSEPH
PHYSICIAN NORELLE
PHYSICIAN MARIE
PHYSICIAN PARDHA
PHYSICIAN DONA RANI
PHYSICIAN ELI
PHYSICIAN ANDREA
Page 841 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SIMON 1922014596 1124032982 03/22/2021
AUNG 1548424963 1770919466 07/27/2020
HANSEN 1548534001 1366473183 11/04/2019
OKAZAKI 1467613174 1942294467 04/30/2018
PARRA 1790985505 1972781375 11/22/2021
DE SANTIS 1447321096 1164555124 12/23/2019
SOGHIER 1548520893 1679587679 07/27/2020
ANTHONY 1093721102 1669662771 12/16/2019
MILWORM 1295741015 1174500938 06/21/2019
REGARD 1457351645 1467454967 03/08/2021
BICHOTTE-LIGONDE 1609815612 1336578772 05/28/2018
MODI 1992902142 1073535027 05/17/2021
ORRIS 1720040702 1720040702 04/23/2018
MAYERS 1003972944 1063525152 02/05/2018
DOMACHOWSKE 1720007651 1770539066 11/12/2018
RIZKALLA REILLY 1477660827 1447518550 12/17/2018
REID DURANT 1598824294 1043224355 12/02/2019
VALLURU 1497773303 1124032982 05/11/2020
KATHIRITHAMBY 1396885273 1063525152 03/04/2019
GRUNSTEIN 1295871879 1295871879 10/23/2017
WORLEY 1689991697 1245246644 03/12/2018
Page 842 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 5 10038 NEW YORK
8500 2019 4 11373 QUEENS
8500 2018 2 14203 ERIE
8500 2016 5 14208 ERIE
8500 2021 6 13901 BROOME
8500 2018 3 10010 NEW YORK
8500 2019 2 10038 NEW YORK
-8500 2014 4 13206 ONONDAGA
-8500 2014 3 11219 KINGS
8500 2020 2 10595 WESTCHESTER
8500 2016 3 10041 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2015 3 11221 KINGS
8500 2016 5 10467 BRONX
8500 2017 6 13210 ONONDAGA
8500 2017 6 10032 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2017 2 10461 BRONX
8500 2016 3 10032 NEW YORK
21250 2016 1 14830 STEUBEN
Page 843 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
PHOENIX MEDICAL OFFICE PLLC (40.749338, -73.789673) 828 2137 11
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
FAMILY MEDICINE FACULTY ASSOC (42.888143, -78.795544) 62 2041 63
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MOBILE NP-ADULT HEALTH OF CNY PC (43.065629, -76.168033) 713 2132 43
PHYSICIANS MEDICAL GROUP PC (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ORRIS MAXINE MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GRUNSTEIN ELI MD (40.726966, -74.005966) 737 2095 50
GUTHRIE CLINIC LTD (42.270053, -77.324618) 1757 2178 58
Page 844 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
646
646
346
37 108
37 108
755
37 27
224
37 108
37 108
37 27
37 176
755
37 108
37 108
37 108
37 176
37 108
454
Page 845 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ELIZABETH
PHYSICIAN VENKATESH
PHYSICIAN ATEF
PHYSICIAN ANITA
PHYSICIAN DIVYA
PHYSICIAN DANIELLE
PHYSICIAN SUSAN
PHYSICIAN JIONG-MING
PHYSICIAN AMED
PHYSICIAN CHARNA
PHYSICIAN TADEUSZ
NURSE PRACTITIONER MARY
PHYSICIAN CARRIE
PHYSICIAN SHAHRIAR
PHYSICIAN GEORGE
NURSE PRACTITIONER BARBARA
PHYSICIAN IAN
PHYSICIAN MIRANDA
PHYSICIAN NICOLE
NURSE PRACTITIONER DEBRA
DENTIST DARWIN
Page 846 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NELSEN 1457514192 1770539066 11/12/2018
SABHAE GANGADHARAPPA 1033442058 1467469023 11/22/2021
SHAIKH 1578908604 1053688572 10/22/2018
SONI 1477628626 1427063270 09/04/2017
REDDY 1588828370 1063525152 06/29/2020
GOERTZEN 1760575245 1013928159 02/11/2019
BONADONNA 1801990395 1063525152 01/22/2018
HU 1932261716 1932261716 09/23/2019
RAWANDUZY 1356371009 1033124961 06/21/2021
KLEIN 1447331608 1063525152 03/11/2019
WITKOWSKI 1073744793 1467469023 07/13/2020
MARTIN 1962489658 1508812116 11/05/2018
ROWAN 1053382663 1164486627 03/12/2018
MAHMOUDIANI 1417258344 1124060595 01/20/2020
JUANG 1003802547 1124032982 09/27/2021
BACHMAN 1356380661 1083664221 11/18/2019
STUPPEL 1710058524 1063557189 11/11/2019
VONDORNUM 1912139007 1619341716 09/23/2019
GERMANO 1598046724 1417983024 09/17/2018
HICKEY 1407980097 1083660575 12/24/2018
HAYES 1932227121 1437231693 05/07/2018
Page 847 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 6 13202 ONONDAGA
8500 2021 4 10038 NEW YORK
21250 2016 1 11590 NASSAU
21250 2016 1 10038 NEW YORK
8500 2019 5 10461 BRONX
8500 2017 2 12801 WARREN
8500 2016 6 10458 BRONX
8500 2018 5 11354 QUEENS
8500 2020 4 10038 NEW YORK
8500 2017 2 10467 BRONX
8500 2019 2 10038 NEW YORK
8500 2017 6 12208 ALBANY
8500 2016 5 14701 CHAUTAUQUA
8500 2018 2 10457 BRONX
8500 2021 5 10038 NEW YORK
8500 2018 6 13326 OTSEGO
8500 2018 6 13827 TIOGA
8500 2018 5 11220 KINGS
8500 2016 2 11725 SUFFOLK
8500 2017 4 11794 SUFFOLK
8500 2016 2 10457 BRONX
Page 848 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
NORTH SHORE-LIJ MEDICAL PC (40.715749, -73.601185) 1455 2094 6
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HU JIONG-MING MD (40.749338, -73.789673) 828 2137 11
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
CENTER FOR DISABILITY SERVICES, INC (42.678066, -73.814233) 40 2030 34
JAMESTOWN PEDIATRIC ASSOC (42.246904, -79.315313) 1743 2035 57
ST BARNABAS OBGYN PC (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
LOURDES HOSPITAL OB GROUP (42.120252, -76.29595) 450 630 45
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
Page 849 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
755
37 108
93
37 108
37 176
522
37 176
37 111
37 108
37 176
37 108
1 573
447
37 176
37 108
529
330
37 27
137
137
37 176
Page 850 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MONICA REDDY
NURSE PRACTITIONER MARY
PHYSICIAN ARTUR
PHYSICIAN MICHAEL
PHYSICIAN ANTONIO
DENTIST DIGNA
PHYSICIAN MICHAEL
NURSE PRACTITIONER DERVELYNE
PHYSICIAN NADEZHDA
PHYSICIANS ASSISTANT DANIEL
PHYSICIAN FARSHID
PHYSICIAN LEONARD
PHYSICIAN ORIT
PHYSICIAN RAQUEL
PHYSICIAN MAKHMOOD
PHYSICIAN RUSSELL
PHYSICIAN AMY
PHYSICIAN NICOLE
PHYSICIAN PAMELA
PHYSICIAN PAUL
PHYSICIAN JOSE
Page 851 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MUPPIDI 1902112428 1427063270 05/17/2021
ANGERAME 1093886830 1083716088 11/13/2017
ALAVERDIAN 1417284324 1801857172 06/12/2017
PEARL 1043219512 1538114723 08/28/2017
CHUA 1386750727 1467469023 12/09/2019
RODRIGUEZ 1114205697 1114178795 08/20/2018
GUO 1780649517 1780649517 09/18/2017
DESSALINES 1861736555 1033124961 08/12/2019
POLATAIKO 1013936137 1770598104 02/05/2018
KARN 1619973575 1043374853 08/21/2017
RADPARVAR 1366537656 1801803903 11/25/2019
KRILOV 1760403927 1952325367 11/06/2017
OPPENHEIMER 1164623500 1467454967 08/02/2021
DAVIS 1528343498 1063525152 06/22/2020
REZNIK 1104147925 1124032982 09/27/2021
GALATZAN 1700887254 1821266321 08/03/2020
ZHENG 1225471618 1063525152 02/18/2019
NERETIN 1649270612 1295729408 08/28/2017
DEFOREST 1720159106 1063525152 11/11/2019
CHAI 1083688196 1508266347 12/10/2018
QUIWA 1306816103 1306816103 08/31/2020
Page 852 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 4 10038 NEW YORK
-8500 2013 2 14605 MONROE
21250 2016 1 11554 NASSAU
8500 2015 3 11794 SUFFOLK
8500 2018 2 10038 NEW YORK
8500 2016 3 10032 NEW YORK
8500 2015 3 10002 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2015 3 14150 ERIE
8500 2015 3 13118 CAYUGA
8500 2018 3 10038 NEW YORK
8500 2015 3 11501 NASSAU
8500 2021 6 10532 WESTCHESTER
8500 2019 4 10458 BRONX
8500 2021 6 10038 NEW YORK
8500 2019 3 13790 BROOME
8500 2017 2 10458 BRONX
8500 2015 2 10003 NEW YORK
8500 2018 6 10467 BRONX
8500 2016 3 10032 NEW YORK
5667 2019 5 11374 QUEENS
Page 853 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
ANTHONY L JORDAN HEALTH CTR (43.161748, -77.620143) 1666 2093 56
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
RAVI C MADDALI DDS PC (40.726966, -74.005966) 737 2095 50
GUO MICHAEL WENBIN MD (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KENMORE MERCY HOSPITAL (42.888143, -78.795544) 62 2041 63
FAMILY HLTH NETWRK CENTRAL NY (42.940095, -76.560755) 343 618 43
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
QUIWA JOSE ESCUETA MD (40.749338, -73.789673) 828 2137 11
Page 854 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
50 844
93
137
37 108
37 108
37 108
37 108
646
660
37 108
93
224
37 176
37 108
346
37 176
37 108
37 176
37 108
37 111
Page 855 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SREEKALA
PHYSICIAN MARINO
PHYSICIAN ABRAHAM
PHYSICIAN MORGEN
PHYSICIAN KRISHNAIYER
DENTIST LOURDES
PHYSICIAN CHENG
PHYSICIAN VANCE
PHYSICIAN MELISSA
NURSE PRACTITIONER ALLISON
PHYSICIAN SUMAN
DENTIST RUBEN
PHYSICIAN IOANNIS
PHYSICIAN BARBARA
DENTIST HUZEFA
NURSE PRACTITIONER JOYCE
PHYSICIAN LEONARDO
PHYSICIAN ERNESTO
PHYSICIAN NIKITA
PHYSICIAN MEERA
PHYSICIAN ANDREW
Page 856 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RAGHAVAN 1184912578 1063525152 11/27/2017
TAVAREZ 1518049865 1255360517 06/18/2018
KRIKHELY 1861698870 1508266347 10/14/2019
YAO-COHEN 1558658971 1063525152 01/08/2018
SUBRAMANI 1295794105 1801857172 05/10/2021
ALBANDOZ 1538316385 1538316385 12/10/2018
ZHANG 1881731479 1063525152 10/28/2019
SMITH 1942414511 1063525152 11/11/2019
STOCKWELL 1275640955 1194832477 01/28/2019
JOHNSON 1922344159 1164486627 03/29/2021
AGRAWAL 1639191976 1124032982 03/22/2021
CUETO 1710964986 1710964986 07/20/2018
MANTZARIS 1871865519 1063525152 10/25/2021
SANDERS 1194800201 1063525152 10/16/2017
TALIB 1982981601 1164555124 08/31/2020
HILL 1386003101 1275736449 09/11/2017
LIBERMAN 1962480319 1447518550 08/07/2017
GUEVARA 1629412531 1063525152 06/29/2020
BARAI 1801152731 1043224355 03/29/2021
BALASUBRAMANIAM 1437392453 1073535027 11/08/2021
SHERMAN 1568633204 1255360517 01/20/2020
Page 857 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 2 10467 BRONX
8500 2016 4 10941 ORANGE
8500 2018 4 10032 NEW YORK
21250 2016 1 10451 BRONX
8500 2020 4 11795 SUFFOLK
8500 2017 3 11368 QUEENS
8500 2018 6 10467 BRONX
8500 2018 3 10467 BRONX
8500 2017 6 10032 NEW YORK
8500 2020 5 14701 CHAUTAUQUA
8500 2020 3 10038 NEW YORK
-21250 2013 1 11237 KINGS
8500 2021 5 10467 BRONX
8500 2015 3 10467 BRONX
8500 2019 4 10010 NEW YORK
21250 2016 1 10940 ORANGE
8500 2015 5 10032 NEW YORK
8500 2019 2 10467 BRONX
8500 2020 3 10038 NEW YORK
8500 2021 4 10038 NEW YORK
8500 2018 6 14642 MONROE
Page 858 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (41.422459, -74.241929) 1496 2134 32
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NASSAU UNIVERSITY MEDICAL CENTER (40.820237, -73.119032) 1421 2179 3
ALBANDOZ LOURDES MARHILDA (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
JAMESTOWN PEDIATRIC ASSOC (42.246904, -79.315313) 1743 2035 57
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
CUETO RUBEN DARIO DDS (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MIDDLETOWN COMM HEALTH CENTER (41.422459, -74.241929) 1496 2134 32
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
Page 859 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
76
37 108
37 176
137
37 111
37 176
37 176
37 108
447
37 108
37 27
37 176
37 176
37 108
76
37 108
37 176
37 108
37 108
50 844
Page 860 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER KAY
PHYSICIAN ERIN
PHYSICIAN ARAVIND
NURSE PRACTITIONER JANE
NURSE PRACTITIONER DEBRA
PHYSICIAN FRANCINE
PHYSICIAN AFZAL
PHYSICIAN NIR
PHYSICIAN EVA
PHYSICIAN DEBORAH
PHYSICIAN MATTHEW
PHYSICIAN TAYIBBA
PHYSICIAN GAYOTRI
PHYSICIAN MARTINE
PHYSICIAN ELIZABETH
PHYSICIAN CIBLE
PHYSICIAN ERICKA
PHYSICIAN KATHERINE
NURSE PRACTITIONER LORI
PHYSICIAN ABIRAMI
Page 861 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RUST 1487600490 1952357493 08/28/2017
CROSBY 1487864880 1164456067 01/04/2021
POTHULA 1871751479 1063525152 08/21/2017
TUTTLE 1164457990 1821029463 08/07/2017
KOSKO 1275588097 1255360517 06/25/2018
EINSTEIN 1235219718 1063525152 04/05/2021
HOSSAIN 1699755447 1467709477 10/02/2017
BARZILAI 1235228727 1063525152 01/22/2018
SWOBODA 1669559043 1538114723 08/21/2017
PIERCE 1194752709 1740220698 03/26/2018
KAPLAN 1659332419 1124032982 02/04/2019
HAFEEZ 1710141627 1609949049 03/19/2018
GOSWAMI 1982706867 1023024882 08/26/2019
GUEZ 1588675797 1124032982 03/22/2021
CIRINCIONE 1134196561 1801857172 05/03/2021
PARAYIL 1750598264 1063525152 07/10/2017
BERMAN - ROSENZWEIG 1831163708 1447518550 08/07/2017
WALIA 1346484128 1881084820 09/11/2017
LYNCH 1427240092 1265598783 04/30/2018
SIVAPIRAGASAM 1972930998 1063468239 09/04/2017
Page 862 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 14642 MONROE
8500 2020 3 12208 ALBANY
8500 2015 2 10461 BRONX
8500 2015 5 14642 MONROE
8500 2016 2 14621 MONROE
8500 2020 4 10461 BRONX
8500 2015 3 11432 QUEENS
8500 2016 4 10461 BRONX
8500 2015 3 11733 SUFFOLK
8500 2016 6 14642 MONROE
8500 2017 2 10038 NEW YORK
8500 2015 3 13088 ONONDAGA
8500 2018 2 10038 NEW YORK
8500 2020 5 10038 NEW YORK
8500 2020 5 11554 NASSAU
21250 2016 1 10704 WESTCHESTER
8500 2015 4 10032 NEW YORK
21250 2016 1 13210 ONONDAGA
8500 2016 6 10032 NEW YORK
21250 2016 1 13210 ONONDAGA
Page 863 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UNIVERSITY UROLOGY ASSOC (43.161748, -77.620143) 1666 2093 56
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
AFZAL HOSSAIN PHYSICIAN PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
NORTH AREA PEDIATRICS INC (43.065629, -76.168033) 713 2132 43
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
PSYCHIATRY FACULTY PRACTICE INC (43.065629, -76.168033) 713 2132 43
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
Page 864 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
50 844
1 573
37 176
50 844
50 844
37 176
37 111
37 176
137
50 844
37 108
755
37 108
37 108
93
224
37 108
755
37 108
755
Page 865 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER DANIELLE
DENTIST HARVEY
PHYSICIAN GEORGE
DENTIST WILLIAM
PHYSICIAN LAWRENCE
CERTIFIED NURSE MIDWIFE PAULOMI
PHYSICIAN GREGORY
PHYSICIAN JOSEPH
PHYSICIAN DONA RANI
PHYSICIAN JEAN
PHYSICIAN STACY
PHYSICIAN GEORGE
PHYSICIAN JEAN
DENTIST LEONID
PHYSICIAN LYCIA
NURSE PRACTITIONER DONALD
PHYSICIAN KARNEYA
PHYSICIAN JOHN
DENTIST SAMAR
PHYSICIAN SUZANNE
PHYSICIAN RAJESH
PHYSICIAN ANIL
Page 866 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DUMRESE 1275868994 1275962011 09/11/2017
HENTELEFF 1124054176 1972781375 05/31/2021
HALL 1639171143 1386727733 08/20/2018
REYER 1861801912 1164555124 02/25/2019
REICH 1194745042 1063426377 09/09/2019
NILES 1215250998 1467469023 06/21/2021
LEE 1043372022 1073535027 02/01/2021
HUSNEY 1770699647 1770699647 07/17/2017
KATHIRITHAMBY 1396885273 1063525152 04/12/2021
LAJEUNE 1053384081 1427063270 10/25/2021
DOUGHERTY 1275769135 1093777492 07/31/2017
LIPKIN 1952409369 1073535027 11/25/2019
LAJEUNE 1053384081 1427063270 02/15/2021
YOFFE 1013992973 1013992973 08/14/2017
RYDER 1326051566 1083660575 03/12/2018
GARMON 1962608109 1508266347 07/05/2021
ANCSELOVITS 1427153196 1063426377 04/27/2020
HOUTEN 1891899217 1093777492 04/30/2018
TANNOUS 1487803243 1164555124 01/06/2020
BERGIN 1346478658 1013928159 02/11/2019
PATEL 1396837191 1396837191 04/30/2018
NARULA 1508922519 1023024882 09/13/2021
Page 867 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2015 1 12065 SARATOGA
8500 2020 5 13901 BROOME
8500 2016 6 10013 NEW YORK
8500 2017 2 10010 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2020 2 10038 NEW YORK
8500 2020 3 10038 NEW YORK
21250 2016 1 11229 KINGS
8500 2020 5 10461 BRONX
8500 2021 5 10038 NEW YORK
21250 2016 1 11219 KINGS
8500 2018 2 10038 NEW YORK
8500 2020 4 10038 NEW YORK
-21250 2013 1 10467 BRONX
8500 2016 5 11794 SUFFOLK
8500 2020 5 10032 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2016 3 11219 KINGS
8500 2018 3 10010 NEW YORK
8500 2017 4 12885 WARREN
8500 2016 5 10457 BRONX
8500 2021 4 10038 NEW YORK
Page 868 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INPATIENT HOSPITALIST SERVICES OF N (43.00894, -73.786779) 1148 2141 42
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
GEORGE HALL MD PC (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HUSNEY JOSEPH MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
YOFFE LEONID DDS (40.85589, -73.868294) 675 2032 52
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
PATEL RAJESH JAYANTILAL MD (40.85589, -73.868294) 675 2032 52
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
Page 869 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
733
346
37 108
37 108
37 108
37 108
37 108
37 27
37 176
37 108
37 27
37 108
37 108
37 176
137
37 108
37 108
37 27
37 108
522
37 176
37 108
Page 870 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ROBERT
NURSE PRACTITIONER QING XIANG
DENTIST CRISTINA
PHYSICIAN LEESHA
PHYSICIAN CHARLENE
PHYSICIAN RUBEN
PHYSICIAN YA LI
PHYSICIAN KRISTINA
PHYSICIAN ALICIA
PHYSICIAN INDRONEIL
PHYSICIAN JOHN
PHYSICIAN JONATHAN
PHYSICIAN WALTER
NURSE PRACTITIONER CHERIE
PHYSICIAN KATHERINE
NURSE PRACTITIONER DEBORAH
PHYSICIAN RENEE
PHYSICIAN SUSAN
PHYSICIAN JOSEPH
PHYSICIAN ROBERT
Page 871 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FORMAN 1629168422 1063525152 08/28/2017
HUANG 1891812806 1689009854 03/19/2018
CONSTANTINESCU 1952466906 1952466906 01/22/2018
HOILETTE 1881767150 1821029463 03/04/2019
RECTO 1053542878 1073535027 07/31/2017
CERRI 1619961950 1619961950 07/24/2017
CHEN 1174572440 1255360517 09/09/2019
MALIK 1497011472 1063525152 07/31/2017
WICZULIS 1255656179 1164456067 03/25/2019
MUKERJI 1861609950 1801803903 10/04/2021
CLARK 1194862730 1033124961 03/08/2021
FARKAS 1578823613 1073535027 09/11/2017
VALESKY 1790925329 1043224355 06/07/2021
ROSSMAN 1811321169 1063557189 04/30/2018
GREENBERG 1497929806 1104861772 09/21/2020
DIOTALLEVI 1841474046 1750352381 10/23/2017
MOADEL 1396849717 1063525152 10/18/2021
WALKER 1013950955 1083660575 10/28/2019
WITTMANN, JR. 1104820026 1699753053 11/19/2018
BEIL 1861585093 1063525152 07/06/2020
Page 872 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 3 10461 BRONX
8500 2015 3 11220 KINGS
-21250 2013 1 11423 QUEENS
8500 2017 6 14642 MONROE
21250 2015 1 10038 NEW YORK
8500 2015 5 11368 QUEENS
8500 2018 6 14607 MONROE
21250 2016 1 10467 BRONX
8500 2017 3 12208 ALBANY
8500 2021 6 10038 NEW YORK
8500 2020 3 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2020 2 10038 NEW YORK
8500 2016 3 13760 BROOME
8500 2019 4 14642 MONROE
21250 2016 1 10065 NEW YORK
8500 2021 4 10467 BRONX
8500 2018 6 11940 SUFFOLK
5667 2017 3 14120 NIAGARA
8500 2019 6 10451 BRONX
Page 873 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
EXCELSIOR INTEGRATED MEDICAL
GROUP
(40.65642, -73.950691) 809 2090 31
CONSTANTINESCU CRISTINA DDS (40.749338, -73.789673) 828 2137 11
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CERRI RUBEN WALTER MD (40.749338, -73.789673) 828 2137 11
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
PEDIATRICS & ADOLESCENT MEDICINE (43.161748, -77.620143) 1666 2093 56
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
WHEATFIELD PEDIATRICS LLP (43.134634, -78.856419) 1107 2131 62
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 874 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 27
37 111
50 844
37 108
37 111
50 844
37 176
1 573
37 108
37 108
37 108
37 108
346
50 844
37 108
37 176
137
835
37 176
Page 875 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN TANYA
NURSE PRACTITIONER LYNN
PHYSICIAN JAHNAVI
DENTIST ALEXANDER
PHYSICIAN MARIBEL
PHYSICIAN ASHOK
CERTIFIED NURSE MIDWIFE ANDREA
PHYSICIAN ROSS
PHYSICIAN COLETTE
PHYSICIAN CYNTHIA
PHYSICIAN MIKHAIL
PHYSICIAN MARY
PHYSICIAN ANDREW
PHYSICIAN LAVEENA
NURSE PRACTITIONER PERI
PHYSICIAN BEVERLY
PHYSICIAN SHEILA ANN
PHYSICIAN VALERIE
PHYSICIAN RAYMOND
PHYSICIAN WENDY
PHYSICIAN WILFREDO
Page 876 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PANTON 1538246780 1801803903 12/31/2018
MELISZ 1881932218 1366473183 07/31/2017
SAWHNEY 1053598227 1730440777 08/03/2020
KERR 1306994645 1164555124 02/18/2019
QUINONES-GUZMAN 1841227972 1841227972 11/19/2018
KHANNA 1780608836 1124032982 10/21/2019
BECKER 1417310277 1417310277 03/26/2018
HEWITT 1063551497 1295729408 05/14/2018
KNIGHT 1063612596 1063525152 10/21/2019
FRETWELL 1790741304 1487691481 06/12/2017
ELFOND 1457572588 1801857172 06/26/2017
GOVER 1861770521 1063525152 04/16/2018
JONES 1831455617 1467469023 11/25/2019
KONDAGARI 1336304831 1679587679 05/25/2020
WEISS 1588041552 1669470019 12/16/2019
SHEPPARD 1770524837 1336578772 05/21/2018
ALAS-HUN 1801098777 1063525152 09/30/2019
DUNN 1215964895 1255360517 09/18/2017
WEDDERBURN 1750370524 1568664928 04/30/2018
ZAPATA 1477762409 1437231693 02/19/2018
CACES 1508906009 1063525152 11/11/2019
Page 877 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 3 10038 NEW YORK
21250 2016 1 14222 ERIE
8500 2019 6 10003 NEW YORK
8500 2017 2 10010 NEW YORK
8500 2017 4 13088 ONONDAGA
8500 2018 3 10038 NEW YORK
21250 2016 1 12078 FULTON
8500 2016 6 10035 NEW YORK
8500 2018 3 10461 BRONX
21250 2016 1 11501 NASSAU
21250 2016 1 11554 NASSAU
8500 2016 3 10451 BRONX
8500 2018 2 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2018 2 10977 ROCKLAND
8500 2016 4 10041 NEW YORK
8500 2018 6 11427 QUEENS
8500 2015 3 14621 MONROE
8500 2016 4 10025 NEW YORK
8500 2015 3 10458 BRONX
8500 2018 2 10456 BRONX
Page 878 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
QUINONES-GUZMAN MARIBEL (43.065629, -76.168033) 713 2132 43
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
BECKER ANDREA J (43.06014, -74.331296) 1227 2085 42
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
OB-GYN CONTEMPORARY CARE (40.715749, -73.601185) 1455 2094 6
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.749338, -73.789673) 828 2137 11
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
SLRHC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 879 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
646
37 108
37 108
755
37 108
830
37 108
37 176
93
93
37 176
37 108
37 108
154
37 108
37 111
50 844
37 108
37 176
37 176
Page 880 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MATTHEW
NURSE PRACTITIONER ANGELA
PHYSICIAN NITIN
PHYSICIAN LISA
PHYSICIAN VENKATESWARARAO
PHYSICIAN ADEBOLA
PHYSICIAN AYOTUNDE
PHYSICIAN DORI
PHYSICIAN STEVE
PHYSICIAN TAHIR
PHYSICIAN RAYMOND
NURSE PRACTITIONER AMBER
PHYSICIAN NARAYAN
PHYSICIAN ELEANOR
PHYSICIAN ANDREA
PHYSICIAN MICHAEL
NURSE PRACTITIONER ARLETTE
PHYSICIAN SYED
PHYSICIAN ALVIN
PHYSICIAN OKSANA
PHYSICIAN VIVIEN
NURSE PRACTITIONER NORIE
Page 881 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KAPLAN 1659332419 1124032982 05/17/2021
GLASSCOCK 1003909755 1356406136 11/22/2021
PATEL 1194082800 1396711982 08/28/2017
GALATI 1992705354 1548290455 11/25/2019
VOLETI 1164473526 1164473526 05/26/2021
ORAFIDIYA 1831244227 1831244227 11/12/2018
ADEYEYE 1821431974 1407892342 09/04/2017
ANCHIN 1750399663 1467454967 09/02/2019
AYANRUOH 1942264510 1942264510 02/08/2021
ANWAR 1497095707 1467432765 12/31/2018
TEETS 1538191655 1295729408 12/17/2018
FREEMAN 1447673264 1821029463 11/12/2018
AGRAWAL 1568438570 1568438570 04/16/2018
WEINSTEIN 1497722631 1679587679 03/08/2021
DVORAK 1811154347 1770539066 11/05/2018
HECHT 1417107517 1720177066 09/23/2019
PAUL 1962687236 1063525152 08/21/2017
KAMAL 1770550733 1598720369 11/06/2017
ADELL 1205881430 1033124961 04/06/2020
PYLYPIV 1316231210 1417027558 01/28/2019
LEUNG 1598928160 1417027558 02/05/2018
GRANT 1669802500 1083664221 11/11/2019
Page 882 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 5 10038 NEW YORK
8500 2021 2 10038 NEW YORK
21250 2016 1 12307 SCHENECTADY
8500 2018 5 12208 ALBANY
-8500 2017 5 12304 SCHENECTADY
8500 2017 4 11216 KINGS
21250 2016 1 13440 ONEIDA
8500 2018 5 10532 WESTCHESTER
8500 2020 6 10034 NEW YORK
8500 2017 2 13617 ST.LAWRENCE
8500 2017 4 10003 NEW YORK
8500 2017 3 14642 MONROE
8500 2016 3 11366 QUEENS
8500 2020 4 10038 NEW YORK
8500 2017 6 13210 ONONDAGA
8500 2018 6 11249 KINGS
8500 2015 4 10467 BRONX
8500 2015 5 12801 WARREN
8500 2019 2 10038 NEW YORK
8500 2017 2 10456 BRONX
8500 2015 2 10457 BRONX
8500 2018 3 13326 OTSEGO
Page 883 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
VOLETI VENKATESWARARAO MD (42.809233, -73.946838) 74 2142 42
ORAFIDIYA ADEBOLA O MD (40.65642, -73.950691) 809 2090 31
ROME MEDICAL GROUP PC (43.149482, -75.361773) 1281 625 40
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
AYANRUOH STEVE T MD (40.726966, -74.005966) 737 2095 50
UCPA OF THE NORTH COUNTRY (44.689468, -75.242045) 1581 2140 41
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
AGRAWAL NARAYAN DAS MD (40.749338, -73.789673) 828 2137 11
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
G F PEDIATRIC CONSULTANTS PC (43.403024, -73.716044) 128 2183 35
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
Page 884 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
617
1 573
617
37 27
794
224
37 108
919
37 108
50 844
37 111
37 108
755
37 27
37 176
522
37 108
37 176
37 176
529
Page 885 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ROXANA
NURSE PRACTITIONER THERESA
PHYSICIAN SOUSAN
PHYSICIAN MARTIN
PHYSICIAN JAY
NURSE PRACTITIONER NISHA
PHYSICIAN KAREN
PHYSICIAN SUN
PHYSICIAN DAVID
PHYSICIAN KATHERINE
PHYSICIAN YONG
PHYSICIAN JOHN
DENTIST PATRICK
PHYSICIAN MEHMET
PHYSICIAN JOSEPH
DENTIST RICHARD
PHYSICIAN BASMA
DENTIST ANDERSON
PHYSICIAN MARJORY
PHYSICIAN OLGA
DENTIST ROBERT
Page 886 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RUIZCARO-CHAVEZ 1538256268 1801803903 12/02/2019
OUTMAN 1619384328 1083664221 08/17/2020
NUMANN 1740340090 1477505220 09/25/2017
WARSHAWSKY 1265446850 1063426377 01/25/2021
BERGER 1922268200 1063525152 10/25/2021
PRADEEP 1023455995 1801803903 12/31/2018
GRIFFITH 1184720310 1043224355 09/11/2017
PARK 1124177829 1063525152 04/05/2021
CULANG 1336297886 1992908396 01/15/2018
WIGHTMAN 1467489880 1982659470 01/21/2019
HE 1174555486 1972803328 04/23/2018
MAGUIRE 1063583649 1023024882 05/10/2021
BIVONA 1649649856 1164555124 01/06/2020
TOSYALI 1639468143 1073535027 08/07/2017
MODRAK 1801820162 1346285657 08/07/2017
SPEISMAN 1053335760 1255360517 10/02/2017
FARIS 1073748448 1619341716 03/25/2019
HUANG 1306947825 1164555124 02/18/2019
ALABRE 1497724496 1063525152 10/02/2017
STEKLOVA 1508866195 1760436190 03/26/2018
DANTI 1982748422 1164555124 08/31/2020
Page 887 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 3 10038 NEW YORK
8500 2019 4 13326 OTSEGO
8500 2015 4 11414 QUEENS
8500 2020 5 10038 NEW YORK
8500 2021 3 10467 BRONX
8500 2017 2 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2020 5 10467 BRONX
8500 2015 3 10003 NEW YORK
8500 2017 5 11733 SUFFOLK
8500 2016 4 11220 KINGS
8500 2020 3 10038 NEW YORK
8500 2018 2 10010 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2015 4 14642 MONROE
8500 2015 2 14534 MONROE
8500 2017 4 11220 KINGS
8500 2017 2 10010 NEW YORK
8500 2015 4 10591 WESTCHESTER
8500 2016 4 10001 NEW YORK
8500 2019 4 10010 NEW YORK
Page 888 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
STONY BROOK FAMILY MED GRP UFPC (40.820237, -73.119032) 1421 2179 3
YONG KANG MEDICAL PLLC (40.65642, -73.950691) 809 2090 31
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
STRONG MEMORIAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
PREMIER HEALTHCARE D & T CTR (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
Page 889 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
529
37 111
37 108
37 176
37 108
37 108
37 176
37 108
137
37 27
37 108
37 108
37 108
50 844
50 844
37 27
37 108
224
37 108
37 108
Page 890 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN BETHANY
PHYSICIAN LISA
PHYSICIAN MARITZA
CERTIFIED NURSE MIDWIFE CYNTHIA
PHYSICIAN SYLVESTER
PHYSICIAN DIANA
PHYSICIAN VILMA
PHYSICIAN AMANDA
PHYSICIAN THAYANI
DENTIST JACLYN
PHYSICIAN JENNIFER
PHYSICIAN DIPAK
CERTIFIED NURSE MIDWIFE ANNE
DENTIST PETER
PHYSICIAN ANDREE
PHYSICIAN DAVID
PHYSICIAN SHAWN
PHYSICIAN JOOYOUNG
DENTIST RBEEA
PHYSICIAN ANDREY
Page 891 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BRODERICK 1407804834 1396711982 04/12/2021
MALTER 1487852158 1073535027 11/08/2021
BROWN 1538108006 1063426377 02/08/2021
FRIEDMAN 1043240971 1083639587 05/14/2018
OZOUDE 1023197621 1023197621 11/06/2017
SHERMAN 1942536537 1942536537 09/11/2017
VAS 1114246873 1801857172 09/09/2019
SAMMUT 1568792406 1033124961 08/26/2019
DHAYAPARAN 1184710584 1801803903 01/07/2019
PARK 1588785521 1164555124 02/25/2019
BARR 1649596362 1790727543 03/26/2018
BANKER 1851374870 1851374870 08/21/2017
GIBEAU 1437228137 1679587679 11/01/2021
ANTONELLIS 1851474142 1437231693 11/13/2017
JACOBS-PERKINS 1043272321 1255360517 08/14/2017
SLINGERLAND 1215157235 1013928159 08/07/2017
ALLEN 1548423577 1437105905 09/04/2017
SHIN 1821037961 1063525152 11/11/2019
KHAN 1487887246 1700161338 12/03/2018
APINIS 1013999150 1063525152 10/11/2021
Page 892 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 5 12307 SCHENECTADY
8500 2021 5 10038 NEW YORK
8500 2020 5 10038 NEW YORK
8500 2015 3 12534 COLUMBIA
8500 2015 3 11423 QUEENS
21250 2016 1 12078 FULTON
8500 2018 2 11554 NASSAU
8500 2018 2 10038 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2017 2 10010 NEW YORK
8500 2016 2 14214 ERIE
8500 2015 4 10927 ROCKLAND
8500 2021 5 10038 NEW YORK
21250 2016 1 10456 BRONX
8500 2015 4 14607 MONROE
8500 2015 5 12803 SARATOGA
8500 2015 2 11790 SUFFOLK
8500 2018 2 10467 BRONX
-21250 2014 1 11419 QUEENS
8500 2021 4 10467 BRONX
Page 893 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
OZOUDE SYLVESTER A MD (40.749338, -73.789673) 828 2137 11
SHERMAN DIANA (43.06014, -74.331296) 1227 2085 42
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
SISTERS OF CHARITY HOSP (42.888143, -78.795544) 62 2041 63
BANKER DIPAK MD (41.127287, -74.017033) 1546 628 27
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
WARRENSBURG HEALTH CENTER (43.00894, -73.786779) 1148 2141 42
STONY BROOK PSYCHIATRIC ASSOC
UFPC
(40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LIBERTY 786 DENTISTRY PLLC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 894 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
617
37 108
37 108
388
37 111
830
93
37 108
37 108
37 108
646
154
37 108
37 176
50 844
733
137
37 176
37 111
37 176
Page 895 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN RAYMOND
PHYSICIAN FAYE
DENTIST NAHID
PHYSICIAN HAROLD
PHYSICIAN OLADAPO
PHYSICIAN OKSANA
PHYSICIAN ALEXANDER
DENTIST DANIEL
PHYSICIAN PIERRE
PHYSICIAN KRISTIN
PHYSICIAN MARK
PHYSICIAN TERESITA
PHYSICIAN HILLEL
PHYSICIAN VALENTIN
PHYSICIAN KIMBERLY
PHYSICIAN MARK
PHYSICIAN ROBERT
DENTIST LOUIS
PHYSICIAN ALAN
PHYSICIAN DESMOND
PHYSICIAN RONNI
Page 896 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ST FELIX 1356372775 1508812892 11/04/2019
KOKOTOS 1962572164 1063525152 02/05/2018
NEMAN 1750372371 1750372371 06/11/2018
KANTHOR 1316993090 1255360517 06/18/2018
BABATUNDE 1083857593 1417027558 04/16/2018
PYLYPIV 1316231210 1417027558 01/20/2020
BEYLINSON 1124048707 1700037975 08/05/2019
KANG 1699756866 1972781375 12/23/2019
JEAN CHARLES 1093949869 1255360517 09/23/2019
SWEDISH 1245464239 1063525152 04/19/2021
SETHNA 1144251729 1306954631 01/28/2019
GO 1144259565 1144259565 09/18/2017
ISSEROFF 1629287990 1003978230 01/08/2018
KOLEV 1700070380 1467865063 11/04/2019
JACKSON 1518129097 1881789014 11/13/2017
TRAVIN 1275637597 1063525152 06/22/2020
POST 1164479614 1952332801 09/18/2017
SURACE 1295792414 1295792414 08/28/2017
STEINBERG 1225022072 1609863687 03/26/2018
FRANCIS 1659506111 1407892342 07/09/2018
LIEBERMAN 1801994637 1063426377 11/25/2019
Page 897 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 6 11418 QUEENS
8500 2016 5 10467 BRONX
-21250 2013 1 11021 NASSAU
8500 2016 4 14580 MONROE
21250 2015 1 10457 BRONX
8500 2018 3 10456 BRONX
-8500 2014 3 10306 RICHMOND
8500 2018 2 13901 BROOME
8500 2018 6 14605 MONROE
8500 2020 5 10466 BRONX
8500 2017 6 11101 QUEENS
8500 2015 5 11208 KINGS
8500 2015 5 11213 KINGS
8500 2018 5 10003 NEW YORK
8500 2016 4 14207 ERIE
8500 2019 2 10467 BRONX
8500 2015 3 10032 NEW YORK
21250 2016 1 14094 NIAGARA
8500 2016 2 11720 SUFFOLK
8500 2016 4 13440 ONEIDA
8500 2018 3 10038 NEW YORK
Page 898 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JAMAICA ANESTHESIA PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEMAN NAHID DDS (40.715749, -73.601185) 1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
AMBOY MEDICAL PRACTICE PC (40.566763, -74.148102) 609 2139 47
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FLOATING HOSPITAL (40.749338, -73.789673) 828 2137 11
GO TERESITA ALO MD (40.65642, -73.950691) 809 2090 31
ELI ROSEN MD PC (40.65642, -73.950691) 809 2090 31
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
NORTHWEST BUFFALO COMM H C (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
SURACE LOUIS ANTHONY DDS (43.134634, -78.856419) 1107 2131 62
EAST END NEUROPSYCHIATRIC
ASSOCIATE
(40.820237, -73.119032) 1421 2179 3
ROME MEDICAL GROUP PC (43.149482, -75.361773) 1281 625 40
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 899 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 176
93
50 844
37 176
37 176
37 7
346
50 844
37 176
37 111
37 27
37 27
37 108
646
37 176
37 108
835
137
794
37 108
Page 900 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MINDY
PHYSICIAN YARDAENA
PHYSICIAN JOSEPH
NURSE PRACTITIONER ELIZABETH
PHYSICIAN VANESSA
PHYSICIAN NOELLE
PHYSICIAN TRANICE
PHYSICIAN JACQUELINE
DENTIST SHALOM
PHYSICIAN SHAHEEN
NURSE PRACTITIONER REBECCA
CERTIFIED NURSE MIDWIFE JULIE
PHYSICIAN SARAH
PHYSICIAN IYA
PHYSICIAN ERIC
NURSE PRACTITIONER MARGOT
PHYSICIAN GUARIONEX
PHYSICIAN ALEXANDRE
PHYSICIAN RENEE
PHYSICIAN COLLEEN
PHYSICIAN GEORGE
PHYSICIAN BEVERLEY
Page 901 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KATZ 1134283385 1679587679 11/18/2019
OSBAND 1710184833 1467454967 04/27/2020
RAVENELL 1326017807 1073535027 09/25/2017
GARCIA 1588820120 1588820120 02/11/2019
PRATOMO 1801109814 1063525152 10/28/2019
STEVENS 1699789164 1013928159 08/06/2018
JACKSON 1366508855 1427063270 11/22/2021
DELMONT 1144210196 1922050749 12/25/2017
BLOBSTEIN 1043607559 1043607559 01/14/2019
RAHMAN 1780694737 1801803903 09/04/2017
WHITE 1184869059 1053588988 08/28/2017
DRAKE 1518187848 1194832477 12/16/2019
BETSTADT 1205882859 1184668311 04/16/2018
CHIKVASHVILI 1851323331 1063426377 05/04/2020
FORNARI 1760505481 1063525152 08/21/2017
MARRERO-STEIN 1861662975 1467454967 04/19/2021
DECASTRO 1679733463 1679733463 09/23/2019
ANDREITCHOUK 1952585044 1255360517 06/18/2018
SPIEGEL 1689680399 1063426377 01/14/2019
DENNY 1518233709 1073535027 06/07/2021
OPIO 1538225883 1720177066 09/04/2017
SHEARES 1629041744 1447518550 07/31/2017
Page 902 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
8500 2019 6 10532 WESTCHESTER
21250 2015 1 10038 NEW YORK
8500 2017 3 10031 NEW YORK
8500 2018 4 10463 BRONX
8500 2016 6 12307 SCHENECTADY
8500 2021 4 10038 NEW YORK
8500 2016 3 11520 NASSAU
8500 2017 2 11581 NASSAU
21250 2016 1 10038 NEW YORK
21250 2016 1 10036 NEW YORK
8500 2018 5 10032 NEW YORK
8500 2016 6 14642 MONROE
8500 2019 3 10038 NEW YORK
8500 2015 3 10467 BRONX
8500 2020 2 10532 WESTCHESTER
8500 2018 4 10032 NEW YORK
8500 2016 4 14513 WAYNE
8500 2017 2 10038 NEW YORK
8500 2020 4 10038 NEW YORK
21250 2016 1 11249 KINGS
8500 2015 4 10032 NEW YORK
Page 903 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UZOR ELIZABETH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WARRENSBURG HEALTH CENTER (42.809233, -73.946838) 74 2142 42
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
JACQUELINE DELMONT MD PC (40.715749, -73.601185) 1455 2094 6
BLOBSTEIN SHALOM (40.715749, -73.601185) 1455 2094 6
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
COVENANT HOUSE (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
STRONG OB GYN GROUP (43.161748, -77.620143) 1666 2093 56
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
DECASTRO GUARIONEX JOEL (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
Page 904 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
224
37 108
37 108
37 176
617
37 108
93
93
37 108
37 108
37 108
50 844
37 108
37 176
224
37 108
809
37 108
37 108
37 27
37 108
Page 905 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST HOWARD
PHYSICIAN MOIRA
NURSE PRACTITIONER LAUREN
PHYSICIAN HASINA
PHYSICIAN REYNOLD
NURSE PRACTITIONER ELSA
PHYSICIAN JOHN
PHYSICIAN THEOPHINE
PHYSICIAN YANNA
PHYSICIAN DARAKHSHAN
PHYSICIAN ELLIE
PHYSICIAN ROSEANNE
PHYSICIAN VAUGHN
PHYSICIAN NICHOLAS
PHYSICIAN LYCIA
PHYSICIAN NORMAN
PHYSICIAN IYA
PHYSICIAN MARY
PHYSICIAN THOMAS
PHYSICIAN DONNA
PHYSICIAN SAKINA
Page 906 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BOGAN 1619947025 1619947025 02/14/2020
RASHID 1578900767 1295729408 06/26/2017
WOLF 1710393202 1881789014 08/07/2017
HAROON 1053345223 1801949706 01/29/2018
LOPEZ-SOLER 1871769398 1548290455 06/04/2018
DELILLE 1346410214 1437176047 12/23/2019
QUALE 1023003332 1043224355 12/02/2019
ABAKPORO 1972564813 1346380870 09/18/2017
BENIYAMINOV 1720218670 1467454967 01/01/2018
SHAMSIE 1821033481 1740220698 05/28/2018
CARMODY 1669679494 1073535027 05/10/2021
NEGLIO 1477555902 1063525152 03/18/2019
FOLKERT 1245320084 1063525152 01/22/2018
ROGU 1922196948 1417983024 01/01/2018
RYDER 1326051566 1083660575 12/24/2018
OZERSKY 1962407478 1508812892 01/21/2019
DUBSON 1730327677 1124032982 09/27/2021
PARRAS 1588744064 1063525152 01/15/2018
MARINO 1912013475 1063426377 09/02/2019
FUTTERMAN 1982780250 1063525152 07/13/2020
OUEDRAOGO TALL 1114325701 1801803903 05/04/2020
Page 907 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
-21250 2015 1 11221 KINGS
21250 2016 1 10035 NEW YORK
21250 2015 1 14207 ERIE
21250 2016 1 11375 QUEENS
8500 2016 3 12208 ALBANY
8500 2018 3 10032 NEW YORK
8500 2018 2 10038 NEW YORK
21250 2015 1 11212 KINGS
8500 2016 3 10532 WESTCHESTER
21250 2016 1 14642 MONROE
8500 2020 4 10038 NEW YORK
8500 2017 6 10461 BRONX
8500 2016 6 10461 BRONX
8500 2015 4 11725 SUFFOLK
8500 2017 6 11794 SUFFOLK
8500 2017 3 11418 QUEENS
8500 2021 4 10038 NEW YORK
8500 2016 6 10538 WESTCHESTER
8500 2018 3 10038 NEW YORK
8500 2019 4 10467 BRONX
8500 2019 4 10038 NEW YORK
Page 908 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BOGAN HOWARD A DDS (40.65642, -73.950691) 809 2090 31
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
NORTHWEST BUFFALO COMM H C (42.888143, -78.795544) 62 2041 63
BLEULER PSYCHOTHERAPY CTR (40.749338, -73.789673) 828 2137 11
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
TRUSTEES OF COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BROOKDALE HSP MED CTR (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
JAMAICA ANESTHESIA PC (40.749338, -73.789673) 828 2137 11
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 909 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 108
646
37 111
1 573
37 108
37 108
37 27
224
50 844
37 108
37 176
37 176
137
137
37 111
37 108
224
37 108
37 176
37 108
Page 910 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN EUGENE
PHYSICIAN JEONG
PHYSICIAN PEER
PHYSICIAN NARAYAN
NURSE PRACTITIONER JONA
NURSE PRACTITIONER WENDY
PHYSICIAN NANNA
PHYSICIAN CANER
NURSE PRACTITIONER TARA
PHYSICIAN KARI
PHYSICIAN CAROLINE
PHYSICIAN DAVID
DENTIST JOANA
NURSE PRACTITIONER CHRISTINE
PHYSICIAN ALICE
NURSE PRACTITIONER RUTH
PHYSICIAN ANURADHA
PHYSICIAN JENNIFER
PHYSICIAN KAMI
PHYSICIAN JESSICA
DENTIST BIANCA
Page 911 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KHAIT 1437333481 1124032982 10/07/2019
LEE 1366596132 1720177066 01/14/2019
DAR 1801976386 1063525152 04/19/2021
AGRAWAL 1568438570 1568438570 11/15/2021
PATALINO 1639222771 1003062043 12/25/2017
GEEHRENG 1598909079 1083660575 01/22/2018
OSEI TUTU 1477942597 1821045485 05/07/2018
DINLENC 1730162173 1467655878 08/21/2017
MAGEE 1518310499 1174860761 02/19/2018
ANDERSON 1821159872 1063525152 09/30/2019
HWANG 1811102718 1427063270 11/01/2021
CANCEL 1922343078 1063525152 11/27/2017
FORSEA 1417368283 1164555124 07/05/2021
COLE OLSEWSKI 1437201571 1467454967 02/22/2021
GUO 1356653711 1063525152 04/05/2021
CICCATERI 1780779611 1376618843 08/19/2019
DULEEP 1215174362 1518907096 10/29/2018
STANGER 1366840787 1376590117 12/25/2017
KIM 1477638252 1679587679 10/09/2017
RIEDER 1053496414 1063525152 09/11/2017
FREDERICK 1881950053 1437231693 11/06/2017
Page 912 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 3 10038 NEW YORK
8500 2017 6 11249 KINGS
8500 2020 5 10461 BRONX
-8500 2017 4 11366 QUEENS
8500 2016 2 13210 ONONDAGA
8500 2016 2 11940 SUFFOLK
21250 2016 1 11433 QUEENS
8500 2015 4 10003 NEW YORK
21250 2016 1 13421 MADISON
8500 2018 4 10461 BRONX
8500 2021 5 10038 NEW YORK
8500 2016 2 10467 BRONX
8500 2020 5 10010 NEW YORK
8500 2020 4 10532 WESTCHESTER
8500 2020 6 10467 BRONX
8500 2018 6 12305 SCHENECTADY
8500 2017 6 13202 ONONDAGA
8500 2016 2 13210 ONONDAGA
21250 2016 1 10038 NEW YORK
8500 2015 5 10467 BRONX
21250 2016 1 10456 BRONX
Page 913 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
AGRAWAL NARAYAN DAS MD (40.749338, -73.789673) 828 2137 11
UPSTATE UROLOGY, INC (43.065629, -76.168033) 713 2132 43
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
MEDISYS FAMILY CARE (40.749338, -73.789673) 828 2137 11
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
ONEIDA MEDICAL SERVICES PLLC (42.986917, -75.720031) 351 2092 46
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PLANNED PTHD MOHAWK HUDSON (42.809233, -73.946838) 74 2142 42
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
Page 914 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
37 176
37 111
755
137
37 111
37 108
723
37 176
37 108
37 176
37 108
224
37 176
617
755
755
37 108
37 176
37 176
Page 915 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SEHAR
PHYSICIAN MARY
PHYSICIAN JOHN
NURSE PRACTITIONER CAROLYN
NURSE PRACTITIONER GLORIA
PHYSICIAN HEYI
PHYSICIAN HENRY
PHYSICIAN JESIRENO
PHYSICIAN CARLENE
PHYSICIAN FJONA
PHYSICIAN EDWIN
NURSE PRACTITIONER CASSONDRA
PHYSICIAN IFFAT
PHYSICIAN SARA
DENTIST ANDRE
NURSE PRACTITIONER JOHANNA
PHYSICIAN NARASIMHAN
PHYSICIAN ROBIN
PHYSICIAN HILLARY
PHYSICIAN ERIK
Page 916 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EJAZ 1649567462 1801857172 09/13/2021
MALLAPPALLIL 1578586392 1043224355 09/06/2021
RAUSCH 1093752263 1194832477 06/11/2018
DICKINSON 1932545720 1184725525 06/08/2020
FLUELLEN 1447280235 1205084969 03/26/2018
LU 1659667863 1659667863 03/16/2020
TALUS 1285650655 1124032982 02/04/2019
LUMBAB 1255328043 1578612412 01/28/2019
BRODERICK 1093890485 1063525152 10/11/2021
FUNDO 1629237136 1417027558 01/20/2020
TAVAREZ 1295732386 1063525152 10/18/2021
MEJAK 1295907905 1255360517 10/07/2019
SADIQUE 1104845155 1104845155 05/25/2020
NASH 1851559827 1194832477 01/28/2019
MONTAZEM 1740242437 1063426377 09/09/2019
STUMP 1144552183 1346286895 11/19/2018
NARASIMHAN 1598708463 1174733539 09/18/2017
REISTER 1740568369 1902009319 08/28/2017
CLARKE 1487665485 1124032982 02/04/2019
PEREZ 1659642015 1801803903 05/12/2021
Page 917 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 6 11554 NASSAU
8500 2021 3 10004 NEW YORK
8500 2016 5 10032 NEW YORK
8500 2019 5 14642 MONROE
8500 2016 6 14642 MONROE
8500 2019 5 11354 QUEENS
8500 2017 2 10038 NEW YORK
8500 2017 2 11212 KINGS
8500 2021 3 10467 BRONX
8500 2018 5 10457 BRONX
8500 2021 3 10467 BRONX
8500 2018 6 14621 MONROE
8500 2019 5 11432 QUEENS
8500 2017 2 10032 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2017 6 14642 MONROE
21250 2016 1 11510 NASSAU
8500 2015 2 10003 NEW YORK
8500 2017 2 10038 NEW YORK
-21250 2016 1 10038 NEW YORK
Page 918 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
UNIVERSITY OF ROCHESTER OBGYN
SUBSP
(43.161748, -77.620143) 1666 2093 56
LU HEYI (40.749338, -73.789673) 828 2137 11
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
SADIQUE IFFAT MD (40.749338, -73.789673) 828 2137 11
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PEDIATRIC DEVELOPMENT CLINIC (43.161748, -77.620143) 1666 2093 56
SOUTH SHORE ASOC IND LIV INC (40.715749, -73.601185) 1455 2094 6
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
Page 919 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 108
37 108
50 844
50 844
37 111
37 108
37 27
37 176
37 176
37 176
50 844
37 111
37 108
37 108
50 844
93
37 108
37 108
37 108
Page 920 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JASILIN
PHYSICIAN LEI
PHYSICIAN JOSE
NURSE PRACTITIONER PAULINE
NURSE PRACTITIONER MONICA
PHYSICIAN JAY
PHYSICIAN ALEKSANDR
NURSE PRACTITIONER BOLANLE
PHYSICIAN JOHN
NURSE PRACTITIONER CHRISTINA
PHYSICIAN SARAH
PHYSICIAN MEGAN
NURSE PRACTITIONER VALERIE
PHYSICIAN JENNY
PHYSICIAN ALWYN
PHYSICIAN LISA
PHYSICIAN JEFFREY
NURSE PRACTITIONER CHRISTINA
PHYSICIAN WEI PING
PHYSICIAN KATHLEEN
PHYSICIAN BARBARA
Page 921 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MATHEW 1891800439 1417983024 02/11/2019
DING 1831143726 1831143726 11/26/2018
TAVERAS 1205072881 1063525152 06/15/2020
DEVENDORF 1538196324 1235170150 11/06/2017
VELASCO 1659697753 1508266347 07/05/2021
ZASLOW 1780627729 1467487637 08/21/2017
ROZENBERG 1063406486 1043224355 09/06/2021
BELLO 1013160613 1528093242 06/12/2017
DZIK 1659346948 1255378493 04/16/2018
DURNEY 1003091257 1750352381 10/23/2017
NOSAL 1710034830 1295729408 12/17/2018
MCMULLAN 1922057462 1295729408 08/07/2017
MICHAUD 1457598005 1619341716 10/09/2017
FRANCIS 1316235666 1194832477 03/19/2018
COHALL 1457324295 1194832477 07/31/2017
FORMAN 1639101777 1063426377 08/23/2021
PASSICK 1023011368 1013924372 04/13/2020
KAY 1659386472 1013928159 07/31/2017
LIN 1356614697 1033124961 09/02/2019
WALSH 1386871200 1083660575 01/08/2018
MENDEZ-AGRUSA 1407015480 1679587679 09/04/2017
Page 922 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 6 11725 SUFFOLK
8500 2017 5 11354 QUEENS
8500 2019 2 10467 BRONX
8500 2015 4 13202 ONONDAGA
8500 2020 6 10032 NEW YORK
8500 2015 2 10509 PUTNAM
8500 2021 3 10038 NEW YORK
21250 2016 1 11743 SUFFOLK
8500 2016 5 14225 ERIE
21250 2016 1 10065 NEW YORK
8500 2017 6 10452 BRONX
8500 2015 4 12401 ULSTER
8500 2015 2 11220 KINGS
8500 2016 2 10128 NEW YORK
8500 2015 3 10032 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2015 4 12885 WARREN
8500 2018 2 10038 NEW YORK
8500 2016 2 11794 SUFFOLK
21250 2016 1 10038 NEW YORK
Page 923 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
DING LEI MD (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.41131, -73.717443) 1201 627 29
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
FAMILY SVC LEAGUE SUFFOLK CTY (40.820237, -73.119032) 1421 2179 3
GENESEE TRANSIT PED LLP LLC (42.888143, -78.795544) 62 2041 63
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
Page 924 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
137
37 111
37 176
755
37 108
272
37 108
137
646
37 108
37 176
198
37 27
37 108
37 108
37 108
37 108
522
37 108
137
37 108
Page 925 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MICHAEL
PHYSICIAN MARC
DENTIST BENN
PHYSICIAN NICOLE
PHYSICIAN NATALYA
PHYSICIAN PAUL
PHYSICIAN OWEN
PHYSICIAN RAYMA
NURSE PRACTITIONER ANN
PHYSICIAN RITA
PHYSICIAN VIJAYAKUMAR
PHYSICIAN JAN
DENTIST KEI
NURSE PRACTITIONER COLETTE
PHYSICIAN VIJAY
PHYSICIAN JOHN
NURSE PRACTITIONER JANICE
PHYSICIAN SOULA
PHYSICIAN SHARON
PHYSICIAN ELISA
Page 926 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DUDKIEWICZ 1629221338 1568664928 09/18/2017
GOTTLIEB 1104803287 1184670465 01/21/2019
LIEBERMAN 1255489977 1679587679 11/25/2019
PEARLSTEIN 1588743959 1801803903 05/24/2021
GOLDSHTEYN 1588775183 1770534984 07/30/2018
SALADINO 1306951736 1306951736 01/20/2020
KIERAN 1578551834 1073535027 05/10/2021
BURNETT-BIGLANE 1639254741 1013035112 02/18/2019
LOVECCHIO 1508924747 1881761484 02/12/2018
DIAZ 1346318649 1013924372 06/21/2021
ALLA 1598748592 1598748592 08/02/2021
WALKER 1346253986 1255360517 10/21/2019
LAM 1902874290 1144403734 12/29/2017
RUSSEN 1780042606 1477764496 07/31/2017
BATTU 1396844080 1396844080 01/29/2018
HARDIN 1013092881 1063525152 04/05/2021
GORDON-SIMPSON 1194895383 1063525152 03/11/2019
PRIOVOLOS 1497892798 1427063270 12/23/2019
SAMUELS 1235213091 1548290455 09/04/2017
WU 1689942005 1710135686 11/19/2018
Page 927 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 10019 NEW YORK
8500 2017 5 11418 QUEENS
8500 2018 2 10038 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2016 2 11215 KINGS
8500 2018 3 12550 ORANGE
8500 2020 4 10038 NEW YORK
8500 2017 5 12550 ORANGE
8500 2016 4 14901 CHEMUNG
8500 2020 2 10038 NEW YORK
8500 2021 6 10455 BRONX
8500 2018 6 14589 WAYNE
-21250 2013 1 10023 NEW YORK
21250 2016 1 10002 NEW YORK
8500 2015 3 10022 NEW YORK
8500 2020 4 10467 BRONX
8500 2017 5 10467 BRONX
8500 2018 2 10038 NEW YORK
8500 2015 5 12208 ALBANY
8500 2017 4 11354 QUEENS
Page 928 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SLRHC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
PARK SLOPE MEDICINE P C (40.65642, -73.950691) 809 2090 31
SALADINO PAUL I MD (41.422459, -74.241929) 1496 2134 32
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PP OF MID-HUDSON VALLEY INC (41.422459, -74.241929) 1496 2134 32
PLANNED PARENTHOOD SO FINGER
LAKES
(42.116644, -76.812331) 926 2036 58
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALLA VIJAYAKUMAR MD (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
CIRCLE FAMILY DENTAL PC (40.726966, -74.005966) 737 2095 50
COMMUNITY HEALTHCARE NETWORK (40.726966, -74.005966) 737 2095 50
BATTU VIJAY K MD (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
FLUSHING RADIATION ONCOLOGY
SERVICE
(40.749338, -73.789673) 828 2137 11
Page 929 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 108
37 27
76
37 108
76
315
37 108
37 176
809
37 108
37 108
37 108
37 176
37 176
37 108
1 573
37 111
Page 930 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ASLAM
PHYSICIAN LISA
DENTIST WINARDO
PHYSICIAN JONATHAN
PHYSICIAN CHANDAK
NURSE PRACTITIONER STACEY
PHYSICIAN RAHUL
PHYSICIAN PETER
DENTIST SHELDON
PHYSICIAN JENNIFER
PHYSICIAN ANDREW
PHYSICIAN RAVI
PHYSICIAN PATRICK
PHYSICIAN MANISHA
NURSE PRACTITIONER OLGA
PHYSICIAN CAROL
PHYSICIAN DENNIS
NURSE PRACTITIONER NEDA
PHYSICIAN MAUDINA
DENTIST OLIVIER
PHYSICIAN ALEXANDRA
Page 931 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JIVANI 1750392411 1528192515 08/19/2019
MERLIN 1619954518 1043224355 09/06/2021
LOMBOY 1063620425 1962716050 04/30/2018
SCHWARTZ 1215945738 1063525152 10/28/2019
GHOSH 1336221886 1801803903 08/03/2020
FLENORY 1942758610 1396711982 01/14/2019
SETH 1033184692 1063468239 08/28/2017
COLE 1376553057 1063525152 09/18/2017
WINIK 1417179151 1386714228 04/23/2018
KNISHINSKY 1194982280 1073535027 06/07/2021
TING 1477520294 1063426377 10/04/2021
KAVUDA 1053690313 1063557189 08/28/2017
HAMMILL 1851341739 1043224355 09/20/2021
JAIN 1487892626 1427063270 07/27/2020
BADALOVA 1962663385 1063426377 01/25/2021
WITTLIEB-WEBER 1710164827 1316986391 03/19/2018
GREENBAUM 1114959087 1033124961 07/10/2017
BEHROUZI 1780090027 1295729408 07/03/2017
GUMBS 1386932309 1063525152 11/27/2017
NICOLAY 1073863015 1164555124 02/25/2019
GOLANT 1831498039 1467486449 09/21/2021
Page 932 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 5 11373 QUEENS
8500 2021 2 10038 NEW YORK
8500 2015 2 11575 NASSAU
8500 2018 6 10467 BRONX
8500 2019 3 10038 NEW YORK
8500 2017 2 12307 SCHENECTADY
8500 2015 4 13210 ONONDAGA
8500 2015 3 10467 BRONX
8500 2016 4 10595 WESTCHESTER
8500 2020 3 10038 NEW YORK
8500 2021 3 10004 NEW YORK
8500 2015 2 13905 BROOME
8500 2021 3 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2020 5 10038 NEW YORK
8500 2016 2 14642 MONROE
21250 2016 1 10038 NEW YORK
21250 2016 1 10035 NEW YORK
8500 2016 2 10461 BRONX
8500 2017 2 10010 NEW YORK
-8500 2021 5 10035 NEW YORK
Page 933 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
VXL MEDICAL CARE PC (40.749338, -73.789673) 828 2137 11
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HEMPSTEAD COMMUNITY HC HEMPSTEAD (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -73.805386) 1440 2185 53
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LOURDES HOSPITAL OB GROUP (42.122015, -75.933191) 479 2033 45
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PEDIATRIC CARDIOLOGY U OF R (43.161748, -77.620143) 1666 2093 56
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
EAST HARLEM COUNCIL HUM SERV (40.726966, -74.005966) 737 2095 50
Page 934 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
93
37 176
37 108
617
755
37 176
224
37 108
37 108
346
37 108
37 108
37 108
50 844
37 108
37 108
37 176
37 108
37 108
Page 935 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER JESSICA
PHYSICIAN OLGA
PHYSICIAN AVI
PHYSICIAN SEEMA
PHYSICIAN BASMA
PHYSICIAN CATHIE
DENTIST YVES
PHYSICIAN ROMAN
PHYSICIAN ANGELIKI
PHYSICIAN ALEXANDER
PHYSICIAN THOMAS
NURSE PRACTITIONER KATHLEEN
PHYSICIAN BARRY
PHYSICIAN SARIKA
PHYSICIAN NABIL
PHYSICIAN BENJAMIN
PHYSICIAN LAURI
PHYSICIAN HESHAM
NURSE PRACTITIONER CASSIDIE
PHYSICIAN RYAN
PHYSICIAN ALEX
PHYSICIAN AMIT
Page 936 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MCWALTERS 1245573872 1063525152 04/19/2021
GOLUBOVSKAYA 1578643185 1124032982 05/11/2020
SILBER 1508941980 1689669079 11/27/2017
MINHAS 1710058821 1396059499 03/09/2020
FARIS 1073748448 1619341716 10/02/2017
GROSS 1710079546 1396059499 02/01/2021
CONTE 1073615894 1073615894 10/11/2021
ZELTSER 1780751172 1801857172 05/18/2020
PESIRIDOU 1487967345 1306898432 06/12/2017
BRUN 1164735072 1164735072 08/05/2019
PAONE 1174597967 1487604963 12/30/2019
GALLAWAY 1982663456 1245246644 04/23/2018
KOHN 1497941181 1619341716 08/13/2018
MODI 1992902142 1073535027 02/19/2018
SUMRANI 1215915822 1538116082 01/08/2018
HAMMOND 1467652933 1649428400 11/11/2019
BUDNICK 1326075367 1538114723 08/28/2017
MASOUD 1356505523 1518907096 10/29/2018
LI 1831476852 1952332801 12/03/2018
ENGDAHL 1750585428 1033124961 11/18/2019
STEPENSKY 1669679270 1124032982 09/13/2021
BHARGAVA 1679796999 1063525152 01/08/2018
Page 937 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 3 10451 BRONX
8500 2019 4 10038 NEW YORK
8500 2016 4 12518 ORANGE
8500 2019 2 11575 NASSAU
8500 2015 2 11220 KINGS
8500 2020 4 11575 NASSAU
8500 2021 5 11432 QUEENS
8500 2019 3 11554 NASSAU
21250 2016 1 10011 NEW YORK
8500 2018 3 11235 KINGS
8500 2018 3 11215 KINGS
8500 2015 4 14830 STEUBEN
8500 2016 2 11220 KINGS
21250 2015 1 10038 NEW YORK
21250 2015 1 11203 KINGS
8500 2018 6 14642 MONROE
8500 2015 3 11733 SUFFOLK
8500 2017 3 13210 ONONDAGA
8500 2017 2 10016 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2021 6 10038 NEW YORK
8500 2016 4 10467 BRONX
Page 938 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
CONTE YVES DDS (40.749338, -73.789673) 828 2137 11
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -74.005966) 737 2095 50
BRUN ALEXANDER (40.65642, -73.950691) 809 2090 31
PARK SLOPE OB/GYN PC (40.65642, -73.950691) 809 2090 31
GUTHRIE CLINIC LTD (42.270053, -77.324618) 1757 2178 58
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY PHYSICIANS BKLYN (40.65642, -73.950691) 809 2090 31
UNIVERSITY OF ROCHESTER PEDIATRIC (43.161748, -77.620143) 1666 2093 56
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
NEUROLOGY MEDICAL SVCS GRP (43.065629, -76.168033) 713 2132 43
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 939 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 108
76
93
37 27
93
37 111
93
37 108
37 27
37 27
454
37 27
37 108
37 27
50 844
137
755
37 108
37 108
37 108
37 176
Page 940 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MICHAEL
PHYSICIAN ROBIN
PHYSICIAN SAJJAD
PHYSICIAN STEVEN
PHYSICIAN MIRNOVA
PHYSICIAN ABAYOMI
PHYSICIAN YI-CHUN
PHYSICIAN LISA
NURSE PRACTITIONER WEIHONG
PHYSICIAN MARIA
NURSE PRACTITIONER DEBRA
PHYSICIAN PRAMOD
PHYSICIAN KIMBERLY
PHYSICIAN WUHUA
PHYSICIAN JAVED
PHYSICIAN MANUEL
NURSE PRACTITIONER ELLEN
PHYSICIAN RABEA
PHYSICIAN GAYATHRI
NURSE PRACTITIONER IBRAHIM
Page 941 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KORE 1972569259 1083664221 04/16/2018
DOYLE 1508948621 1407923873 11/27/2017
MOHAMMAD 1033290242 1558356741 01/21/2019
SILVER 1306846837 1548290455 06/11/2018
CEIDE 1184835779 1063525152 06/15/2020
SALAKO 1700976982 1417027558 04/30/2018
LEE 1841274131 1043224355 05/31/2021
MANDELKER 1962663047 1467454967 11/25/2019
LU 1265864755 1063426377 08/16/2021
GOMEZ 1164592374 1063525152 03/11/2019
FARENGA 1962430959 1063468239 07/13/2020
NARULA 1881774933 1780766964 04/30/2018
CARTMILL 1063703940 1679587679 11/18/2019
JING 1164447629 1164447629 04/30/2018
IQBAL 1841391737 1801857172 05/10/2021
GONZALEZ 1801193701 1700037975 05/14/2018
GOKEY 1235289422 1548290455 03/26/2018
KHEDIMI 1891043519 1063525152 11/11/2019
GARA 1952558777 1952558777 12/25/2017
THABET 1700189552 1063468239 11/19/2018
Page 942 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 5 13350 HERKIMER
8500 2015 4 12208 ALBANY
8500 2017 4 10458 BRONX
8500 2016 3 12208 ALBANY
8500 2019 3 10467 BRONX
8500 2016 3 10457 BRONX
8500 2020 2 10038 NEW YORK
8500 2018 4 10801 WESTCHESTER
8500 2021 5 10038 NEW YORK
8500 2017 2 10467 BRONX
8500 2019 6 13210 ONONDAGA
8500 2016 3 11215 KINGS
8500 2018 2 10038 NEW YORK
8500 2016 5 10038 NEW YORK
8500 2020 5 11554 NASSAU
21250 2016 1 10310 RICHMOND
8500 2015 5 12208 ALBANY
8500 2018 2 10467 BRONX
8500 2016 3 10305 RICHMOND
8500 2017 5 13210 ONONDAGA
Page 943 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARY IMOGENE BASSETT HSP (43.070026, -74.994246) 559 2088 44
CAPITAL DISTRICT PED CARD (42.678066, -73.814233) 40 2030 34
MEDALLIANCE MEDICAL HLTH SVC (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
PARK SLOPE PEDIATRIC MED PC (40.65642, -73.950691) 809 2090 31
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
JING WUHUA (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
AMBOY MEDICAL PRACTICE PC (40.566763, -74.148102) 609 2139 47
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GARA GAYATHRI (40.566763, -74.148102) 609 2139 47
DEPARTMENT OF MEDICINE MEDICAL (43.065629, -76.168033) 713 2132 43
Page 944 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
758
1 573
37 176
1 573
37 176
37 176
37 108
224
37 108
37 176
755
37 27
37 108
37 108
93
37 7
1 573
37 176
37 7
755
Page 945 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN FRANCINE
PHYSICIAN PHILIP
PHYSICIAN RONALD
PHYSICIAN MARIA ELENA
PHYSICIAN TALITHA
PHYSICIAN VIRGINIA
PHYSICIAN LAUREN
CERTIFIED NURSE MIDWIFE KATHERINE
NURSE PRACTITIONER MARIETTA
DENTIST SARI
PHYSICIAN DIMITRIS
NURSE PRACTITIONER KIM
PHYSICIAN MOHAMMAD
PHYSICIAN ANTHONY
PHYSICIAN CHRISTIAN
PHYSICIAN RAYMOND
PHYSICIAN NAEEM
PHYSICIAN MICHAEL
NURSE PRACTITIONER KATHERINE
CERTIFIED NURSE MIDWIFE DIANA
PHYSICIAN JACQUELINE
Page 946 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EINSTEIN 1235219718 1063525152 06/15/2020
WEISS 1194748822 1972877017 08/26/2019
EPSTEIN 1073545224 1740220698 08/14/2017
BANGHART 1588625172 1255360517 08/28/2017
BRUNEY 1992968796 1063525152 04/12/2021
CHUNG 1871657700 1679587679 06/14/2021
BRUCKNER 1053346841 1346285657 03/26/2018
BISHOP 1659301299 1619969458 08/21/2017
GOODLIFF 1801244397 1184664948 11/04/2019
ROSENWEIN 1750477964 1366589038 05/28/2018
GIANNARIS 1336321256 1427063270 07/27/2020
UTECH 1194861997 1366473183 07/31/2017
RAHMAN 1710996939 1619969458 08/28/2017
SAMPINO 1306877105 1619969458 02/26/2018
GONZALEZ 1568667160 1063525152 04/19/2021
WEDDERBURN 1750370524 1770823551 10/07/2019
AHMAD 1689618282 1063426377 01/18/2021
TANNER 1851460018 1073535027 06/07/2021
RICHEY 1407264625 1114164944 12/10/2018
TORRES 1083839831 1477505220 11/04/2019
PEREZ 1184727232 1619341716 02/18/2019
Page 947 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 3 10461 BRONX
8500 2018 6 12401 ULSTER
8500 2015 5 14642 MONROE
8500 2015 4 14607 MONROE
8500 2020 6 10461 BRONX
8500 2020 3 10038 NEW YORK
8500 2016 5 14642 MONROE
8500 2015 4 12508 DUTCHESS
8500 2018 3 14642 MONROE
8500 2016 2 11215 KINGS
8500 2019 2 10038 NEW YORK
21250 2016 1 14222 ERIE
8500 2015 2 11772 SUFFOLK
8500 2016 3 11798 SUFFOLK
8500 2020 6 10469 BRONX
8500 2018 6 10019 NEW YORK
8500 2020 5 10038 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2017 2 13669 ST.LAWRENCE
8500 2018 6 11418 QUEENS
8500 2017 3 11211 KINGS
Page 948 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SERV
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
THE INSTITUTE FOR FAMILY HEALTH (41.848374, -74.099412) 264 2182 32
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
STRONG MEMORIAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
STRONG MEDICAL GROUP (43.161748, -77.620143) 1666 2093 56
BROOKLYN DENTAL SERVICES PC (40.65642, -73.950691) 809 2090 31
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
HUDSON RIVER HEALTHCARE INC (40.820237, -73.119032) 1421 2179 3
HUDSON RIVER HEALTHCARE INC (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CLAXTON MEDICAL PC (44.689468, -75.242045) 1581 2140 41
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
Page 949 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
198
50 844
50 844
37 176
37 108
50 844
63
50 844
37 27
37 108
646
137
137
37 176
37 108
37 108
37 108
919
37 111
37 27
Page 950 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN PRATIBHA
PHYSICIAN TANYA
NURSE PRACTITIONER TIA
PHYSICIAN LISA
PHYSICIAN MANSOOR
PHYSICIAN LISA
CERTIFIED NURSE MIDWIFE RHONDA
PHYSICIAN JACQUELINE
PHYSICIAN JULIANNE
PHYSICIAN CAROLINE
NURSE PRACTITIONER ARTURO
PHYSICIAN ANGELA
PHYSICIAN JONATHAN
NURSE PRACTITIONER NICOLE
CERTIFIED NURSE MIDWIFE ALLISON
PHYSICIAN KAREN
DENTIST SERENA
PHYSICIAN TATYANA
PHYSICIAN ALICIA
PHYSICIAN AMENA
PHYSICIAN JOSEPH
Page 951 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BANSAL 1700893575 1700893575 03/26/2018
PEREIRA 1780855460 1467454967 01/01/2018
KNIGHT-FORBES 1457725921 1396059499 07/31/2017
BRABHAM 1063455293 1467469023 07/13/2020
FAROOKI 1811922123 1407018914 03/26/2018
YEUNG 1114287067 1295729408 08/03/2020
DEGANNES 1780872861 1821045485 11/04/2019
LAMOUR 1346229085 1063525152 11/04/2019
SUOJANEN 1639255615 1063525152 03/25/2019
HALVERSTAM 1215132147 1063525152 04/19/2021
CENIZA 1801024419 1801803903 09/20/2021
GONZALEZ 1700817475 1063525152 01/15/2018
CHA 1548201817 1336578772 03/19/2018
NIEDZWIEDZ 1205029097 1205029097 02/08/2021
LACROSS 1972935146 1023024882 07/10/2017
INGHILTERRA 1073688263 1679587679 05/24/2021
KASSAM 1699978924 1164555124 02/18/2019
POBLAGUYEV 1366528549 1124032982 02/01/2021
ROMANO 1487646063 1467454967 04/27/2020
SULTANA 1922166677 1922166677 11/12/2018
FRIEDMAN 1528208501 1477505220 01/14/2019
Page 952 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 14215 ERIE
8500 2016 2 10532 WESTCHESTER
21250 2016 1 11575 NASSAU
8500 2019 3 10038 NEW YORK
8500 2016 2 11418 QUEENS
8500 2019 5 10452 BRONX
8500 2018 3 11433 QUEENS
8500 2018 4 10467 BRONX
8500 2017 4 10461 BRONX
8500 2020 6 10461 BRONX
8500 2021 6 10038 NEW YORK
8500 2016 6 10466 BRONX
5667 2015 2 10041 NEW YORK
8500 2020 4 14127 ERIE
21250 2015 1 10038 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2017 2 10010 NEW YORK
8500 2020 5 10038 NEW YORK
8500 2019 4 10532 WESTCHESTER
8500 2017 6 11238 KINGS
8500 2017 4 11418 QUEENS
Page 953 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BANSAL PRATIBHA MD (42.888143, -78.795544) 62 2041 63
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
BEST MEDICAL CARE PC (40.749338, -73.789673) 828 2137 11
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
MEDISYS FAMILY CARE (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
NIEDZWIEDZ NICOLE (42.888143, -78.795544) 62 2041 63
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
SULTANA AMENA MD (40.65642, -73.950691) 809 2090 31
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
Page 954 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
646
224
93
37 108
37 111
37 176
37 111
37 176
37 176
37 176
37 108
37 176
37 108
646
37 108
37 108
37 108
37 108
224
37 27
37 111
Page 955 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SARAH
DENTIST JEFFREY
PHYSICIAN FARAJ
PHYSICIAN JONATHAN
PHYSICIAN DAVID
PHYSICIAN LINGPIN
PHYSICIAN BEATRICE
PHYSICIAN YIQUN
NURSE PRACTITIONER ELIZABETH
CERTIFIED NURSE MIDWIFE RONNIE
PHYSICIAN SUSAN
PHYSICIAN CRAIG
PHYSICIAN IRINA
DENTIST JULIE
PHYSICIAN WAYNE
NURSE PRACTITIONER ATHENA
PHYSICIAN JOAN
PHYSICIAN ALBERTO
PHYSICIAN MONICA
PHYSICIAN JOHN
PHYSICIAN KONRAD
Page 956 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MOORE 1073719126 1073535027 12/09/2019
BLYE 1912138603 1164555124 02/18/2019
SAMRA 1346403839 1003978230 10/28/2019
MARCUS 1255344099 1184725525 09/30/2019
STERNMAN 1821165317 1427063270 11/01/2021
HUNG 1821250036 1033468988 12/09/2019
GOILAV 1255524393 1063525152 01/08/2018
HUI 1538490453 1366808511 11/26/2018
KALEDZI 1093842080 1063525152 06/15/2020
LICHTMAN 1720027493 1467529529 12/16/2019
TALBERT 1417946286 1568664928 09/04/2017
LOMITA 1285895409 1063525152 08/21/2017
KORNEEVA-VLADIMIRSKY 1437321460 1437321460 04/16/2018
YIP 1114325610 1164555124 02/25/2019
LEE 1871639666 1063525152 11/27/2017
BROWN 1770830432 1063525152 07/06/2020
FLENDER 1972572477 1972572477 12/03/2018
FRANCO-AKEL 1194080317 1013924372 12/23/2019
MIRCHANDANI 1881607265 1730124025 03/26/2018
DELURY 1679567754 1043224355 05/31/2021
GRUSON 1699941781 1063525152 01/15/2018
Page 957 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
8500 2017 2 10010 NEW YORK
8500 2018 6 11213 KINGS
8500 2018 6 14642 MONROE
8500 2021 5 10038 NEW YORK
8500 2018 5 11355 QUEENS
8500 2016 5 10467 BRONX
8500 2017 2 11354 QUEENS
8500 2019 3 10467 BRONX
8500 2018 5 10013 NEW YORK
8500 2015 3 10025 NEW YORK
8500 2015 4 10467 BRONX
8500 2016 3 11235 KINGS
8500 2017 2 10010 NEW YORK
8500 2016 2 10467 BRONX
8500 2019 4 10467 BRONX
8500 2017 4 14437 LIVINGSTON
8500 2018 2 10038 NEW YORK
8500 2016 2 10027 NEW YORK
8500 2020 2 10038 NEW YORK
8500 2016 4 10461 BRONX
Page 958 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ELI ROSEN MD PC (40.65642, -73.950691) 809 2090 31
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
SYOSSET MEDICAL SERVICE PLLC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
YIQUN HUI MD PLLC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MEDICAL HLTH RESEARCH ASC NYC (40.726966, -74.005966) 737 2095 50
SLRHC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KORNEEVA-VLADIMIRSKY IRINA LVOVNA (40.65642, -73.950691) 809 2090 31
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FLENDER JOAN ELLEN MD (42.763754, -77.765392) 232 2091 59
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS AID SOC-LORD MEM CL (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 959 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 27
50 844
37 108
37 111
37 176
37 111
37 176
37 108
37 108
37 176
37 27
37 108
37 176
37 176
645
37 108
37 108
37 108
37 176
Page 960 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ANITA
PHYSICIAN GINA
PHYSICIAN MATTHEW
PHYSICIAN LAUREN
PHYSICIAN ALAN
PHYSICIAN NINA
NURSE PRACTITIONER MICHELLY
NURSE PRACTITIONER FANNY
PHYSICIAN KIMBERLY
PHYSICIAN TOD
NURSE PRACTITIONER YAEL
NURSE PRACTITIONER JUAN
PHYSICIAN DAVID
PHYSICIAN STEPHANIE
NURSE PRACTITIONER URSINA
NURSE PRACTITIONER FAITH
PHYSICIAN ASVINKUMAR
PHYSICIAN GAYOTRI
PHYSICIAN PRIYA
PHYSICIAN KRISTEN
NURSE PRACTITIONER EDITH
Page 961 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HUI 1740282300 1740282300 11/12/2018
BASELLO 1144282757 1477505220 11/04/2019
MASON 1821264946 1003062043 09/16/2019
MEILHEDE 1275793416 1285667634 08/28/2017
LEVINE 1447252317 1063525152 03/18/2019
ARLIEVSKY 1396732095 1467454967 04/27/2020
ABREU 1841687308 1063525152 10/07/2019
MERA 1053635003 1073535027 06/01/2020
MATTHEWS 1295112712 1710057872 09/25/2017
ROTHSCHILD 1619076791 1801803903 09/14/2020
SAADON 1245494897 1619341716 03/22/2021
GAETAN 1730165192 1063577831 09/11/2017
DOVNARSKY 1689619975 1477505220 01/14/2019
RAND 1689989436 1063525152 04/12/2021
MERCADO 1033359104 1619341716 09/23/2019
BLAIR 1043527740 1417027558 01/20/2020
PATEL 1326137019 1063426377 10/04/2021
GOSWAMI 1982706867 1023024882 06/01/2020
NORI 1568621480 1063525152 11/15/2021
SAVAGE 1508969163 1508969163 09/25/2017
FIORE 1760525505 1952325367 07/17/2017
Page 962 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 6 10013 NEW YORK
8500 2018 6 11418 QUEENS
8500 2018 4 13210 ONONDAGA
8500 2015 4 12801 WARREN
8500 2017 2 10462 BRONX
8500 2019 6 10532 WESTCHESTER
8500 2018 2 10467 BRONX
8500 2019 3 10038 NEW YORK
21250 2016 1 11411 QUEENS
8500 2019 3 10038 NEW YORK
8500 2020 6 11215 KINGS
21250 2016 1 10038 NEW YORK
8500 2017 5 11418 QUEENS
8500 2020 6 10467 BRONX
8500 2018 4 11211 KINGS
8500 2018 3 10456 BRONX
8500 2021 6 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2021 5 10467 BRONX
14167 2016 1 14621 MONROE
21250 2016 1 11501 NASSAU
Page 963 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HUI ANITA O MD (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
UPSTATE UROLOGY, INC (43.065629, -76.168033) 713 2132 43
ADIRONDACK PEDIATRICS PC (43.403024, -73.716044) 128 2183 35
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CAMKIDS PEDIATRICS P C (40.749338, -73.789673) 828 2137 11
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
EAST NY D & T CTR (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SAVAGE KRISTEN (43.161748, -77.620143) 1666 2093 56
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
Page 964 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
755
522
37 176
224
37 176
37 108
37 111
37 108
37 27
37 108
37 111
37 176
37 27
37 176
37 108
37 108
37 176
50 844
93
Page 965 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN CHANA
PHYSICIAN MARGARITA
NURSE PRACTITIONER BETHANY
NURSE PRACTITIONER DIANE
DENTIST MARISA
PHYSICIAN HOWARD
NURSE PRACTITIONER CHARLENE
PHYSICIAN ELAINE
NURSE PRACTITIONER DEBORAH
PHYSICIAN MICHAEL
NURSE PRACTITIONER EMBER
PHYSICIAN PAUL
NURSE PRACTITIONER LARA
PHYSICIAN SCOTT
PHYSICIAN ELEANOR
PHYSICIAN LISA
CERTIFIED NURSE MIDWIFE MARIA
PHYSICIAN DWAITA
PHYSICIAN ADRIAN
PHYSICIAN REZA
Page 966 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GELBFISH 1366416182 1366416182 01/20/2020
DE FEDERICIS 1932374600 1013928159 01/20/2020
MERKLINGER 1053500330 1740220698 07/31/2017
COZZO 1215019930 1942294467 12/16/2019
PEREIRA 1972844264 1164555124 09/18/2017
SLOMKO 1124286943 1184694291 08/21/2017
GREER 1679841357 1821266321 07/27/2020
SKLAR 1437155926 1467586792 11/27/2017
PITTINARO 1205858529 1184668311 09/11/2017
TURNER 1760463137 1679587679 08/07/2017
DESTEFANI 1710242862 1619341716 11/04/2019
LEHOULLIER 1902875719 1255360517 02/25/2019
TREVINO 1487046397 1184694291 09/11/2017
SEGAN 1073557245 1073557245 07/19/2021
WEINSTEIN 1497722631 1679587679 09/27/2021
NATHAN 1578724084 1063525152 06/29/2020
FISHER 1518149327 1538114723 01/21/2019
PATEL 1790192557 1124060595 09/11/2017
SANGEORZAN 1558323121 1184670465 01/21/2019
MESBAH 1235465089 1235465089 08/17/2020
Page 967 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 4 11210 KINGS
8500 2018 5 12803 SARATOGA
8500 2015 5 14642 MONROE
8500 2018 3 14203 ERIE
21250 2016 1 10010 NEW YORK
8500 2015 3 10453 BRONX
8500 2019 4 13790 BROOME
8500 2015 5 11219 KINGS
8500 2015 5 14642 MONROE
21250 2015 1 10038 NEW YORK
8500 2018 2 11203 KINGS
8500 2017 6 14621 MONROE
21250 2016 1 10453 BRONX
8500 2020 4 10457 BRONX
8500 2021 5 10038 NEW YORK
8500 2019 3 10461 BRONX
8500 2017 4 11733 SUFFOLK
21250 2016 1 10457 BRONX
8500 2017 5 11418 QUEENS
8500 2019 3 11432 QUEENS
Page 968 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GELBFISH CHANA E MD (40.65642, -73.950691) 809 2090 31
WARRENSBURG HEALTH CENTER (43.00894, -73.786779) 1148 2141 42
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
FAMILY MEDICINE FACULTY ASSOC (42.888143, -78.795544) 62 2041 63
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
BORO PARK OBSTETRICS & GYNECOLOGY
P
(40.65642, -73.950691) 809 2090 31
STRONG OB GYN GROUP (43.161748, -77.620143) 1666 2093 56
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
SEGAN SCOTT MD (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
ST BARNABAS OBGYN PC (40.85589, -73.868294) 675 2032 52
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MESBAH REZA (40.749338, -73.789673) 828 2137 11
Page 969 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
733
50 844
646
37 108
37 176
346
37 27
50 844
37 108
37 27
50 844
37 176
37 176
37 108
37 176
137
37 176
37 111
37 111
Page 970 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN SARLA
PHYSICIAN JONATHAN
PHYSICIAN MUHAMMAD
PHYSICIAN NICHOLAS
PHYSICIAN RICHARD
PHYSICIAN MILI
PHYSICIAN HARRY
PHYSICIAN YUE
PHYSICIAN STEVE
PHYSICIAN HUSSEIN
PHYSICIAN KENNETH
NURSE PRACTITIONER SUSAN
PHYSICIAN GERALD
DENTIST JUANA
PHYSICIAN MARVIN
NURSE PRACTITIONER MELINDA
PHYSICIAN JOHN
PHYSICIAN THOMAS
PHYSICIAN GILBERT
PHYSICIAN VIVIAN
PHYSICIAN ANDREA
PHYSICIAN ROBERT
Page 971 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KHUSHALANI 1992758239 1619969458 04/16/2018
CANETE 1912998006 1548290455 06/04/2018
ALAM 1083759641 1083759641 01/01/2018
TRIANTAFILLOU 1144212853 1144212853 12/10/2018
CHAN 1275506438 1275506438 03/19/2018
SHUM 1407134224 1467454967 09/02/2019
SHAMOON 1154410488 1063525152 11/27/2017
LI 1508185117 1619341716 08/06/2018
AYANRUOH 1942264510 1942264510 11/25/2019
MATARI 1447321476 1013924372 09/06/2021
FRETWELL 1144281429 1184670465 11/04/2019
MARMION 1235338468 1922073774 09/04/2017
GALST 1306921176 1063525152 11/04/2019
LUSTER 1093834848 1750558060 10/06/2017
HEYBOER 1720195407 1275589582 11/19/2018
LANDO 1013098425 1417027558 02/05/2018
FOLEY 1952631665 1124032982 02/04/2019
SOCASH 1487630190 1821093402 01/01/2018
BROVAR 1952419616 1740595917 05/03/2021
KAFANTARIS 1881758795 1053688572 01/22/2018
WORLEY 1689991697 1245246644 04/26/2021
GADAWSKI 1649277930 1891791976 11/13/2017
Page 972 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 5 10703 WESTCHESTER
8500 2016 6 12208 ALBANY
8500 2016 2 11208 KINGS
8500 2017 2 11361 QUEENS
8500 2015 3 10013 NEW YORK
8500 2018 3 10532 WESTCHESTER
8500 2015 4 10461 BRONX
8500 2016 2 11220 KINGS
8500 2018 5 10034 NEW YORK
8500 2021 4 10038 NEW YORK
8500 2018 6 11418 QUEENS
8500 2015 5 14207 ERIE
8500 2018 6 10461 BRONX
-21250 2013 1 11230 KINGS
8500 2017 6 13210 ONONDAGA
8500 2015 2 10457 BRONX
8500 2017 2 10038 NEW YORK
8500 2015 2 13420 HERKIMER
8500 2020 4 10457 BRONX
21250 2016 1 11590 NASSAU
8500 2020 5 18840 OUT OF STATE
8500 2015 4 14304 NIAGARA
Page 973 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HUDSON RIVER HEALTHCARE INC (41.039278, -73.805386) 1440 2185 53
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
ALAM MUHAMMAD SHAH MD (40.65642, -73.950691) 809 2090 31
TRIANTAFILLOU NICHOLAS G MD (40.749338, -73.789673) 828 2137 11
CHAN RICHARD MD (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
AYANRUOH STEVE T MD (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ELMWOOD HEALTH CENTER (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JUANA E LUSTER DDS PC (40.65642, -73.950691) 809 2090 31
UPSTATE EMERGENCY MEDICINE INC (43.065629, -76.168033) 713 2132 43
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
ST ELIZABETH MED CTR (43.070026, -74.994246) 559 2088 44
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
NORTH SHORE-LIJ MEDICAL PC (40.715749, -73.601185) 1455 2094 6
GUTHRIE CLINIC LTD
SUMMIT PEDIATRICS PC (43.134634, -78.856419) 1107 2131 62
Page 974 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
1 573
37 27
37 111
37 108
224
37 176
37 27
37 108
37 108
37 111
646
37 176
37 27
755
37 176
37 108
758
37 176
93
835
Page 975 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN REENA
PHYSICIAN JACK
NURSE PRACTITIONER MELIE
PHYSICIAN JOANNE
CERTIFIED NURSE MIDWIFE BONNIE
PHYSICIAN MOHAMAD
PHYSICIAN JANET
PHYSICIAN EVAN
PHYSICIAN CARMEN
PHYSICIAN HEATHER
CERTIFIED NURSE MIDWIFE MAURA
PHYSICIAN LARRY
PHYSICIAN SCOTT
PHYSICIAN COSTAS
PHYSICIAN SABINA
PHYSICIAN SREEDEVI
PHYSICIAN MELVIN
PHYSICIAN MD
PHYSICIAN SNEZHANA
Page 976 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
AGARWAL 1275795114 1063525152 02/10/2020
CHOUEKA 1659447399 1093777492 12/25/2017
TIBURCIO 1215273149 1508266347 02/18/2019
LAI 1558591164 1063426377 11/18/2019
ADLER 1558327148 1407907215 10/30/2017
MAHMOUD 1639203847 1255360517 12/23/2019
SUNDQUIST 1316963432 1366473183 05/28/2018
SCHWECHTER 1659676740 1063525152 03/18/2019
TAMAYO GOMEZ 1902249014 1629237151 10/23/2017
TRIVEDI 1700087665 1063525152 04/12/2021
LARKIN 1033143490 1073535027 12/09/2019
SCHER 1790867950 1063525152 07/06/2020
HARTMAN 1205856564 1710226824 04/16/2018
FROUSIOS 1821159419 1760695399 08/13/2018
AWWAL 1669578647 1669578647 11/12/2018
CHENNUPATI 1164559530 1255360517 02/11/2019
ADLER 1649355942 1063525152 04/08/2019
ISLAM 1184822660 1184670465 08/21/2017
MULLOKANDOV 1972635753 1396059499 04/08/2019
Page 977 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 4 10025 NEW YORK
21250 2016 1 11219 KINGS
8500 2017 3 10032 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2015 3 14605 MONROE
8500 2018 6 48981 OUT OF STATE
8500 2016 2 14203 ERIE
8500 2017 5 10461 BRONX
21250 2016 1 10549 WESTCHESTER
8500 2020 3 10461 BRONX
8500 2018 2 10038 NEW YORK
8500 2019 6 10467 BRONX
8500 2016 3 14642 MONROE
8500 2016 5 11102 QUEENS
8500 2017 4 11427 QUEENS
8500 2017 5 14621 MONROE
8500 2017 6 10467 BRONX
8500 2015 2 11418 QUEENS
8500 2017 5 11575 NASSAU
Page 978 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PLANNED PRTHD NORTH COUNTRY NY,
INC
(43.161748, -77.620143) 1666 2093 56
ROCHESTER GENERAL HOSPITAL
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
UNIVERSITY OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
ASTORIA PEDIATRIC PC (40.749338, -73.789673) 828 2137 11
AWWAL SABINA MD (40.749338, -73.789673) 828 2137 11
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
Page 979 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
37 108
37 108
50 844
646
37 176
224
37 176
37 108
37 176
50 844
37 111
37 111
50 844
37 176
37 111
93
Page 980 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DAVID
NURSE PRACTITIONER DEBORAH
PHYSICIAN ERICA
PHYSICIAN SHARON
DENTIST GABRIEL
NURSE PRACTITIONER NATHAN
PHYSICIAN HUA
DENTIST NURAY
PHYSICIAN JAZILA
PHYSICIAN RIFFAT
DENTIST MARIA
NURSE PRACTITIONER TRAVIS
PHYSICIAN JASON
PHYSICIAN HERMAN
PHYSICIAN NAN
PHYSICIAN HELEN
PHYSICIAN VICTOR
NURSE PRACTITIONER AMELIA
PHYSICIAN SAMUEL
PHYSICIAN ALEXANDER
Page 981 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FRIEDMAN 1922199678 1013924372 09/06/2021
AHERN 1326351560 1801857172 09/13/2021
BRODY 1558569004 1275802811 04/30/2018
JOSEPH-GISS 1063598902 1467487637 08/26/2019
PROULX 1386058550 1912225236 01/22/2018
ABRAMOV 1245691443 1821389941 08/28/2017
HUANG 1578509774 1477737211 09/11/2017
OZU 1740465061 1164555124 02/25/2019
MANTIS 1710082847 1801803903 09/07/2020
CHAUDARY 1104844851 1043224355 09/20/2021
LUCIA 1740358175 1740358175 06/16/2021
DEBOIS 1427501626 1063468239 07/31/2017
ELWELL 1366566747 1366566747 12/23/2019
AMBRIS 1407942824 1427063270 02/15/2021
SALAMON 1487627527 1194832477 12/16/2019
MARCUS 1467752873 1093075368 12/31/2018
STA. ANA 1306070685 1295729408 05/03/2021
WONG 1699726513 1548208127 07/05/2021
COHEN 1720366206 1619341716 05/21/2018
SELIOUTSKI 1851360606 1619072204 08/14/2017
Page 982 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 3 10038 NEW YORK
8500 2021 5 11554 NASSAU
8500 2015 2 10029 NEW YORK
8500 2018 3 10562 WESTCHESTER
8500 2016 3 14510 LIVINGSTON
21250 2016 1 11229 KINGS
21250 2016 1 11355 QUEENS
8500 2017 2 10010 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2021 3 10038 NEW YORK
-8500 2017 4 13088 ONONDAGA
21250 2016 1 13210 ONONDAGA
8500 2018 5 14437 LIVINGSTON
8500 2020 4 10038 NEW YORK
8500 2018 6 10032 NEW YORK
8500 2017 3 11213 KINGS
8500 2020 4 10035 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2016 3 11220 KINGS
8500 2015 5 14757 CHAUTAUQUA
Page 983 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
RUSHVILLE HEALTH CENTER INC (42.763754, -77.765392) 232 2091 59
REVIVED SOUL MEDICAL PC (40.65642, -73.950691) 809 2090 31
QUALITY MEDICAL ONCOLOGY PC (40.749338, -73.789673) 828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LUCIA MARIA DDS PLLC (43.065629, -76.168033) 713 2132 43
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
ELWELL JASON SCOTT MD (42.763754, -77.765392) 232 2091 59
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ELI ROSEN FAMILY MED AND PEDIATRIC (40.65642, -73.950691) 809 2090 31
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
FAMILY HEALTH MEDICAL SERVICES PLLC (42.246904, -79.315313) 1743 2035 57
Page 984 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
93
37 108
224
645
37 27
37 111
37 108
37 108
37 108
755
755
645
37 108
37 108
37 27
37 108
37 108
37 27
447
Page 985 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER KATHERINE
PHYSICIAN SARA
PHYSICIAN JAMES
PHYSICIAN REBEKKA
PHYSICIAN BRUCE
PHYSICIAN LEONID
PHYSICIAN JENICA
PHYSICIAN KEVIN
PHYSICIAN SETH
PHYSICIAN VIRGINIA
PHYSICIAN SCOTT
PHYSICIAN PAUL
NURSE PRACTITIONER QING XIANG
PHYSICIAN DUSTIN
PHYSICIAN SAKTIPADA
CERTIFIED NURSE MIDWIFE CHRISTINA
NURSE PRACTITIONER CALVIN
PHYSICIAN DEBORAH
PHYSICIAN CHRISTOPHER
PHYSICIAN RITA
Page 986 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HERRICK 1033464151 1285667634 07/22/2019
AHMED 1801143151 1255360517 08/19/2019
ZISFEIN 1285731372 1427063270 06/08/2020
LEVIS 1548492093 1467454967 11/25/2019
MOREL 1881773133 1801803903 06/12/2017
YATSKAR 1417978628 1063426377 01/21/2019
O'MALLEY 1285995324 1770539066 09/16/2019
ADELEKE 1245465384 1801803903 10/09/2017
STERN 1295895316 1679587679 09/27/2021
CAMPION 1093786600 1164486627 12/04/2017
NGUYEN 1558588079 1770823551 12/10/2018
ROSEN 1942378443 1467469023 07/20/2020
HUANG 1891812806 1689009854 09/17/2018
NGUYEN 1831196898 1609183540 12/03/2018
MOOKHERJEE 1548215270 1063468239 11/12/2018
MANNION 1689736738 1467487637 01/21/2019
LEE 1003117136 1508266347 09/23/2019
WILLIAMS 1770547010 1467469023 05/29/2017
RICHARDSON 1093745408 1255360517 06/18/2018
KHANIJOU 1063580744 1063580744 02/12/2018
Page 987 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 5 12801 WARREN
8500 2018 3 14621 MONROE
8500 2019 2 10038 NEW YORK
8500 2018 5 10532 WESTCHESTER
21250 2015 1 11434 QUEENS
8500 2017 2 10038 NEW YORK
8500 2018 3 13210 ONONDAGA
21250 2016 1 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2015 5 14701 CHAUTAUQUA
8500 2017 3 10029 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2016 4 11220 KINGS
8500 2017 6 10013 NEW YORK
8500 2017 6 13202 ONONDAGA
8500 2017 3 10562 WESTCHESTER
8500 2018 3 10032 NEW YORK
21250 2015 1 11206 KINGS
8500 2016 4 14621 MONROE
8500 2015 5 11208 KINGS
Page 988 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ADIRONDACK PEDIATRICS PC (43.403024, -73.716044) 128 2183 35
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
QUEENS HOSPITAL (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
JAMESTOWN PEDIATRIC ASSOC (42.246904, -79.315313) 1743 2035 57
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
EXCELSIOR INTEGRATED MEDICAL
GROUP
(40.65642, -73.950691) 809 2090 31
TRIBECA INTERNAL MED & ACUPUNCTURE (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.65642, -73.950691) 809 2090 31
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
KHANIJOU RITA MD (40.65642, -73.950691) 809 2090 31
Page 989 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
522
50 844
37 108
224
37 111
37 108
755
37 108
37 108
447
37 108
37 108
37 27
37 108
755
224
37 108
37 27
50 844
37 27
Page 990 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JESSICA
PHYSICIAN DINA
PHYSICIAN KRISTINA
PHYSICIAN BETH
PHYSICIAN ISSAM
PHYSICIAN ASSAF
PHYSICIAN ANN
DENTIST ANA
NURSE PRACTITIONER JEAN
PHYSICIAN MARIAN
PHYSICIAN SONIA
PHYSICIAN KRISHNAKUMAR
PHYSICIAN ROBERT
PHYSICIAN KHATUNA
PHYSICIAN TAYYABA
NURSE PRACTITIONER AIRY
PHYSICIAN IJEOMA
PHYSICIAN AUSRA
PHYSICIAN DANIEL
PHYSICIAN MARIO
PHYSICIAN JAY
Page 991 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CRUZ 1790072171 1063525152 11/11/2019
PAHLAJANI 1306928460 1306928460 12/10/2018
URSITTI 1639468929 1295729408 05/03/2021
DRZEWIECKI 1174797575 1063525152 03/11/2019
KOLEILAT 1730340340 1063525152 10/28/2019
YOSHA 1558397752 1083716088 11/13/2017
BOTASH 1316967714 1770539066 11/12/2018
ROJAS 1285609594 1285609594 08/01/2017
STRAKER 1720285075 1073535027 09/20/2021
RUSSO 1841262177 1013924372 06/21/2021
DELA CRUZ-RIVERA 1952486334 1063525152 01/29/2018
HONGALGI 1962603225 1386689248 03/25/2019
MICHLER 1841370491 1063525152 01/22/2018
KADEISHVILI 1235239633 1013924372 09/06/2021
BASHIR 1528261351 1801803903 04/05/2021
QUIROS 1710378021 1467486449 11/05/2018
NDUKA 1396840039 1396840039 01/20/2020
SELVADURAI 1023297892 1093860843 03/04/2013
RAHMAN 1942338793 1467469023 02/26/2018
LAVELANET 1972583953 1972583953 09/09/2019
MEISNER 1831274604 1679587679 07/27/2020
Page 992 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 5 10475 BRONX
5667 2017 3 11801 NASSAU
8500 2020 6 12428 ULSTER
8500 2017 4 10467 BRONX
8500 2018 3 10461 BRONX
-8500 2013 2 14605 MONROE
8500 2017 6 13202 ONONDAGA
-21250 2012 1 10463 BRONX
8500 2021 5 10038 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2016 6 10461 BRONX
8500 2017 4 12208 ALBANY
8500 2016 6 10467 BRONX
8500 2021 4 10038 NEW YORK
8500 2020 4 10038 NEW YORK
8500 2017 3 10035 NEW YORK
8500 2018 6 10801 WESTCHESTER
21250 2011 1 14209 ERIE
21250 2016 1 10038 NEW YORK
8500 2018 5 11411 QUEENS
8500 2019 2 10038 NEW YORK
Page 993 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PAHLAJANI DINA MD (40.715749, -73.601185) 1455 2094 6
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ANTHONY L JORDAN HEALTH CTR (43.161748, -77.620143) 1666 2093 56
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
MARBLE HILL DENTAL OFFICE PC (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
EAST HARLEM COUNCIL HUM SERV (40.726966, -74.005966) 737 2095 50
NDUKA IJEOMA N MD (41.039278, -73.805386) 1440 2185 53
UNIVERSITY OPTHALMOLOGY SVCS (42.888143, -78.795544) 62 2041 63
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
LAVELANET MARIO MD (40.749338, -73.789673) 828 2137 11
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
Page 994 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
93
198
37 176
37 176
50 844
755
37 176
37 108
37 108
37 176
1 573
37 176
37 108
37 108
37 108
224
646
37 108
37 111
37 108
Page 995 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CERTIFIED NURSE MIDWIFE LYNN
PHYSICIAN MARIA THERESA
NURSE PRACTITIONER MARSHA
DENTIST ALVINA
PHYSICIAN STEVEN
PHYSICIAN ABRAHAM
NURSE PRACTITIONER RUTH
NURSE PRACTITIONER IBRAHIM
NURSE PRACTITIONER ALEXANDER
DENTIST ROBERT
PHYSICIAN STELLA
PHYSICIAN NAJMUL
PHYSICIAN ARIEL
PHYSICIAN JENNIFER
PHYSICIAN TAREK
PHYSICIAN NEIL
NURSE PRACTITIONER CARMELITA
NURSE PRACTITIONER SUSAN
PHYSICIAN DAVID
Page 996 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHAPMAN-STERN 1659398451 1023024882 03/22/2021
OZUAH 1407926603 1063525152 10/02/2017
PULHAMUS 1477584050 1710918305 08/07/2017
LIM 1770775991 1699076083 10/06/2017
INGLIS 1518927565 1184670465 11/04/2019
KRIKHELY 1861698870 1508266347 08/17/2020
KELLEHER 1912126806 1417391319 08/06/2018
THABET 1700189552 1063468239 08/21/2017
ELLER 1740592344 1619004355 11/26/2018
GEDEON 1538257001 1356457303 12/30/2019
MILOS 1154303147 1154303147 11/06/2017
KHAN 1417276726 1164464921 11/26/2018
RODRIGUEZ 1851344790 1619341716 02/04/2019
MCKENNA 1336397488 1063525152 06/22/2020
RAMMAH 1760570238 1760570238 01/28/2019
SMOKE 1811054612 1205990397 08/28/2017
WOODS 1831194711 1740228311 11/12/2018
GREETHAM 1891889309 1073988911 01/22/2018
JOSEPH 1902840614 1063426377 02/08/2021
Page 997 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 3 10038 NEW YORK
8500 2015 4 10451 BRONX
8500 2015 4 14642 MONROE
-21250 2013 1 10128 NEW YORK
8500 2018 6 11418 QUEENS
8500 2019 5 10032 NEW YORK
8500 2016 5 12047 ALBANY
8500 2015 3 13210 ONONDAGA
8500 2017 3 13492 ONEIDA
8500 2018 4 14301 NIAGARA
8500 2015 3 11385 QUEENS
8500 2017 4 14218 ERIE
8500 2017 5 11209 KINGS
8500 2019 4 10461 BRONX
8500 2017 2 11209 KINGS
21250 2016 1 10029 NEW YORK
8500 2017 5 13057 ONONDAGA
21250 2015 1 13210 ONONDAGA
8500 2020 5 10038 NEW YORK
Page 998 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PED GI NUTRITION SPEC GRP (43.161748, -77.620143) 1666 2093 56
URBAN PEDIATRIC DENTAL PC (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
MARY KATHLEEN W DITURSI MD PC (42.678066, -73.814233) 40 2030 34
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
NEW HARTFORD PSYCHIATRIC SER (43.149482, -75.361773) 1281 625 40
SCHWARTZ & GEDEON DDS PC (43.134634, -78.856419) 1107 2131 62
MILOS STELLA K MD (40.749338, -73.789673) 828 2137 11
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
RAMMAH TAREK A (40.65642, -73.950691) 809 2090 31
UNION SETTLEMENT ASSO INC (40.726966, -74.005966) 737 2095 50
UPSTATE ORTHOPEDICS LLP (43.065629, -76.168033) 713 2132 43
UPSTATE FAMILY AND PREVENTIVE
MEDIC
(43.065629, -76.168033) 713 2132 43
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 999 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
50 844
37 108
37 111
37 108
1 573
755
794
835
37 111
646
37 27
37 176
37 27
37 108
755
755
37 108
Page 1000 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MEENAKSHI
DENTIST NARINDER
NURSE PRACTITIONER JOAN
PHYSICIAN MARKO
PHYSICIAN ROBERT
PHYSICIAN PATRISHA
DENTIST TIANA
PHYSICIAN MIU
PHYSICIAN RICHARD
CERTIFIED NURSE MIDWIFE RENEE
PHYSICIAN NEEL
PHYSICIAN CECILIA
PHYSICIAN ELAINE
PHYSICIAN STANFORD
NURSE PRACTITIONER MONA
PHYSICIAN DMITRIY
CERTIFIED NURSE MIDWIFE HELANA
PHYSICIAN CHHAVI
NURSE PRACTITIONER LAUREN
PHYSICIAN ZHU-PING
Page 1001 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RAO 1043493273 1447518550 08/07/2017
SINGH 1851513618 1295997724 12/31/2018
OSSWALD 1588686307 1164464921 11/18/2019
BUKUR 1740458173 1073535027 03/05/2018
BALTHAZAR 1871661405 1871661405 06/18/2018
WOOLARD-PICKENS 1558667642 1659710796 04/16/2018
OSBOURNE 1598157141 1689669079 08/14/2017
MA 1205890175 1205890175 03/04/2013
ANCONA 1275590697 1467454967 12/25/2017
HANSEN 1912337718 1164464921 11/26/2018
DIXIT 1063738805 1093777492 07/03/2017
MEAGHER 1942249859 1316986391 07/31/2017
CLARKE 1497763171 1114137403 03/19/2018
WALKER 1184633307 1619969458 11/25/2019
SCHULTZ 1730234279 1730234279 04/30/2018
GRINSHPUN 1265445639 1467469023 06/15/2020
CALLARD 1528137452 1184694291 08/21/2017
KATYAL 1508942442 1063525152 10/18/2021
DEVINS 1780851246 1053688572 01/08/2018
ZHOU 1871655944 1871655944 02/12/2018
Page 1002 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 2 10032 NEW YORK
8500 2017 3 11753 NASSAU
8500 2018 4 14204 ERIE
21250 2016 1 10038 NEW YORK
8500 2016 2 10039 NEW YORK
21250 2016 1 11237 KINGS
21250 2016 1 12518 ORANGE
21250 2012 1 10013 NEW YORK
8500 2016 2 10532 WESTCHESTER
8500 2017 3 14141 ERIE
21250 2016 1 11219 KINGS
8500 2015 5 14642 MONROE
8500 2015 3 10302 RICHMOND
8500 2018 5 11967 SUFFOLK
8500 2016 4 12078 FULTON
8500 2019 3 10038 NEW YORK
8500 2015 3 10453 BRONX
8500 2021 2 10467 BRONX
21250 2016 1 11040 NASSAU
8500 2016 3 11354 QUEENS
Page 1003 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BALTHAZAR ROBERT MD (40.726966, -74.005966) 737 2095 50
WYCKOFF PROFESSIONAL MEDICAL
SERVIC
(40.65642, -73.950691) 809 2090 31
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
MA MIU K MD (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
PEDIATRIC CARDIOLOGY U OF R (43.161748, -77.620143) 1666 2093 56
COMMUNITY HLTH CTR OF RICHMOND,
INC
(40.566763, -74.148102) 609 2139 47
HUDSON RIVER HEALTHCARE INC (40.820237, -73.119032) 1421 2179 3
SCHULTZ MONA W (43.06014, -74.331296) 1227 2085 42
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NORTH SHORE-LIJ MEDICAL PC (40.715749, -73.601185) 1455 2094 6
ZHOU ZHU PING MD (40.749338, -73.789673) 828 2137 11
Page 1004 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
93
646
37 108
37 108
37 27
76
37 108
224
646
37 27
50 844
37 7
137
830
37 108
37 176
37 176
93
37 111
Page 1005 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN NORMA
NURSE PRACTITIONER ELEANOR
NURSE PRACTITIONER DONALD
PHYSICIAN CHRISTIAN
NURSE PRACTITIONER MERCEDES
NURSE PRACTITIONER ELLEN
NURSE PRACTITIONER RUDOLF
PHYSICIAN SACHIKO
DENTIST DOMINICK
NURSE PRACTITIONER JACQUELINE
NURSE PRACTITIONER MARYELLEN
PHYSICIAN ROSIE
PHYSICIAN CARLOS
NURSE PRACTITIONER SHERI
PHYSICIAN KEVIN
PHYSICIAN ALEKSANDAR
PHYSICIAN EVELYN
PHYSICIAN WILLIAM
NURSE PRACTITIONER PATRICIA
PHYSICIAN ALAAELDIN
Page 1006 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
KELLER 1851387153 1073535027 02/26/2018
DREYHAUPT 1922188994 1063426377 05/07/2018
GARMON 1962608109 1508266347 09/23/2019
HIETANEN 1558322958 1558322958 02/25/2019
RIVERA-BARBER 1386913242 1790787919 01/29/2018
SCHMIDT 1154435469 1740205566 11/26/2018
BUCCI 1003954140 1366473183 04/08/2019
KAIZUKA 1588854798 1740220698 11/26/2018
CONGIUSTA 1427153543 1164555124 08/24/2020
KELDERHOUSE 1376628495 1063525152 11/11/2019
BLANK 1609930015 1053688572 10/01/2018
LYO 1134189194 1134189194 09/25/2017
MARTINEZ BALZANO 1497073555 1063468239 06/01/2020
ALBRO 1477782357 1063468239 04/23/2018
FISCELLA 1144332818 1083716088 11/13/2017
ADZIC 1063658078 1093777492 12/25/2017
HURVITZ 1447225248 1861437279 12/10/2018
BODNER 1588714752 1063525152 10/14/2019
DODD 1821495086 1376642371 02/10/2020
MOAWAD 1396835047 1912226689 01/28/2019
Page 1007 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2016 2 10038 NEW YORK
8500 2018 4 10032 NEW YORK
5667 2017 5 12601 DUTCHESS
21250 2016 1 14214 ERIE
8500 2017 2 14642 MONROE
8500 2017 2 14221 ERIE
8500 2017 4 14642 MONROE
8500 2019 4 10010 NEW YORK
8500 2018 3 10452 BRONX
21250 2016 1 11590 NASSAU
8500 2015 2 10801 WESTCHESTER
8500 2019 4 13210 ONONDAGA
8500 2016 5 13210 ONONDAGA
-8500 2013 2 14605 MONROE
8500 2016 2 11219 KINGS
5667 2017 4 14228 ERIE
8500 2018 5 10461 BRONX
-21250 2016 1 11777 SUFFOLK
8500 2017 4 11717 SUFFOLK
Page 1008 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
HIETANEN CHRISTIAN (41.686216, -73.840468) 1022 2040 30
COMM HLTH CTR BUFFALO INC (42.888143, -78.795544) 62 2041 63
UNIVERSITY OF ROCHESTER SURG (43.161748, -77.620143) 1666 2093 56
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NORTH SHORE-LIJ MEDICAL PC (40.715749, -73.601185) 1455 2094 6
LYO ROSIE YEN-CHO MD (41.039278, -73.805386) 1440 2185 53
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
ANTHONY L JORDAN HEALTH CTR (43.161748, -77.620143) 1666 2093 56
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
TONAWANDA PEDIATRICS (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JOHN T MATHER MEMORIAL HOSPITAL (40.820237, -73.119032) 1421 2179 3
LONG ISLAND PEDIATRICS OF
BRENTWOOD
(40.820237, -73.119032) 1421 2179 3
Page 1009 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
63
646
50 844
646
50 844
37 108
37 176
93
224
755
755
50 844
37 27
646
37 176
137
137
Page 1010 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN MARIYA
PHYSICIAN NOAH
PHYSICIAN JAMES
PHYSICIAN JAMES
PHYSICIAN CHRISTINA
PHYSICIAN LORI
PHYSICIAN KRITHIKA
PHYSICIAN JUDI
PHYSICIAN CYNTHIA
DENTIST WILLIAM
PHYSICIAN JAY
PHYSICIAN UMA
PHYSICIAN IOSIF
PHYSICIAN DORINDA
PHYSICIAN RAANAN
PHYSICIAN OLGA
NURSE PRACTITIONER BRIAN
PHYSICIAN PETER
PHYSICIAN ANDREW
PHYSICIAN ARNOLD
Page 1011 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
STRATILATOVA 1750499448 1427063270 12/23/2019
KORNBLUM 1053461517 1063525152 01/22/2018
BRUST 1508998485 1063525152 03/04/2019
POWELL 1467466581 1891240784 04/16/2018
MERTELSMANN-VOSS 1164612263 1952325367 01/15/2018
ELLIS 1467687756 1083660575 10/28/2019
KAVANOOR 1477996999 1063525152 10/16/2017
CHERVENAK 1720168206 1063525152 06/29/2020
CHRISTY 1942267398 1255360517 12/23/2019
BONGIORNO 1679888564 1164555124 11/22/2021
GRAHAM 1932116530 1063525152 08/05/2019
RATAKONDA 1851439806 1063525152 09/04/2017
FRADLIS 1376556613 1124032982 05/11/2020
MIDWOOD 1558699405 1619969458 12/02/2019
ARENS 1467538736 1063525152 10/07/2019
TYULENEVA 1235123597 1235123597 05/25/2020
LIPES 1629008685 1063468239 05/11/2020
GORDON 1093838856 1194832477 06/04/2018
LANE 1225070451 1083660575 12/24/2018
FRIEDMAN 1033190459 1467865063 06/11/2018
Page 1012 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
8500 2016 6 10467 BRONX
8500 2017 4 10467 BRONX
8500 2016 4 11722 SUFFOLK
8500 2016 2 11501 NASSAU
8500 2018 3 11787 SUFFOLK
21250 2016 1 10467 BRONX
8500 2019 6 10530 WESTCHESTER
8500 2018 6 14621 MONROE
8500 2021 5 10010 NEW YORK
-21250 2014 1 10467 BRONX
8500 2015 2 10466 BRONX
8500 2019 4 10038 NEW YORK
8500 2018 5 12522 DUTCHESS
8500 2018 5 10467 BRONX
8500 2019 6 11235 KINGS
8500 2019 4 13210 ONONDAGA
8500 2016 5 10032 NEW YORK
8500 2017 3 11794 SUFFOLK
8500 2016 3 10003 NEW YORK
Page 1013 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BRENTWOOD
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LISH INC (40.820237, -73.119032) 1421 2179 3
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TYULENEVA OLGA N MD (40.65642, -73.950691) 809 2090 31
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
STONY BROOK CHILDRENS SVC UFPC (40.820237, -73.119032) 1421 2179 3
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
Page 1014 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 176
137
93
137
37 176
224
50 844
37 108
37 176
37 176
37 108
63
37 176
37 27
755
37 108
137
37 108
Page 1015 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN NADIRA
PHYSICIAN BANG
PHYSICIAN GREGORY
PHYSICIAN KAREN
PHYSICIAN DMITRIY
NURSE PRACTITIONER CHRISTINE
PHYSICIAN JOHN
PHYSICIAN STEPHEN
PHYSICIAN ALBERT
PHYSICIAN SHUBHA
PHYSICIAN KARYN
PHYSICIAN SARAH
PHYSICIAN ALEXANDER
PHYSICIAN MEI
PHYSICIAN LYNN
DENTIST JAMSHED
PHYSICIAN BRIAN
PHYSICIAN KRISHNA
PHYSICIAN KATHRYN
DENTIST LEONARD
NURSE PRACTITIONER VIVIAN
Page 1016 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EHTESHAM 1417102849 1063525152 03/04/2019
HOANG 1568542629 1063525152 03/18/2019
WESTON 1003132861 1063525152 06/15/2020
HENNESSEY 1285783175 1427063270 06/28/2021
GRINSHPUN 1265445639 1467469023 11/25/2019
DORMAN 1013163641 1568534766 02/11/2019
LOEHNER 1619179892 1063525152 01/29/2018
FOREST 1942597083 1063525152 07/13/2020
THOMAS 1225084494 1063426377 11/11/2019
SHASTRY 1124387048 1255360517 06/18/2018
SINGER 1578730859 1548208127 08/10/2020
FITZGERALD 1831325703 1417027558 08/14/2017
SANKIN 1982866570 1063525152 07/13/2020
CHAU 1578779807 1063525152 04/12/2021
CLEARY 1750325551 1063468239 04/16/2018
GHARDA 1184843211 1295997724 02/24/2020
ANZISKA 1043205339 1043224355 05/31/2021
DESAI 1265607949 1194832477 05/29/2017
KIRCHOFF 1326201245 1063525152 11/11/2019
CHIAT 1760486799 1164555124 07/05/2021
GERARD 1386794006 1285717298 11/12/2018
Page 1017 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 4 10475 BRONX
8500 2017 2 10467 BRONX
8500 2019 3 10461 BRONX
8500 2020 3 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2017 5 11385 QUEENS
8500 2016 5 10467 BRONX
8500 2019 2 10467 BRONX
8500 2018 3 10038 NEW YORK
8500 2016 3 14621 MONROE
8500 2019 2 10038 NEW YORK
21250 2016 1 10456 BRONX
8500 2019 3 10461 BRONX
8500 2020 4 10467 BRONX
8500 2016 5 13202 ONONDAGA
8500 2019 5 11753 NASSAU
8500 2020 3 10038 NEW YORK
21250 2016 1 10032 NEW YORK
8500 2018 6 10467 BRONX
8500 2020 5 10010 NEW YORK
8500 2017 2 14305 NIAGARA
Page 1018 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
AMB MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
NIAGARA FALLS MEM MED CTR (43.134634, -78.856419) 1107 2131 62
Page 1019 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
37 176
37 108
37 108
37 111
37 176
37 176
37 108
50 844
37 108
37 176
37 176
37 176
755
93
37 108
37 108
37 176
37 108
835
Page 1020 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JAMES
PHYSICIAN KRISTINA
PHYSICIAN ALICIA
PHYSICIAN DAVID
PHYSICIAN STEPHANIE
PHYSICIAN JOSEPH
PHYSICIAN CAROLYN
PHYSICIAN RAY
PHYSICIAN ROBERT
PHYSICIAN JIGAR
PHYSICIAN EHAB
NURSE PRACTITIONER DENISE
PHYSICIAN JESUS
PHYSICIAN WILSON
PHYSICIAN JOHN
PHYSICIAN ANNE
PHYSICIAN MAHTA
NURSE PRACTITIONER JIN
PHYSICIAN RICHARD
NURSE PRACTITIONER STACEY
PHYSICIAN JAIME
Page 1021 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TAURAS 1366683336 1063525152 01/29/2018
DERRICK 1013228469 1063525152 11/04/2019
ROMANO 1487646063 1467454967 02/22/2021
REICH 1568541936 1801803903 04/20/2020
LOVINSKY-DESIR 1427372937 1447518550 08/14/2017
SANGER 1700842598 1073535027 10/09/2017
HIRSCHMANN 1477819787 1841224508 01/07/2019
WHITT 1528127974 1013924372 04/26/2021
AMLER 1689666976 1467454967 12/24/2018
PATEL 1235394412 1235394412 11/27/2017
ABDELMALEK 1366599755 1316960289 12/25/2017
ROMNEY 1568574010 1043224355 05/31/2021
ANAMPA MESIAS 1356590772 1063525152 06/22/2020
IROHAM 1114286119 1033124961 07/31/2017
DALFINO 1245490283 1548290455 05/03/2021
BUCHANAN 1831346550 1093777492 06/12/2017
MORTEZAVI 1093013781 1255360517 08/28/2017
SUN 1417364795 1801803903 01/14/2019
DUNCALF 1598705394 1417027558 01/20/2020
RIVERA 1023437027 1063525152 10/11/2021
GOMEZ HERNANDEZ 1467611608 1063525152 07/17/2017
Page 1022 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 5 10467 BRONX
8500 2018 3 10467 BRONX
8500 2020 5 10532 WESTCHESTER
8500 2019 5 10038 NEW YORK
8500 2015 2 10032 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2017 3 12603 DUTCHESS
8500 2020 3 10038 NEW YORK
8500 2017 4 10532 WESTCHESTER
21250 2016 1 11237 KINGS
8500 2016 2 11203 KINGS
8500 2020 2 10038 NEW YORK
8500 2019 4 10467 BRONX
21250 2016 1 10038 NEW YORK
8500 2020 3 12208 ALBANY
21250 2016 1 11219 KINGS
21250 2016 1 14222 ERIE
8500 2017 2 10038 NEW YORK
8500 2018 5 10456 BRONX
8500 2021 4 10461 BRONX
21250 2016 1 10467 BRONX
Page 1023 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
PATEL JIGAR BABUBHAI MD (40.65642, -73.950691) 809 2090 31
SUNY HEALTH SCIENCE CENTER AT
BKLYN
(40.65642, -73.950691) 809 2090 31
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
ROCHESTER GENERAL HOSPITAL (42.888143, -78.795544) 62 2041 63
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 1024 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 176
224
37 108
37 108
37 108
63
37 108
224
37 27
37 27
37 108
37 176
37 108
1 573
37 27
646
37 108
37 176
37 176
37 176
Page 1025 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN THULASI
PHYSICIAN MARK
PHYSICIAN ASHRAF
PHYSICIAN THERESA
PHYSICIAN HAIYING
PHYSICIAN GERTIE
PHYSICIAN SUE
DENTIST MARC
PHYSICIAN DAVID
PHYSICIAN RAPHAEL
NURSE PRACTITIONER MARIA LORRAINE
PHYSICIAN THEODORE
PHYSICIAN LESZEK
PHYSICIAN KAREN
DENTIST JING YAO
NURSE PRACTITIONER SHARON
DENTIST MARCI
PHYSICIAN MAHESWARA REDDY
PHYSICIAN NISHABEN
PHYSICIAN SADRUL
PHYSICIAN KELLY
NURSE PRACTITIONER JOHN
Page 1026 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
REDDY 1760578108 1801803903 10/09/2017
RAMIREZ 1467494336 1063525152 11/27/2017
ALY 1952329781 1821093402 10/30/2017
WEGMAN 1437117553 1902098494 11/19/2018
CHENG 1689724965 1063525152 06/29/2020
QUITANGON 1427275569 1477764496 08/07/2017
DIGIOVANNI 1417985961 1326088808 08/14/2017
HENSCHEL 1861614562 1164555124 01/06/2020
JAKUBOWICZ 1538169230 1558356741 04/23/2018
OSEI 1316276074 1689669079 10/28/2019
CASTANEDA 1457537631 1427063270 11/01/2021
TALMA 1528148574 1922048370 09/25/2017
PISINSKI 1881705481 1033124961 10/11/2021
BECKER 1326118514 1063525152 01/15/2018
YE 1750443958 1396059499 09/23/2019
ELLIS 1538153010 1508850280 11/27/2017
LEVINE 1255321931 1164555124 07/31/2017
IRIGELA 1508173063 1417027558 02/11/2019
PATEL 1063713378 1710918305 09/13/2021
ANAM 1043298318 1508812892 09/04/2017
RAMSEY 1588745905 1619969458 04/16/2018
HAUPERT 1235580978 1306898432 06/19/2017
Page 1027 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10038 NEW YORK
8500 2016 3 10467 BRONX
8500 2015 4 13502 ONEIDA
5667 2017 4 14127 ERIE
8500 2019 6 10467 BRONX
21250 2016 1 10026 NEW YORK
8500 2015 5 14642 MONROE
8500 2018 3 10010 NEW YORK
8500 2015 3 10458 BRONX
8500 2018 5 12518 ORANGE
8500 2021 4 10038 NEW YORK
5667 2015 5 12110 ALBANY
8500 2021 4 10038 NEW YORK
8500 2016 6 10469 BRONX
8500 2018 4 11575 NASSAU
8500 2016 3 13142 OSWEGO
21250 2016 1 10010 NEW YORK
8500 2017 3 10456 BRONX
8500 2021 5 14642 MONROE
8500 2015 3 11418 QUEENS
8500 2016 4 12601 DUTCHESS
21250 2016 1 10011 NEW YORK
Page 1028 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ST ELIZABETH MED CTR (43.149482, -75.361773) 1281 625 40
CARROW STREET PEDIATRICS PLLC (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
COMMUNITY HEALTHCARE NETWORK (40.726966, -74.005966) 737 2095 50
PSYCHIATRIC CLINICAL GROUP (43.161748, -77.620143) 1666 2093 56
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MEDALLIANCE MEDICAL HLTH SVC (40.85589, -73.868294) 675 2032 52
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
COMMUNITY CARE PHYSICIANS PC (42.678066, -73.814233) 40 2030 34
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
PED GI NUTRITION SPEC GRP (43.161748, -77.620143) 1666 2093 56
JAMAICA ANESTHESIA PC (40.749338, -73.789673) 828 2137 11
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -74.005966) 737 2095 50
Page 1029 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
794
646
37 176
37 108
50 844
37 108
37 176
76
37 108
1 573
37 108
37 176
93
533
37 108
37 176
50 844
37 111
63
37 108
Page 1030 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN WILLIAM
PHYSICIAN GEORGE
PHYSICIAN DANIEL
CERTIFIED NURSE MIDWIFE AMY
PHYSICIAN MERRITT
PHYSICIAN SARAH
PHYSICIAN ROBERT
PHYSICIAN JULIEN
PHYSICIAN MARIA
CERTIFIED NURSE MIDWIFE RENEE
NURSE PRACTITIONER NANCY
PHYSICIAN DILIP
PHYSICIAN JIAN WEI
PHYSICIAN AYESA
PHYSICIAN GEORGINA
PHYSICIAN JOSE
PHYSICIAN KAREN
NURSE PRACTITIONER JULIANNE
PHYSICIAN YANICK
PHYSICIAN CHENG
PHYSICIAN ZIHE
Page 1031 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LEVIS 1073554655 1073535027 05/10/2021
AGRIANTONIS 1679588453 1063426377 04/13/2020
POWSNER 1750483236 1053688572 01/01/2018
ROSENTHAL 1275705576 1417183963 10/02/2017
KINON 1063709574 1063525152 07/31/2017
MALLIK 1275998874 1063525152 01/22/2018
ROTH 1306896915 1295729408 08/14/2017
ELIZEE 1144310525 1356406136 07/13/2020
DE MIGUEL 1699935999 1194832477 08/07/2017
HANSEN 1912337718 1164464921 10/30/2017
WITTERHOLT-COLTER 1548348626 1063426377 01/14/2019
DOCTOR 1134291420 1134291420 12/03/2018
ZHANG 1679570246 1528115698 10/02/2017
MIAN 1710925276 1205940152 07/31/2017
OSORIO 1902976293 1659639524 11/08/2021
FEFER 1528011103 1659639524 12/30/2019
LEE 1629124045 1265793517 10/15/2018
RUGGIERO 1669791026 1750352381 09/30/2019
GUERIN 1619912987 1063525152 10/25/2021
GONJON 1851364806 1851364806 02/05/2018
SHAN 1982662458 1003873274 09/16/2019
Page 1032 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 3 10038 NEW YORK
8500 2019 4 10038 NEW YORK
21250 2016 1 11590 NASSAU
21250 2016 1 11201 KINGS
21250 2016 1 10467 BRONX
21250 2016 1 10467 BRONX
8500 2015 4 12401 ULSTER
8500 2019 2 10038 NEW YORK
8500 2015 3 10032 NEW YORK
8500 2016 2 14141 ERIE
8500 2017 2 10038 NEW YORK
8500 2017 6 11374 QUEENS
8500 2015 3 10013 NEW YORK
8500 2015 5 14642 MONROE
8500 2021 6 10003 NEW YORK
8500 2018 4 10025 NEW YORK
8500 2017 4 11373 QUEENS
8500 2018 2 10065 NEW YORK
8500 2021 3 10453 BRONX
8500 2015 4 10040 NEW YORK
8500 2018 3 11229 KINGS
Page 1033 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NORTH SHORE-LIJ MEDICAL PC (40.715749, -73.601185) 1455 2094 6
TBHC PHYSICIAN SERVICES (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
MERCY HOSPITAL OF BUFFALO (42.888143, -78.795544) 62 2041 63
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
DOCTOR DILIP SHIKHARCHAND MD (40.749338, -73.789673) 828 2137 11
METRO TRUE CARE MEDICAL PC (40.726966, -74.005966) 737 2095 50
PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY (43.161748, -77.620143) 1666 2093 56
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
ADVANCED QUALITY MEDICAL PC (40.749338, -73.789673) 828 2137 11
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GONJON CHENG ANTONIO MD (40.726966, -74.005966) 737 2095 50
JANLIAN MEDICAL GROUP LLC (40.65642, -73.950691) 809 2090 31
Page 1034 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
93
37 27
37 176
37 176
198
37 108
37 108
646
37 108
37 111
37 108
50 844
37 108
37 108
37 111
37 108
37 176
37 108
37 27
Page 1035 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN GWEN
PHYSICIAN JUAN
CERTIFIED NURSE MIDWIFE CONCETTA
NURSE PRACTITIONER HEIDI
PHYSICIAN VIMALA
PHYSICIAN ROBERT
CERTIFIED NURSE MIDWIFE NANCEY
NURSE PRACTITIONER ABIGAIL
NURSE PRACTITIONER NORIE
PHYSICIAN LAURA
NURSE PRACTITIONER ROBERT
NURSE PRACTITIONER CHVETTE
PHYSICIAN RICHARD
PHYSICIAN KEITH
PHYSICIAN ZAFER
PHYSICIAN JANINE
PHYSICIAN TAHIR
PHYSICIAN YING
CERTIFIED NURSE MIDWIFE NANCEY
PHYSICIAN CHRISTINA
Page 1036 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
RAPHAN 1053442582 1063426377 11/18/2019
ROCCA 1588820435 1063525152 10/25/2021
SESTITO 1326330929 1124032982 02/26/2018
LAWYER DIMEIS 1093093478 1063468239 02/12/2018
RAMASAMY 1588766380 1023024882 09/04/2017
HUSNEY 1235390816 1235390816 07/03/2017
ROSENSWEIG 1083696322 1083639587 06/25/2018
SNAGGS 1538466677 1043224355 09/13/2021
GRANT 1669802500 1083664221 03/25/2019
CARDELLA 1194887802 1104861772 04/16/2018
JACKSON 1396834990 1063525152 06/22/2020
SILVER 1811031354 1619341716 09/06/2021
ANCONA 1275590697 1467454967 12/24/2018
ANCONA 1619934205 1467454967 04/27/2020
SOULTAN 1801842000 1770539066 11/05/2018
LEBOFSKY 1194087411 1073535027 10/11/2021
ANWAR 1497095707 1467432765 07/31/2017
WONG 1396938130 1619341716 04/20/2020
ROSENSWEIG 1083696322 1083639587 03/26/2018
CUCCIA 1588708622 1063426377 01/20/2020
Page 1037 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
8500 2021 6 10467 BRONX
21250 2016 1 10038 NEW YORK
8500 2015 3 13202 ONONDAGA
21250 2016 1 10038 NEW YORK
21250 2016 1 11229 KINGS
8500 2016 2 12534 COLUMBIA
8500 2021 3 10004 NEW YORK
8500 2017 2 13326 OTSEGO
8500 2016 6 14642 MONROE
8500 2019 6 10459 BRONX
8500 2021 6 11232 KINGS
8500 2017 3 10532 WESTCHESTER
8500 2019 5 10532 WESTCHESTER
8500 2017 6 13210 ONONDAGA
8500 2021 5 10038 NEW YORK
21250 2016 1 13617 ST.LAWRENCE
8500 2019 6 11220 KINGS
21250 2015 1 12534 COLUMBIA
8500 2018 2 10038 NEW YORK
Page 1038 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
HUSNEY ROBERT (40.65642, -73.950691) 809 2090 31
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
PEDIATRICS & ADOLESCENT MEDICINE (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UCPA OF THE NORTH COUNTRY (44.689468, -75.242045) 1581 2140 41
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 1039 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 108
755
37 108
37 27
388
37 108
529
50 844
37 176
37 27
224
224
755
37 108
919
37 27
388
37 108
Page 1040 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN KAREN
PHYSICIAN CYNTHIA
PHYSICIAN JAHNAVI
PHYSICIAN VISHAL
PHYSICIAN EMILY
PHYSICIAN JANA
PHYSICIAN MA. JESUSA
NURSE PRACTITIONER TINA
PHYSICIAN WENDY
NURSE PRACTITIONER ANGELA
PHYSICIAN RONALD
PHYSICIAN MAGGIE
DENTIST JAGDISH
PHYSICIAN FRANK
NURSE PRACTITIONER ALLYSON
NURSE PRACTITIONER KIM
PHYSICIAN DIANE
PHYSICIAN MAHENDRA
PHYSICIAN DAVOOD
DENTIST JOSHUA
Page 1041 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SOREN 1831162981 1194832477 12/16/2019
TAUB 1285628073 1063525152 10/28/2019
NAIK 1053598227 1063881787 11/26/2018
DOSHI 1437584828 1053688572 10/15/2018
JACKNESS 1306813415 1679587679 06/14/2021
FOX 1154467363 1063525152 04/05/2021
CALAGOS 1437254166 1427372689 08/28/2017
ONEILL 1780723007 1407907215 11/06/2017
GOODMAN 1790855997 1063525152 10/25/2021
EHLINGER 1336222447 1306909957 09/04/2017
VERRIER 1003961566 1740595917 01/20/2020
TETROKALASHVILI-FRIDMAN 1619944808 1801857172 05/21/2018
MARKALE 1639144223 1639144223 06/26/2017
SUPPA 1700199213 1720122716 12/03/2018
FRIED 1346251501 1104962737 10/16/2017
PAGE 1386739910 1780783746 09/11/2017
GEORGE 1548236938 1447518550 02/12/2018
SOMASUNDARAM 1053307686 1043224355 12/02/2019
JOHARI 1700081619 1043224355 06/07/2021
CHUBAK 1114272192 1164555124 11/15/2021
Page 1042 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 6 10032 NEW YORK
8500 2018 3 10461 BRONX
8500 2017 4 10003 NEW YORK
21250 2016 1 11590 NASSAU
8500 2020 5 10038 NEW YORK
8500 2020 6 10467 BRONX
8500 2015 5 11432 QUEENS
8500 2015 3 14605 MONROE
8500 2021 4 10704 WESTCHESTER
8500 2015 3 14605 MONROE
8500 2018 2 10457 BRONX
8500 2016 2 11554 NASSAU
-21250 2012 1 10452 BRONX
8500 2017 4 11096 NASSAU
8500 2015 4 14222 ERIE
21250 2016 1 14642 MONROE
8500 2015 5 10032 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2020 2 10038 NEW YORK
8500 2021 5 10010 NEW YORK
Page 1043 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ICAHN SCHOOL OF MEDICINE AT MOUNT S (40.726966, -74.005966) 737 2095 50
NORTH SHORE-LIJ MEDICAL PC (40.715749, -73.601185) 1455 2094 6
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CARING HANDS PEDIATRICS PC (40.749338, -73.789673) 828 2137 11
PLANNED PRTHD NORTH COUNTRY NY,
INC
(43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
PLANNED PARENTHOOD OF NIAG CO (43.161748, -77.620143) 1666 2093 56
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MARKALE JAGDISH NARHAR (40.85589, -73.868294) 675 2032 52
SOUTH SHORE FAMILY MEDICAL
ASSOCIAT
(40.715749, -73.601185) 1455 2094 6
PEDIATRIC UROLOGY OF WESTERN NY PC (42.888143, -78.795544) 62 2041 63
UNIVERSITY OF ROCHESTER
NEUROSURGER
(43.161748, -77.620143) 1666 2093 56
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
Page 1044 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 108
93
37 108
37 176
37 111
50 844
224
50 844
37 176
93
37 176
93
646
50 844
37 108
37 108
37 108
37 108
Page 1045 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN TAMAS
NURSE PRACTITIONER ALEJANDRA
PHYSICIAN SAEID
PHYSICIAN JULIA
PHYSICIAN ASMAA
PHYSICIAN ROBERT
PHYSICIAN MONICA
PHYSICIAN PATRICK
PHYSICIAN FRANCIS
DENTIST ROYA
NURSE PRACTITIONER JERRY
PHYSICIAN DAVID
NURSE PRACTITIONER EKAETE
PHYSICIAN PARIS
PHYSICIAN JOEL
PHYSICIAN GABOR
PHYSICIAN JAMES
PHYSICIAN ALEXIS
PHYSICIAN AYAZ
DENTIST BENN
Page 1046 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SZOMBATHY 1851318208 1063468239 03/12/2018
WILSON 1427210640 1619341716 08/13/2018
TAFRESHI 1225205891 1437231693 02/11/2019
ARNSTEN 1174655591 1063525152 09/11/2017
HASHIM 1457315244 1063525152 01/01/2018
SCHILLER 1083616866 1295729408 05/14/2018
SUAREZ 1649594169 1194832477 03/19/2018
COLLEY 1114244373 1801803903 12/31/2018
BACCAY 1346234630 1063525152 06/22/2020
AFSHAR-MOHAJER 1740327675 1164555124 08/24/2020
WOLBERT 1215975669 1548208127 10/09/2017
DOVNARSKY 1689619975 1477505220 05/07/2018
LAWAL 1245537596 1073535027 09/06/2021
ARIANAS 1467551002 1891240784 09/18/2017
HERSHEY 1760425649 1568534766 09/11/2017
ZOLTAY 1063576205 1063576205 08/21/2017
REILLY 1558466615 1417983024 11/05/2018
BONEPARTH 1528232394 1447518550 04/26/2021
RASOOL 1467561043 1801803903 04/20/2020
LIEBERMAN 1255489977 1679587679 06/12/2017
Page 1047 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 5 13202 ONONDAGA
8500 2016 2 11217 KINGS
8500 2017 5 10456 BRONX
8500 2015 3 10467 BRONX
8500 2016 2 10466 BRONX
8500 2016 5 10035 NEW YORK
8500 2016 2 10033 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2019 3 10461 BRONX
8500 2019 4 10010 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2016 4 11418 QUEENS
8500 2021 5 10038 NEW YORK
21250 2016 1 11722 SUFFOLK
8500 2015 5 11788 SUFFOLK
8500 2015 5 12078 FULTON
8500 2017 6 11725 SUFFOLK
8500 2020 3 10032 NEW YORK
8500 2019 4 10038 NEW YORK
21250 2015 1 10038 NEW YORK
Page 1048 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LISH INC (40.820237, -73.119032) 1421 2179 3
AMB MEDICAL SERVICES PC (40.820237, -73.119032) 1421 2179 3
ZOLTAY GABOR MD (43.06014, -74.331296) 1227 2085 42
REICHMAN BROWN & KAPLAN MD PC (40.820237, -73.119032) 1421 2179 3
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
Page 1049 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
755
37 27
37 176
37 176
37 176
37 108
37 108
37 108
37 176
37 108
37 108
37 111
37 108
137
137
830
137
37 108
37 108
37 108
Page 1050 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JAYENDRA
PHYSICIAN JENNIFER
PHYSICIAN SANDRA
PHYSICIAN CAROLYN
PHYSICIAN VARDHINI
PHYSICIAN BENJAMIN
PHYSICIAN BELKIS
PHYSICIAN SANDRA
PHYSICIAN YIQUN
NURSE PRACTITIONER PAUL
DENTIST JUNOH
PHYSICIAN EDWARD
PHYSICIAN VOLKAN
PHYSICIAN MYREILLE
PHYSICIAN STACIE
PHYSICIAN JIMENA
PHYSICIAN OLUWATOYOSI
CERTIFIED NURSE MIDWIFE SUSAN
PHYSICIAN RUSSELL
PHYSICIAN SHILPI
PHYSICIAN MARIA
PHYSICIAN JULIO
Page 1051 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHARMA 1922086578 1184670465 01/21/2019
LIGHTER 1326209909 1073535027 03/05/2018
JEE 1811924749 1821029463 08/14/2017
HIRSCHMANN 1477819787 1841224508 04/23/2018
DESIKAN 1295984383 1467454967 12/24/2018
LEEMAN 1174513998 1568442036 02/26/2018
COLON 1710024955 1710024955 12/10/2018
SEMPLE 1609934348 1427063270 08/03/2020
HUI 1538490453 1366808511 04/16/2018
VIOLANTI 1750469110 1972944080 09/18/2017
KIM 1285072298 1912225236 12/25/2017
DENIOUS 1376593921 1013928159 03/12/2018
GRANIT 1194012930 1063525152 10/09/2017
POLYCARPE 1801806807 1063525152 10/28/2019
RICHARDSON 1255657581 1851414965 01/01/2018
CUBILLOS 1003076753 1952357493 04/16/2018
DAIRO 1871686642 1417287905 06/04/2018
PAPERA 1487739272 1023024882 05/10/2021
MILLER 1780854703 1154346021 09/04/2017
JAIN-AGGARWAL 1992067367 1740595917 08/17/2020
SIU 1144513862 1427063270 08/28/2017
TARDIO 1649212721 1497700736 09/25/2017
Page 1052 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 5 11418 QUEENS
21250 2016 1 10038 NEW YORK
8500 2015 5 14642 MONROE
8500 2016 2 12603 DUTCHESS
8500 2017 2 10532 WESTCHESTER
8500 2015 5 11580 NASSAU
8500 2017 4 10801 WESTCHESTER
8500 2019 3 10038 NEW YORK
21250 2016 1 11354 QUEENS
8500 2015 3 14213 ERIE
8500 2016 3 14544 YATES
8500 2015 2 12801 WARREN
8500 2015 2 10467 BRONX
8500 2018 2 10473 BRONX
8500 2016 2 10031 NEW YORK
8500 2016 6 14642 MONROE
8500 2016 5 11435 QUEENS
8500 2020 4 10038 NEW YORK
8500 2015 4 10032 NEW YORK
8500 2019 3 10457 BRONX
21250 2016 1 10038 NEW YORK
21250 2016 1 11692 QUEENS
Page 1053 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
BENJAMIN J LEEMAN MD PC (40.715749, -73.601185) 1455 2094 6
COLON BELKIS ARELIS MD (41.039278, -73.805386) 1440 2185 53
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
YIQUN HUI MD PLLC (40.749338, -73.789673) 828 2137 11
JERICHO ROAD MINISTRIES (42.888143, -78.795544) 62 2041 63
RUSHVILLE HEALTH CENTER INC (42.634338, -77.078311) 2225 58
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HERITAGE HEALTH AND HOUSING, INC (40.726966, -74.005966) 737 2095 50
UNIVERSITY UROLOGY ASSOC (43.161748, -77.620143) 1666 2093 56
AMAZING MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF OBSTETRICS GYN (40.726966, -74.005966) 737 2095 50
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
JOSEPH P ADDABBO FAMILY HLTH (40.749338, -73.789673) 828 2137 11
Page 1054 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
37 108
50 844
63
224
93
224
37 108
37 111
646
581
522
37 176
37 176
37 108
50 844
37 111
37 108
37 108
37 176
37 108
37 111
Page 1055 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ABDUL
PHYSICIAN IOANNIS
PHYSICIAN NANCI
PHYSICIAN JUANITA
NURSE PRACTITIONER KIMBERLY
PHYSICIAN DENNIS
PHYSICIAN DAMIAN
NURSE PRACTITIONER SANDRA
DENTIST GENEVIEVE
PHYSICIAN KEIVAN
PHYSICIAN IRA
DENTIST JOEL
PHYSICIAN RAMI
PHYSICIAN PENG
PHYSICIAN RAUL
PHYSICIAN BARRY
CERTIFIED NURSE MIDWIFE SUSAN
PHYSICIAN SAULIUS
NURSE PRACTITIONER SILVIA
Page 1056 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
QADIR 1659345189 1245246644 10/30/2017
MANTZARIS 1871865519 1063525152 07/06/2020
LEVINE 1437239902 1063525152 08/28/2017
MESTRE-DUDLEY 1295048155 1679587679 06/19/2017
MCHENRY 1407296262 1821266321 04/16/2018
KUO 1093895567 1063525152 11/04/2019
KIM 1952387904 1124032982 05/18/2020
STEPANOVSKA 1972987097 1285893719 08/19/2019
ICART-BANDALI 1780760249 1356406136 08/31/2020
SHIFTEH 1497867287 1063525152 05/03/2021
ABBOTT 1356445779 1063525152 04/08/2019
SILVER 1093946717 1164555124 11/18/2019
NOUMI 1043620172 1316960289 11/25/2019
ZHAO 1134362254 1184670465 05/07/2018
MANRIQUE 1972517142 1063426377 05/11/2020
LIFSCHITZ 1457413031 1598934200 12/25/2017
PAPERA 1487739272 1023024882 08/26/2019
SKEIVYS 1619013463 1619013463 08/05/2019
CHAVEZ 1144368739 1659639524 04/23/2018
Page 1057 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 14830 STEUBEN
8500 2019 3 10467 BRONX
8500 2015 5 10538 WESTCHESTER
21250 2015 1 10467 BRONX
21250 2016 1 13790 BROOME
8500 2018 6 10461 BRONX
8500 2019 3 10038 NEW YORK
8500 2018 3 10573 WESTCHESTER
8500 2019 2 10038 NEW YORK
8500 2020 3 10467 BRONX
8500 2017 4 10467 BRONX
8500 2018 3 10010 NEW YORK
8500 2018 4 11203 KINGS
8500 2016 3 11418 QUEENS
8500 2019 4 10038 NEW YORK
8500 2016 5 10970 ROCKLAND
8500 2018 2 10038 NEW YORK
8500 2018 6 11377 QUEENS
8500 2015 2 10029 NEW YORK
Page 1058 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GUTHRIE CLINIC LTD (42.270053, -77.324618) 1757 2178 58
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
JACOBI MEDICAL CENTER (40.85589, -73.868294) 675 2032 52
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
SUNY HEALTH SCIENCE CENTER AT
BKLYN
(40.65642, -73.950691) 809 2090 31
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ENDOCRINE ASSOC OF ROCKLAND LLP (41.127287, -74.017033) 1546 628 27
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
SKEIVYS SAULIUS J MD (40.749338, -73.789673) 828 2137 11
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
Page 1059 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
454
37 176
224
37 176
346
37 176
37 108
224
37 108
37 176
37 176
37 108
37 27
37 111
37 108
154
37 108
37 111
37 108
Page 1060 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CERTIFIED NURSE MIDWIFE JACQUELINE
PHYSICIAN BRYAN
PHYSICIAN MITU
PHYSICIAN PHYLLIS
PHYSICIAN SUZETTE
PHYSICIAN PADMAVATHI
NURSE PRACTITIONER DIANE
PHYSICIAN SABIHA
PHYSICIAN PEBBLE
NURSE PRACTITIONER DONNA
PHYSICIAN SUSAN
PHYSICIAN RAMAN
NURSE PRACTITIONER CARYN
DENTIST CHETAN
DENTIST MATTHEW
PHYSICIAN DONNA
DENTIST BENJAMIN
PHYSICIAN LORA
PHYSICIAN EDWARD
PHYSICIAN WILLIAM
Page 1061 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GAGEN 1811964281 1588711402 09/25/2017
FALK 1407938764 1184670465 08/21/2017
SAGGAR 1093748055 1952325367 02/11/2019
WEINGARTEN 1336229350 1336229350 12/03/2018
GJONAJ 1902898588 1467454967 03/08/2021
JAGARLAMUDI 1245422328 1437231693 12/30/2019
JOHNSON 1336247170 1255360517 09/23/2019
BANDAGI 1245311422 1801803903 10/04/2021
KRANZ 1417168626 1740220698 08/06/2018
LAFRATE 1740229533 1063468239 08/21/2017
FISCHBECK 1598752438 1598722159 01/21/2019
SINGHAL 1740577287 1063525152 10/21/2019
WEISS 1275622698 1063525152 01/08/2018
SAWHNEY 1396062212 1295997724 08/05/2019
MALEK 1447531231 1164555124 02/25/2019
BROWN 1679589824 1467469023 10/09/2017
GODDER 1871713610 1164555124 11/22/2021
WANG 1760773576 1710135686 12/25/2017
KLEIMAN 1306073291 1184878274 04/23/2018
LEVIS 1073554655 1073535027 07/13/2020
Page 1062 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 3 13045 CORTLAND
8500 2015 2 11418 QUEENS
8500 2017 3 11501 NASSAU
8500 2017 3 10901 ROCKLAND
8500 2020 6 10532 WESTCHESTER
8500 2018 4 10456 BRONX
8500 2018 5 14642 MONROE
8500 2021 6 10038 NEW YORK
5667 2016 4 14642 MONROE
8500 2015 2 13214 ONONDAGA
8500 2017 6 14141 ERIE
8500 2018 3 10467 BRONX
8500 2016 4 10467 BRONX
8500 2018 3 11753 NASSAU
8500 2017 2 10010 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2021 6 10010 NEW YORK
21250 2016 1 11354 QUEENS
21250 2016 1 11210 KINGS
8500 2019 2 10038 NEW YORK
Page 1063 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OBSTETRIC & GYN ASOC CORTLAND (42.597101, -76.143291) 362 620 44
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
WEINGARTEN-KANN PHYLLIS E MD (41.127287, -74.017033) 1546 628 27
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
SPRINGVILLE PEDIATRICS LLP (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
FLUSHING RADIATION ONCOLOGY
SERVICE
(40.749338, -73.789673) 828 2137 11
AHAVA MEDICAL AND REHAB CENTER LLC (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 1064 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
537
37 111
93
154
224
37 176
50 844
37 108
50 844
755
646
37 176
37 176
93
37 108
37 108
37 108
37 111
37 27
37 108
Page 1065 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN STANLEY
PHYSICIAN JENNIFER
PHYSICIAN ABRAHAM
PHYSICIAN POOJA
PHYSICIAN CLAUDE
DENTIST JAMES
DENTIST QUANG
NURSE PRACTITIONER MICHELLE
DENTIST VERONICA
NURSE PRACTITIONER SUSAN
PHYSICIAN SRIDHAR
PHYSICIAN SUSAN
PHYSICIAN JOANNA
NURSE PRACTITIONER KATHRYN
DENTIST MAX
PHYSICIAN ASENA
PHYSICIAN AMANDA
PHYSICIAN BING
PHYSICIAN ZOLTAN
PHYSICIAN JOHN
PHYSICIAN DELORES
PHYSICIAN HOUSHANG
Page 1066 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GOLDBERG 1720157506 1679587679 08/14/2017
LEONG 1265674998 1588937064 04/23/2018
KRIKHELY 1861698870 1508266347 04/26/2021
SHAH 1386818391 1194832477 01/28/2019
SIMON 1811982424 1033124961 04/13/2020
SCONZO 1356335673 1366589038 06/18/2018
NGUYEN 1508857798 1508857798 01/25/2019
WILLIAMS 1033299805 1063426377 01/20/2020
MARMARA 1609070358 1295997724 08/05/2019
WEISS 1073680690 1306898432 09/18/2017
NILAM 1013338052 1942294467 12/10/2018
COUPEY 1700962073 1063525152 09/18/2017
BOCHENEK 1952396228 1467454967 08/05/2019
ELSHOFF 1629105432 1821045485 10/28/2019
ANNISE 1518926930 1548229958 09/09/2019
BAHCE-ALTUNTAS 1912278540 1679587679 10/04/2021
POWERS 1659539088 1508266347 09/23/2019
LU 1295754786 1598953721 08/31/2020
ANTAL 1487819603 1952332801 08/06/2018
MCADAM 1972547677 1619341716 08/13/2018
DUCKETT 1124062864 1467469023 11/22/2021
SHAHIM 1063636637 1386714228 10/08/2018
Page 1067 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2015 1 10038 NEW YORK
8500 2015 3 10029 NEW YORK
8500 2020 6 10032 NEW YORK
8500 2017 3 10032 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2016 2 11215 KINGS
-21250 2014 1 11220 KINGS
8500 2018 4 10038 NEW YORK
8500 2018 4 11753 NASSAU
8500 2015 3 10011 NEW YORK
8500 2017 3 14228 ERIE
8500 2015 5 10467 BRONX
8500 2018 3 10532 WESTCHESTER
8500 2018 6 11208 KINGS
-21250 2014 1 10007 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2018 5 10032 NEW YORK
8500 2019 6 11220 KINGS
5667 2016 5 10032 NEW YORK
8500 2016 4 11220 KINGS
8500 2021 3 10038 NEW YORK
8500 2017 3 10595 WESTCHESTER
Page 1068 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BROOKLYN DENTAL SERVICES PC (40.65642, -73.950691) 809 2090 31
NGUYEN QUANG M DDS (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
MICHAEL CALLEN-AUDRE LRDE CHC (40.726966, -74.005966) 737 2095 50
FAMILY MEDICINE FACULTY ASSOC (42.888143, -78.795544) 62 2041 63
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MEDISYS FAMILY CARE (40.65642, -73.950691) 809 2090 31
METROPOLITAN DENTAL ASSOC DDS (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
UNIVERSAL MEDICAL SERVICE LLC (40.65642, -73.950691) 809 2090 31
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -73.805386) 1440 2185 53
Page 1069 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 108
37 108
37 108
37 27
37 27
37 108
93
37 108
646
37 176
224
37 27
37 108
37 108
37 108
37 27
37 108
37 27
37 108
224
Page 1070 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN CHUNG
NURSE PRACTITIONER URSULA
CERTIFIED NURSE MIDWIFE LILLIAN
PHYSICIAN JEAN
PHYSICIAN MICHAEL
PHYSICIAN HARVEY
PHYSICIAN ADRIENNE
PHYSICIAN RADHA
PHYSICIAN SOWMYA
PHYSICIAN NYUN NYUN
PHYSICIAN MOHAMMAD
PHYSICIAN SOPHIE
PHYSICIAN AMPARO
PHYSICIAN JORGE
PHYSICIAN TODD
PHYSICIAN JORGE
PHYSICIAN PRABASH
PHYSICIAN SEIN
PHYSICIAN OLEG
PHYSICIAN MARIA
NURSE PRACTITIONER SYLVIA
Page 1071 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FU 1306082730 1619341716 10/02/2017
TOMLINSON 1811189129 1750352381 09/30/2019
HOFER SCOTT 1669804878 1023024882 06/19/2017
FLEISCHMAN 1609955061 1801803903 04/20/2020
ROSE 1972896934 1043224355 09/06/2021
SCHERER 1538127766 1508812116 08/21/2017
MCMILLAN 1083763387 1619341716 05/04/2020
EKBOTE 1518261486 1124032982 07/12/2021
REDDY 1568774537 1073706032 02/18/2019
MYINT 1386714434 1225297088 05/28/2018
SHEIKHAI 1972584274 1720009715 04/30/2018
LIN 1902093370 1013924372 04/20/2020
RAMIREZ 1861659997 1437231693 02/12/2018
MEJIA-CORLETTO 1326278219 1952325367 02/11/2019
BEYER 1003920810 1548290455 08/20/2018
CONEJERO 1629002373 1063525152 10/09/2017
KONERU 1033306204 1043224355 06/07/2021
THAN 1487685129 1073535027 07/03/2017
KATCHER 1598701468 1598701468 05/04/2020
COCO 1649360546 1063525152 08/28/2017
AYOKO 1184097545 1043224355 12/02/2019
Page 1072 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 11220 KINGS
8500 2018 3 10065 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2021 3 10038 NEW YORK
8500 2015 4 12208 ALBANY
8500 2019 6 11220 KINGS
8500 2020 2 10004 NEW YORK
8500 2017 5 11704 SUFFOLK
21250 2016 1 11432 QUEENS
21250 2016 1 11385 QUEENS
8500 2019 3 10038 NEW YORK
8500 2015 3 10456 BRONX
8500 2017 2 11501 NASSAU
8500 2016 6 12208 ALBANY
21250 2016 1 10461 BRONX
8500 2020 2 10038 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2019 4 11229 KINGS
8500 2015 4 10467 BRONX
8500 2018 2 10038 NEW YORK
Page 1073 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CENTER FOR DISABILITY SERVICES, INC (42.678066, -73.814233) 40 2030 34
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
FEDERATION NYS MENTALLY DISAB (40.820237, -73.119032) 1421 2179 3
ST CHRISTOPHER-OTTILIE (40.749338, -73.789673) 828 2137 11
UCP TREATMENT AND REHAB CTR (40.749338, -73.789673) 828 2137 11
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KATCHER OLEG MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 1074 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 108
37 108
37 108
37 108
1 573
37 27
37 108
137
37 111
37 111
37 108
37 176
93
1 573
37 176
37 108
37 108
37 27
37 176
37 108
Page 1075 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JAWAD
PHYSICIAN MANMEET KAUR
PHYSICIAN DAVID
PHYSICIAN CORINNE
PHYSICIAN KHONDEKER
PHYSICIAN AMIT
CERTIFIED NURSE MIDWIFE DONNA
PHYSICIAN RADHIKA
PHYSICIAN KAREN
NURSE PRACTITIONER MARYLOU
PHYSICIAN MITCHELL
PHYSICIAN VICTOR
PHYSICIAN LAURA
PHYSICIAN PHYLLIS
PHYSICIAN BINDU
PHYSICIAN MARC
PHYSICIAN DAVID
PHYSICIAN CHRISTINA
PHYSICIAN BETH
PHYSICIAN PADMANABH
PHYSICIAN RAQUEL
Page 1076 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
AHMAD 1104898311 1588937064 02/04/2019
GUJRAL 1891090353 1427063270 12/23/2019
ROSENSTREICH 1962587725 1063525152 08/21/2017
YEH 1669636437 1679587679 06/14/2021
RAHMAN 1306880547 1306880547 10/09/2017
BHARGAVA 1679796999 1063525152 08/14/2017
EHRICK 1235421835 1124032982 09/30/2019
SREERAM 1427342575 1063525152 06/22/2020
SOREN 1831162981 1194832477 01/28/2019
STANTON 1487035739 1467526889 08/10/2020
SCHUMAN 1801962956 1700037975 05/29/2017
RODACK 1790752475 1073535027 09/04/2017
HOUSTON 1114210770 1619969458 06/19/2017
WEINGARTEN 1336229350 1336229350 09/13/2021
KAUL 1801989033 1063525152 07/06/2020
RICHMOND 1720105893 1447518550 11/06/2017
ERSTEIN 1245494806 1427063270 12/09/2019
COYLE 1366573818 1679587679 11/01/2021
LEWIS 1053362392 1679587679 05/25/2020
PADDU 1497797708 1497797708 03/26/2018
DAVIS 1528343498 1063525152 10/28/2019
Page 1077 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 5 10029 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2015 5 10461 BRONX
8500 2020 3 10038 NEW YORK
21250 2016 1 11596 NASSAU
8500 2015 3 10467 BRONX
8500 2018 2 10038 NEW YORK
8500 2019 4 10709 WESTCHESTER
8500 2017 5 10032 NEW YORK
8500 2019 3 13815 CHENANGO
21250 2016 1 10310 RICHMOND
21250 2016 1 10038 NEW YORK
21250 2016 1 10566 WESTCHESTER
8500 2021 6 10901 ROCKLAND
8500 2019 2 10467 BRONX
8500 2016 6 10032 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2021 4 10038 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2016 5 11377 QUEENS
8500 2018 3 10458 BRONX
Page 1078 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
RAHMAN KHONDEKER MOHAMMAD M (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
CHENANGO MEMORIAL HOSPITAL (42.481798, -75.570013) 451 2037 45
AMBOY MEDICAL PRACTICE PC (40.566763, -74.148102) 609 2139 47
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
HUDSON RIVER HEALTHCARE INC (41.039278, -73.805386) 1440 2185 53
WEINGARTEN-KANN PHYLLIS E MD (41.127287, -74.017033) 1546 628 27
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
PADDU UPADHYAYA PADMANABH (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
Page 1079 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 176
37 108
93
37 176
37 108
224
37 108
493
37 7
37 108
224
154
37 176
37 108
37 108
37 108
37 108
37 111
37 176
Page 1080 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST PATRICK
PHYSICIAN DAVID
PHYSICIAN JOEL
PHYSICIAN ADEOLA
DENTIST JOEL
PHYSICIAN VANDANA
PHYSICIAN RICHARD
PHYSICIAN ISSAM
NURSE PRACTITIONER THOMAS
PHYSICIAN SARAH
PHYSICIAN CYNTHIA
DENTIST ROBERTO
PHYSICIAN CAROLE
PHYSICIAN CHUN MING
NURSE PRACTITIONER MICHELE
CERTIFIED NURSE MIDWIFE LILLIAN
DENTIST FRED
NURSE PRACTITIONER MARY
PHYSICIAN GERALD
PHYSICIAN NOAH
PHYSICIAN ELLA
Page 1081 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BAILEY 1770888786 1851414965 08/07/2017
BINDER 1073510475 1124032982 02/04/2019
MCFARLAND 1154363190 1255360517 08/21/2017
AYODEJI 1689660201 1689669079 09/04/2017
SILVER 1093946717 1164555124 02/25/2019
BACON 1356657498 1841224508 09/09/2019
BATISTA 1497722474 1801857172 05/21/2018
KOLEILAT 1730340340 1063525152 10/09/2017
PERRON 1710179825 1003093436 06/18/2018
FREEMAN 1154746816 1194832477 01/28/2019
TAM 1992871933 1528115698 11/06/2017
PARRA 1790985505 1972781375 12/16/2019
MARKS 1396817292 1578612412 11/04/2019
CHEN 1578507745 1063426377 07/13/2020
TALERICO 1063583847 1063557189 12/16/2019
DALKE 1306191861 1467469023 07/20/2020
DUBROWSKY 1922110683 1164555124 01/20/2020
FOSTER 1114931755 1770539066 04/16/2018
VILLANUEVA 1548271745 1073535027 10/09/2017
BLOOMGARDEN 1952680795 1063525152 11/15/2021
ZAVOLUNOVA 1659469260 1043480593 05/03/2021
Page 1082 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 10031 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2015 4 14621 MONROE
8500 2015 4 12518 ORANGE
8500 2017 2 10010 NEW YORK
8500 2018 4 12603 DUTCHESS
8500 2016 2 11554 NASSAU
21250 2016 1 10461 BRONX
8500 2016 5 10001 NEW YORK
8500 2017 2 11237 KINGS
8500 2015 3 10013 NEW YORK
8500 2018 3 13901 BROOME
8500 2018 3 11212 KINGS
8500 2019 5 10038 NEW YORK
8500 2018 5 13827 TIOGA
8500 2019 2 10038 NEW YORK
8500 2018 3 10010 NEW YORK
8500 2016 5 13210 ONONDAGA
21250 2016 1 10038 NEW YORK
8500 2021 6 10461 BRONX
8500 2020 5 11372 QUEENS
Page 1083 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HERITAGE HEALTH AND HOUSING, INC (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HELP/PROJECT SAMARITAN SVCS CORP (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.65642, -73.950691) 809 2090 31
METRO TRUE CARE MEDICAL PC (40.726966, -74.005966) 737 2095 50
WILSON DENTAL PC (42.122015, -75.933191) 479 2033 45
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LOURDES HOSPITAL OB GROUP (42.120252, -76.29595) 450 630 45
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
FIRST CHOICE PEDIATRICS PC (40.749338, -73.789673) 828 2137 11
Page 1084 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
50 844
76
37 108
63
93
37 176
37 108
37 27
37 108
346
37 27
37 108
330
37 108
37 108
755
37 108
37 176
37 111
Page 1085 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN LONEIEN
DENTIST IGOR
PHYSICIAN CLAUDIA
NURSE PRACTITIONER JUDITH
PHYSICIAN JENNY
DENTIST GREGORY
NURSE PRACTITIONER KAREN
PHYSICIAN SENDHAN
PHYSICIAN MARCUS
PHYSICIAN JULIA
NURSE PRACTITIONER HEATHER
PHYSICIAN DANIELA
PHYSICIAN LINOTTE
PHYSICIAN SUDHANVA
PHYSICIAN KRISTINA
NURSE PRACTITIONER MELISSA
PHYSICIAN MEW
PHYSICIAN DEBORAH
PHYSICIAN ERFIDIA
NURSE PRACTITIONER EMILY
PHYSICIAN RAFAEL
Page 1086 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ONG 1750473328 1023024882 08/26/2019
ELIAV 1497924617 1497924617 10/26/2017
SERRANO-GOMEZ 1427273762 1073535027 10/09/2017
SCARDILLO 1346551835 1548290455 03/18/2019
SHLIOZBERG 1174603971 1063525152 04/26/2021
MADDALENA 1033319066 1619969458 03/05/2018
WEST 1417065871 1417065871 11/06/2017
RAJAMANICKAM 1508108192 1255360517 12/03/2018
RIVERA 1891993218 1770539066 09/11/2017
VARGAS-JEREZ 1780603324 1427063270 09/11/2017
GIGON 1205140605 1508850280 01/14/2019
LEVANON 1003971953 1023024882 06/12/2017
JEAN-JEUNE 1790894376 1396059499 03/26/2018
HEGDE 1558559989 1073535027 12/09/2019
DERRICK 1013228469 1063525152 10/09/2017
RYAN 1396803169 1346286895 03/26/2018
CHAN-HOUSE 1710941778 1679897391 11/27/2017
SWIDERSKI 1992894299 1063525152 08/21/2017
RESTREPO 1639265077 1801803903 11/25/2019
COMERFORD 1285862847 1972944080 03/19/2018
RODRIGUEZ 1144298175 1144298175 04/23/2018
Page 1087 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10038 NEW YORK
-21250 2013 1 11222 KINGS
21250 2016 1 10038 NEW YORK
8500 2017 6 12208 ALBANY
8500 2020 6 10467 BRONX
8500 2015 2 12508 DUTCHESS
8500 2015 3 12078 FULTON
8500 2017 5 14621 MONROE
8500 2015 4 13210 ONONDAGA
21250 2016 1 10038 NEW YORK
8500 2017 6 13142 OSWEGO
21250 2015 1 10461 BRONX
8500 2016 2 11575 NASSAU
8500 2018 2 10038 NEW YORK
21250 2016 1 10467 BRONX
8500 2016 6 14642 MONROE
8500 2015 4 13820 OTSEGO
8500 2015 5 10451 BRONX
8500 2018 3 10038 NEW YORK
8500 2015 4 14213 ERIE
8500 2015 4 11372 QUEENS
Page 1088 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
ELIAV IGOR G (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
WEST KAREN JEAN NP (43.06014, -74.331296) 1227 2085 42
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
NORTHERN OSWEGO CNTY HLTH SVC (43.39123, -76.31133) 623 2135 41
NORTH CENTRAL BRONX (40.85589, -73.868294) 675 2032 52
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PEDIATRIC DEVELOPMENT CLINIC (43.161748, -77.620143) 1666 2093 56
AURELIA OSBORN FOX MEMORIAL HOSP (42.564852, -75.060334) 432 2136 44
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
JERICHO ROAD MINISTRIES (42.888143, -78.795544) 62 2041 63
RODRIGUEZ RAFAEL MD (40.749338, -73.789673) 828 2137 11
Page 1089 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
37 108
1 573
37 176
63
830
50 844
755
37 108
533
37 176
93
37 108
37 176
50 844
529
37 176
37 108
646
37 111
Page 1090 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DIANA
PHYSICIAN KATHLEEN
PHYSICIAN CHENG
PHYSICIAN FRANCINE
PHYSICIAN LISSA
NURSE PRACTITIONER MYUNG
PHYSICIAN MIRIAM
PHYSICIAN DANA
NURSE PRACTITIONER BETH
NURSE PRACTITIONER ELAINE
PHYSICIAN YANQING
CERTIFIED NURSE MIDWIFE REBEKAH
NURSE PRACTITIONER LATISHA
PHYSICIAN SHERRY
PHYSICIAN ANNE
PHYSICIAN MARINA
PHYSICIAN MIRABAI
PHYSICIAN ERIN
PHYSICIAN DAVID
PHYSICIAN JAMES
PHYSICIAN ERIC
Page 1091 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LOWENTHAL 1861492209 1467454967 08/26/2019
ZABINSKI-KRAMER 1194712737 1700816626 01/08/2018
ZHANG 1881731479 1063525152 08/21/2017
EINSTEIN 1235219718 1063525152 10/18/2021
GOLDSTEIN 1679718886 1972877017 08/19/2019
AHN 1184875221 1548217763 03/29/2021
SCHECHTER 1962587329 1063525152 02/05/2018
SCHONBERG 1639498249 1063525152 04/12/2021
NICASTRO 1124023650 1043256506 09/04/2017
POTTENGER 1316138399 1750352381 10/23/2017
MA 1396057253 1396057253 07/02/2018
ARYA 1588878946 1619969458 12/02/2019
JONES 1164694857 1750352381 02/04/2019
LI 1992742217 1447549134 09/04/2017
GADOMSKI 1871550343 1083664221 12/10/2018
MARGULIS 1376558817 1124032982 05/17/2021
BATRA 1659474708 1619341716 08/13/2018
PATTON 1053531566 1043571086 10/21/2019
JOSEPH 1902840614 1063426377 04/13/2020
GARVIN 1518933092 1447518550 11/06/2017
MOLHO 1427042399 1811921786 08/09/2021
Page 1092 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 5 10532 WESTCHESTER
8500 2015 4 12110 ALBANY
8500 2015 3 10467 BRONX
8500 2021 5 10461 BRONX
8500 2018 4 10011 NEW YORK
8500 2020 6 11355 QUEENS
8500 2016 6 10461 BRONX
8500 2020 6 10458 BRONX
21250 2016 1 14209 ERIE
21250 2016 1 10065 NEW YORK
8500 2016 3 11355 QUEENS
8500 2018 4 10566 WESTCHESTER
8500 2017 2 10065 NEW YORK
8500 2015 3 11355 QUEENS
8500 2017 6 13326 OTSEGO
8500 2020 3 10038 NEW YORK
8500 2016 3 10036 NEW YORK
8500 2018 2 10003 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2016 6 10032 NEW YORK
8500 2021 5 12208 ALBANY
Page 1093 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
THE INSTITUTE FOR FAMILY HEALTH (40.726966, -74.005966) 737 2095 50
FLUSHING HOSPITAL & MED CTR (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BUFFALO PEDIATRIC ASSOICATES (42.888143, -78.795544) 62 2041 63
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
YANQING MA MD (40.749338, -73.789673) 828 2137 11
HUDSON RIVER HEALTHCARE INC (41.039278, -73.805386) 1440 2185 53
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
LI DERMATOLOGY PLLC (40.749338, -73.789673) 828 2137 11
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
ICAHN SCHOOL OF MED AT MT SINAI (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
Page 1094 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
1 573
37 176
37 176
37 108
37 111
37 176
37 176
646
37 108
37 111
224
37 108
37 111
529
37 108
37 108
37 108
37 108
37 108
1 573
Page 1095 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DENTIST YVES
PHYSICIAN FARZANA
PHYSICIAN JOHNSON
NURSE PRACTITIONER ELAINE
PHYSICIAN MELISSA
PHYSICIAN GLEDA
PHYSICIAN ASHALATHA
PHYSICIAN ELANA
PHYSICIAN PRAMILA
NURSE PRACTITIONER LAUREN
PHYSICIAN SUSAN
PHYSICIAN NAVEEN
PHYSICIAN AUDREY
PHYSICIAN JOSEPH
DENTIST A NA
PHYSICIAN JESSICA
PHYSICIAN EVE
PHYSICIAN KARINE
PHYSICIAN PATRICK
PHYSICIAN SHIRLEY
PHYSICIAN KIRSI
Page 1096 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONTE 1073615894 1073615894 08/05/2019
HABIB 1821008293 1821008293 04/26/2021
PEREIRA 1396064341 1467469023 05/17/2021
MATOS 1972881357 1063525152 11/11/2019
LEUNG 1982608444 1427063270 08/10/2020
BALDINI 1558419689 1083639587 04/16/2018
NAIR 1144322926 1063426377 10/02/2017
LUBIT 1093700239 1073535027 10/09/2017
VEERASWAMY 1376560110 1063426377 11/18/2019
SANDERS 1710247564 1477764496 08/28/2017
PROCKOP 1053382531 1750352381 02/04/2019
PATHAK 1437114360 1184670465 11/11/2019
DESILVA 1356323133 1356323133 11/12/2018
NIMEH 1811150162 1770539066 03/12/2018
PEREZ-ROBINSON 1710199765 1710199765 04/01/2019
ROESSER 1720090277 1346286895 04/16/2018
FABER 1962496117 1124075049 05/28/2018
GRIGORYANTS 1538465299 1073706032 09/14/2020
DALTON 1023171949 1477958007 09/18/2017
TUNG 1356362354 1548208127 01/22/2018
JARVINEN-SEPPO 1275755423 1497702286 11/19/2018
Page 1097 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 11432 QUEENS
8500 2020 4 14228 ERIE
8500 2020 3 10038 NEW YORK
8500 2018 5 10461 BRONX
8500 2019 2 10038 NEW YORK
8500 2016 5 12192 GREENE
21250 2016 1 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2018 4 10038 NEW YORK
8500 2015 2 11225 KINGS
8500 2017 2 10065 NEW YORK
8490 2018 6 11418 QUEENS
5667 2017 4 14850 TOMPKINS
8500 2016 5 13202 ONONDAGA
-8500 2014 2 10472 BRONX
8500 2016 6 14642 MONROE
8500 2016 2 11203 KINGS
8500 2019 6 11704 SUFFOLK
8500 2015 2 10025 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2017 5 14642 MONROE
Page 1098 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CONTE YVES DDS (40.749338, -73.789673) 828 2137 11
FARZANA HABIB (42.888143, -78.795544) 62 2041 63
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
COLUMBIA MEMORIAL HOSPITAL (42.298326, -73.973376) 88 2087 36
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COMMUNITY HEALTHCARE NETWORK (40.65642, -73.950691) 809 2090 31
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
DESILVA AUDREY H MD (42.461024, -76.478784) 1786 2181 58
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
PEREZ-ROBINSON ANA M DDS (40.85589, -73.868294) 675 2032 52
PEDIATRIC DEVELOPMENT CLINIC (43.161748, -77.620143) 1666 2093 56
UNIVERSITY PHYSICIANS BKLYN (40.65642, -73.950691) 809 2090 31
FEDERATION NYS MENTALLY DISAB (40.820237, -73.119032) 1421 2179 3
ST LUKES-ROOSEVELT HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
ALLERGY IMMUN RHEUM CLINIC GR (43.161748, -77.620143) 1666 2093 56
Page 1099 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 111
646
37 108
37 176
37 108
435
37 108
37 108
37 108
37 27
37 108
37 111
496
755
37 176
50 844
37 27
137
37 108
37 108
50 844
Page 1100 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER KATHERINE
DENTIST JOEL
PHYSICIAN ANDREA
PHYSICIAN ONYEMACHI
PHYSICIAN ROBERT
CERTIFIED NURSE MIDWIFE PATRICIA
PHYSICIAN ANTHONY
PHYSICIAN RON
PHYSICIAN JINPENG
PHYSICIAN PIK SAI
CERTIFIED NURSE MIDWIFE HEATHER
PHYSICIAN ALLEN
PHYSICIAN GAIL
PHYSICIAN KAISER
PHYSICIAN STEPHANIE
PHYSICIAN VIDYA
DENTIST MEA
PHYSICIAN JEFFREY
NURSE PRACTITIONER SERENA
Page 1101 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
STEINLE 1841520962 1417959701 08/28/2017
SILVER 1093946717 1164555124 08/17/2020
CIANO 1265825970 1477764496 07/31/2017
AJAH 1407817398 1407817398 05/04/2020
READER 1366449217 1073535027 05/17/2021
MAHONEY 1104867761 1285893719 03/09/2020
NAPPI 1457541583 1386689248 02/26/2018
MARK 1013917301 1013917301 04/16/2018
PENG 1518952654 1518952654 08/02/2021
YUNG 1437303930 1063426377 03/22/2021
FINDLETAR 1851334643 1538114723 03/26/2018
DOZOR 1801896238 1467454967 08/26/2019
BESSON 1639287055 1619341716 05/21/2018
ISLAM 1689668311 1205868528 12/25/2017
GORDIENKO 1912019407 1467469023 03/01/2021
SHARMA 1346599271 1679587679 11/18/2019
WEINBERG 1568594976 1164555124 08/24/2020
SNEDEKER 1619959582 1619959582 11/19/2018
ALLEN 1326231721 1467487637 03/12/2018
Page 1102 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 4 10012 NEW YORK
8500 2019 4 10010 NEW YORK
21250 2016 1 11435 QUEENS
8500 2019 4 11412 QUEENS
8500 2020 3 10038 NEW YORK
8500 2019 6 10573 WESTCHESTER
8500 2015 4 12208 ALBANY
8500 2016 2 11729 SUFFOLK
8500 2021 6 11220 KINGS
8500 2020 3 10038 NEW YORK
8500 2016 4 11733 SUFFOLK
8500 2018 5 10532 WESTCHESTER
8500 2016 3 11203 KINGS
8500 2016 2 11203 KINGS
8500 2020 4 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2019 4 10010 NEW YORK
5667 2017 4 14850 TOMPKINS
8500 2016 2 94601 OUT OF STATE
Page 1103 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
COMMUNITY HEALTHCARE NETWORK (40.749338, -73.789673) 828 2137 11
AJAH ONYEMACHI GEORGE MD (40.749338, -73.789673) 828 2137 11
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MARK RON MD (40.820237, -73.119032) 1421 2179 3
PENG JINPENG MD (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
SUNY HEALTH SCIENCE CENTER AT
BKLYN
(40.65642, -73.950691) 809 2090 31
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
SNEDEKER JEFFREY DAVID MD (42.461024, -76.478784) 1786 2181 58
OPEN DOOR FAMILY MEDICAL CENTER
INC
Page 1104 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 111
37 111
37 108
224
1 573
137
37 27
37 108
137
224
37 27
37 27
37 108
37 108
37 108
496
Page 1105 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN PERRY
PHYSICIAN EMILY
PHYSICIAN JOHN
PHYSICIAN ADRIAN
PHYSICIAN BYRD
PHYSICIAN YA JU
PHYSICIAN BALDEV
PHYSICIAN JEFFERY
PHYSICIAN CARINA
PHYSICIAN UMA
NURSE PRACTITIONER MARY
PHYSICIAN PATRICK
PHYSICIAN SHARMIN
PHYSICIAN RICHARD
DENTIST GYULNARA
NURSE PRACTITIONER CAROL
PHYSICIAN JAN
NURSE PRACTITIONER LORRAINE
NURSE PRACTITIONER JEAN
NURSE PRACTITIONER KAREN
PHYSICIAN MATTHEW
Page 1106 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FISHKIND 1306950233 1669470019 12/09/2019
URBINA 1457595118 1427063270 02/26/2018
HANDELSMAN 1104938174 1801857172 06/19/2017
DIDITA 1215002464 1013924372 05/04/2020
CLEVELAND 1699777136 1386689248 12/21/2020
CHANG 1801879119 1437346095 08/05/2019
SINGH 1760559959 1386714228 11/05/2018
HARP 1659308260 1740220698 08/07/2017
BIGGS 1508832304 1043224355 03/22/2021
JAYAKRISHNAN 1417044124 1619341716 10/02/2017
STRONG 1811320625 1083664221 03/12/2018
LASALA 1700980125 1063525152 01/22/2018
KHAN 1295023794 1073535027 12/09/2019
NECHES 1467542266 1063525152 01/29/2018
KYAZIMOVA 1841279544 1154592020 11/03/2017
MARKOWITZ 1871674291 1568534766 09/04/2017
CARSTENS 1316087190 1316087190 09/25/2017
VON EEDEN 1609946805 1063525152 06/29/2020
MACK-FOGG 1023048600 1821029463 02/18/2019
ROTH 1093714784 1255360517 09/21/2020
MITTIGA 1164686192 1821093402 03/05/2018
Page 1107 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 2 10977 ROCKLAND
21250 2016 1 10038 NEW YORK
21250 2016 1 11554 NASSAU
8500 2019 3 10038 NEW YORK
8500 2020 3 12209 ALBANY
8500 2018 6 10013 NEW YORK
8500 2017 5 10595 WESTCHESTER
8500 2015 5 14642 MONROE
8500 2020 2 10029 NEW YORK
8500 2015 3 11220 KINGS
21250 2016 1 13326 OTSEGO
8500 2016 5 10467 BRONX
8500 2018 2 10038 NEW YORK
8500 2016 4 10467 BRONX
-21250 2013 1 11224 KINGS
8500 2015 4 11788 SUFFOLK
8500 2015 5 12010 MONTGOMERY
8500 2019 4 10467 BRONX
8500 2017 6 14642 MONROE
8500 2019 6 14513 WAYNE
8500 2015 4 13501 ONEIDA
Page 1108 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
INC
REFUAH HEALTH CENTER INC (41.127287, -74.017033) 1546 628 27
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
GLOBAL MEDICAL ASSOCIATES PLLC (40.726966, -74.005966) 737 2095 50
CAH WESTCHESTER INST/HUMAN DEV (41.039278, -73.805386) 1440 2185 53
HIGHLAND HOSPITAL OF ROCHESTER (43.161748, -77.620143) 1666 2093 56
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GULMAR DENTAL PC (40.65642, -73.950691) 809 2090 31
AMB MEDICAL SERVICES PC (40.820237, -73.119032) 1421 2179 3
CARSTENS JAN SYNAKOWSKI MD (42.933637, -74.341972) 1221 624 36
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
ROCHESTER GENERAL HOSPITAL (43.144336, -77.117995) 318 631 54
ST ELIZABETH MED CTR (43.149482, -75.361773) 1281 625 40
Page 1109 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
154
37 108
93
37 108
1 573
37 108
224
50 844
37 108
37 27
529
37 176
37 108
37 176
37 27
137
699
37 176
50 844
809
794
Page 1110 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ADETUTU
PHYSICIAN DIANE
PHYSICIAN YURIY
PHYSICIAN CHING
PHYSICIAN JACOB
PHYSICIAN STEPHANIE
PHYSICIAN JACQUELINE
NURSE PRACTITIONER B
PHYSICIAN MOHAMMAD
PHYSICIAN CONAIR
NURSE PRACTITIONER CORINNE
PHYSICIAN NAHEED
PHYSICIAN JEFFREY
PHYSICIAN KRISTEN
PHYSICIAN RENATA
PHYSICIAN NILESH
DENTIST WILLIAM
PHYSICIAN NICOLAE
DENTIST VIVIAN
PHYSICIAN ASLAM
PHYSICIAN MARCEL
Page 1111 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ADETONA 1629038930 1710931837 09/04/2017
MAGGIORE 1487718532 1679587679 09/27/2021
ISRAEL 1154563682 1427214949 07/22/2019
CHIU 1174544605 1063426377 01/07/2019
SHANI 1437107026 1093777492 01/21/2019
MOORE 1902955149 1013003359 10/16/2017
MARECHEAU 1023083391 1619341716 09/14/2020
DOOLEY 1407809957 1083664221 08/27/2018
BABURY 1679532113 1184670465 05/07/2018
GUILLIAMES 1982980983 1063525152 08/21/2017
SMITH 1780792002 1083664221 08/17/2020
ANJUM 1770696551 1326223025 12/23/2019
SVERD 1164462974 1508929621 01/20/2020
REZAK 1801086905 1548290455 06/04/2018
WITKOWSKA 1043203474 1043203474 05/28/2018
PATEL 1033179080 1184670465 01/21/2019
BONGIORNO 1679888564 1164555124 11/25/2019
MOSU 1457398620 1184670465 03/22/2021
WASMUHT-PERROUD 1841382124 1164555124 02/25/2019
JIVANI 1750392411 1528192515 06/18/2018
BAYOL 1245290949 1043224355 12/02/2019
Page 1112 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 5 12182 RENSSELAER
8500 2021 5 10038 NEW YORK
8500 2018 2 11375 QUEENS
8500 2017 2 10038 NEW YORK
8500 2017 2 11219 KINGS
8500 2015 4 12901 CLINTON
8500 2019 5 11215 KINGS
8500 2016 3 12043 SCHOHARIE
8500 2016 4 11418 QUEENS
8500 2015 2 10469 BRONX
8500 2019 4 13326 OTSEGO
8500 2018 4 11218 KINGS
8500 2018 2 11756 NASSAU
8500 2016 3 12208 ALBANY
8500 2016 3 12550 ORANGE
8490 2017 6 11418 QUEENS
8500 2018 3 10010 NEW YORK
8500 2020 6 11374 QUEENS
8500 2017 2 10010 NEW YORK
8500 2016 3 11373 QUEENS
8500 2018 2 10038 NEW YORK
Page 1113 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LANSINGBURGH FAMILY PRACTICE PC (42.70098, -73.628669) 38 2138 33
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
GASTROENTEROLOGY AND NUTRITION PC (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MOUNTAIN VIEW PEDIATRICS PLLC (44.731944, -73.548883) 202 2038 35
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MARY IMOGENE BASSETT HSP (42.643426, -74.434606) 1173 629 44
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
ADVANCE MEDICAL OFFICE PC (40.65642, -73.950691) 809 2090 31
NORTH SHORE CHILD/FAMILY GUID (40.715749, -73.601185) 1455 2094 6
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
WITKOWSKA RENATA A MD (41.422459, -74.241929) 1496 2134 32
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
VXL MEDICAL CARE PC (40.749338, -73.789673) 828 2137 11
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 1114 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
40 473
37 108
37 111
37 108
37 27
920
37 27
572
37 111
37 176
529
37 27
93
1 573
76
37 111
37 108
37 111
37 108
37 111
37 108
Page 1115 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN LUKE
DENTIST LOUIS
DENTIST DAVID
DENTIST STEVEN
NURSE PRACTITIONER MARY
PHYSICIAN ALEXANDRA
PHYSICIAN OLUBUKOLA
NURSE PRACTITIONER PARDELLA
PHYSICIAN GINA
NURSE PRACTITIONER ADEYEMI
PHYSICIAN LAURA
PHYSICIAN MARY
PHYSICIAN PETER
PHYSICIAN YESIM
PHYSICIAN NICOLE
PHYSICIAN SUN
PHYSICIAN EFRAIN
PHYSICIAN WILBERT
DENTIST DAVID
NURSE PRACTITIONER ZIPING
Page 1116 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PLUTO 1851350854 1386689248 03/19/2018
DE SANTIS 1447321096 1164555124 08/24/2020
SIROIS 1528128170 1164555124 08/24/2020
FISHER 1073744652 1164555124 02/18/2019
MEEHAN 1992704720 1639267933 04/30/2018
CANETTI 1568629467 1194832477 03/19/2018
ADEYEYE 1275930422 1407892342 02/18/2019
SCOTT 1316242480 1063525152 10/28/2019
CIAVARRA 1407891757 1548208127 03/05/2018
ALABI 1407268428 1427063270 12/16/2019
KAPLAN-WEISMAN 1215228861 1295729408 05/28/2018
VOGLER 1760538664 1952332801 12/23/2019
GORDON 1093838856 1194832477 01/28/2019
DEMIRDAG 1134330921 1447518550 10/23/2017
NEMETH 1588868160 1679587679 05/29/2017
PARK 1124177829 1063525152 01/22/2018
GONZALEZ 1407872211 1417027558 01/20/2020
MANIEGO 1356392427 1356392427 12/03/2018
LEVENSON 1497959837 1164555124 02/18/2019
QIN 1689008906 1689009854 11/26/2018
Page 1117 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2015 3 12208 ALBANY
8500 2019 4 10010 NEW YORK
8500 2019 4 10010 NEW YORK
8500 2017 2 10010 NEW YORK
21250 2016 1 14620 MONROE
8500 2016 2 10032 NEW YORK
8500 2017 2 13440 ONEIDA
8500 2018 4 10467 BRONX
21250 2016 1 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2016 3 10453 BRONX
8500 2018 5 10032 NEW YORK
8500 2017 6 10032 NEW YORK
8500 2016 4 10032 NEW YORK
21250 2015 1 10038 NEW YORK
21250 2016 1 10467 BRONX
8500 2018 3 10456 BRONX
8500 2017 5 11040 NASSAU
8500 2017 2 10010 NEW YORK
8500 2017 3 11220 KINGS
Page 1118 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
HILLSIDE CHLDRNS CTR LABURNUM (43.161748, -77.620143) 1666 2093 56
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
ROME MEDICAL GROUP PC (43.149482, -75.361773) 1281 625 40
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
MANIEGO WILBERT BAGUYO MD (40.715749, -73.601185) 1455 2094 6
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
EXCELSIOR INTEGRATED MEDICAL
GROUP
(40.65642, -73.950691) 809 2090 31
Page 1119 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
1 573
37 108
37 108
37 108
50 844
37 108
794
37 176
37 108
37 108
37 176
37 108
37 108
37 108
37 108
37 176
37 176
93
37 108
37 27
Page 1120 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER SHERIN
PHYSICIAN SABRINA
PHYSICIAN DANIEL
PHYSICIAN SHELDON
PHYSICIAN UDAY
DENTIST RICHARD
PHYSICIAN LALITHA
NURSE PRACTITIONER EMILY
PHYSICIAN MUHAMMAD
PHYSICIAN DIPAK
PHYSICIAN LESTER
NURSE PRACTITIONER VERONICA
PHYSICIAN STACI
PHYSICIAN MICHAEL
PHYSICIAN MUHAMMAD
PHYSICIAN VIRGINIA
PHYSICIAN SAMUEL
DENTIST PAULETTE
CERTIFIED NURSE MIDWIFE MALAIKA
PHYSICIAN JANA
PHYSICIAN IAN
Page 1121 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHILIP 1518342021 1487691481 02/11/2019
LAW 1992093116 1447518550 03/05/2018
LASSER 1811084999 1124032982 10/07/2019
GOLDSTEIN 1467453662 1063525152 06/22/2020
PATIL 1831348960 1063426377 01/18/2021
SMITH 1962558775 1578612412 08/06/2018
REDDY 1487754693 1487754693 04/16/2018
MORALES 1548516834 1568534766 02/11/2019
CHAUDHRY 1457391443 1457391443 12/09/2019
BANKER 1851374870 1851374870 07/30/2018
BUSSEY 1053410654 1619969458 11/25/2019
ECCLESTON-HOSEIN 1275843237 1184694291 09/04/2017
POLLACK 1255411815 1063525152 10/28/2019
GURELL 1194834366 1255360517 06/18/2018
CHEEMA 1821050485 1255360517 09/18/2017
KALDAS 1639417116 1427063270 10/09/2017
DAVIDOFF 1922055276 1427214949 01/01/2018
PORTEOUS-COLE 1053494112 1285893719 07/05/2021
MILLER 1225580780 1679587679 09/27/2021
ROMM 1316102189 1023024882 06/01/2020
STUPPEL 1710058524 1063557189 05/14/2018
Page 1122 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 11501 NASSAU
8500 2016 2 10032 NEW YORK
8500 2018 3 10038 NEW YORK
8500 2019 2 10467 BRONX
8500 2020 3 10038 NEW YORK
8500 2016 2 11212 KINGS
8500 2016 4 11236 KINGS
8500 2017 3 11385 QUEENS
8500 2018 4 10029 NEW YORK
8500 2016 5 10927 ROCKLAND
8500 2018 5 12601 DUTCHESS
8500 2015 2 10453 BRONX
8500 2018 3 10530 WESTCHESTER
8500 2016 4 14621 MONROE
21250 2015 1 14450 MONROE
21250 2016 1 10038 NEW YORK
8500 2016 3 11375 QUEENS
8500 2020 5 10573 WESTCHESTER
8500 2021 5 10038 NEW YORK
8500 2019 2 10038 NEW YORK
8500 2015 4 13827 TIOGA
Page 1123 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OB-GYN CONTEMPORARY CARE (40.715749, -73.601185) 1455 2094 6
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
REDDY LALITHA MARY MD PC (40.65642, -73.950691) 809 2090 31
AMB MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
CHAUDHRY MUHAMMAD RAFIQ MD (40.726966, -74.005966) 737 2095 50
BANKER DIPAK MD (41.127287, -74.017033) 1546 628 27
HUDSON RIVER HEALTHCARE INC (41.686216, -73.840468) 1022 2040 30
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
GASTROENTEROLOGY AND NUTRITION PC (40.749338, -73.789673) 828 2137 11
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
LOURDES HOSPITAL OB GROUP (42.120252, -76.29595) 450 630 45
Page 1124 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 108
37 108
37 176
37 108
37 27
37 27
37 111
37 108
154
63
37 176
224
50 844
50 844
37 108
37 111
224
37 108
37 108
330
Page 1125 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JENNIFER
PHYSICIAN JESSE
PHYSICIAN KELLEY
NURSE PRACTITIONER KARLA
PHYSICIAN JUNG
CERTIFIED NURSE MIDWIFE NEYSA
NURSE PRACTITIONER RAQUEL
PHYSICIAN SULAIMAN
DENTIST STEVEN
NURSE PRACTITIONER ALEJANDRA
DENTIST PETER
PHYSICIAN MARTINA
NURSE PRACTITIONER MELANIE
PHYSICIAN KATHERINE
PHYSICIAN STEVEN
DENTIST GARY
PHYSICIAN ANNE
PHYSICIAN HEATHER
NURSE PRACTITIONER JUDITH
NURSE PRACTITIONER MICHELLE
PHYSICIAN HAJOON
PHYSICIAN CARL
Page 1126 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SCHERR 1801983978 1467454967 12/25/2017
HACKELL 1730278185 1467454967 04/27/2020
SOOKRAJ 1689852386 1801857172 10/09/2017
SHERWOOD 1538244033 1366473183 02/19/2018
PARK 1811056377 1679587679 03/05/2018
WILLIAMS 1760564546 1013924372 09/06/2021
MENCHACA 1528283413 1063525152 03/11/2019
AZEEZ 1215005152 1427063270 03/29/2021
ENGEBRETSON 1265563589 1164555124 07/05/2021
WILSON 1427210640 1619341716 08/30/2021
CATAPANO 1669514667 1073535027 08/28/2017
BEZDICKOVA 1114014891 1467454967 12/24/2018
APPLEGATE 1356649750 1073535027 12/09/2019
CHOU 1710040639 1679587679 08/21/2017
INGLIS 1518927565 1184670465 05/14/2018
BERKOWITZ 1285812800 1164555124 08/24/2020
VAN ARSDALE 1407015183 1063525152 06/22/2020
SEALY 1871562884 1578612412 05/11/2020
SESSENWEIN 1265497309 1831294537 07/09/2018
CABRERA 1619226305 1235301631 12/09/2019
CHUN 1174612592 1184670465 08/21/2017
PELLMAN 1396852802 1063426377 04/06/2020
Page 1127 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 3 10532 WESTCHESTER
8500 2019 6 10532 WESTCHESTER
21250 2016 1 11209 KINGS
21250 2015 1 14222 ERIE
21250 2016 1 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2017 3 10467 BRONX
8500 2020 4 10038 NEW YORK
8500 2020 5 10010 NEW YORK
8500 2021 5 11217 KINGS
21250 2016 1 10016 NEW YORK
8500 2017 2 10532 WESTCHESTER
8500 2018 2 10038 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2016 4 11418 QUEENS
8500 2019 4 10010 NEW YORK
8500 2019 6 10461 BRONX
8500 2019 2 11212 KINGS
8500 2016 4 12901 CLINTON
8500 2018 5 10031 NEW YORK
8500 2015 3 11355 QUEENS
8500 2019 4 10038 NEW YORK
Page 1128 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
NASSAU UNIVERSITY MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
KALEIDA HEALTH (42.888143, -78.795544) 62 2041 63
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
ADVANCED WOMEN'S HEALTHCARE (44.731944, -73.548883) 202 2038 35
139 MEDICAL FACILITY PC (40.726966, -74.005966) 737 2095 50
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
Page 1129 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
224
224
37 27
646
37 108
37 108
37 176
37 108
37 108
37 27
37 108
224
37 108
37 108
37 111
37 108
37 176
37 27
920
37 108
37 111
37 108
Page 1130 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ADDI
DENTIST MAJID
NURSE PRACTITIONER KELSEY
PHYSICIAN AMBIKA
PHYSICIAN KARINA
PHYSICIAN RAYMA
PHYSICIAN ALBERT
PHYSICIAN MARY
PHYSICIAN PIERRE
DENTIST KIMBERLY
PHYSICIAN ANDREA
PHYSICIAN MELISSA
PHYSICIAN SARMA
PHYSICIAN SUSAN
PHYSICIAN YULIA
PHYSICIAN EUGEN
DENTIST JUSTIN
DENTIST OHM
NURSE PRACTITIONER DAVIA
Page 1131 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FEINSTEIN 1285861930 1427063270 05/17/2021
JAMALI 1043534167 1366589038 05/28/2018
OLMSTEAD 1164893673 1083664221 02/18/2019
ERANKI 1659528123 1063468239 12/25/2017
GRITSENKO 1982842787 1063525152 11/18/2019
BURNETT-BIGLANE 1639254741 1013035112 03/26/2018
ADU 1396856787 1033124961 08/10/2020
SEE 1316939150 1467454967 12/25/2017
WILLIOT 1366417032 1366417032 11/12/2018
FERGUSON 1598913337 1467487637 08/19/2019
POPESCU-MARTINEZ 1689741167 1013924372 04/26/2021
HENRETTA 1518175173 1538114723 08/21/2017
PONNAPALLI 1457360653 1063426377 05/18/2020
SANELLI-RUSSO 1396822359 1801803903 03/29/2021
MOGILYANSKY 1932369048 1720177066 07/13/2020
PALMA 1346339678 1063525152 01/08/2018
FOX 1841676087 1417924762 06/19/2017
PATEL 1871832048 1942525985 10/09/2017
MOSS 1013469873 1770539066 10/01/2018
Page 1132 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 3 10038 NEW YORK
21250 2016 1 11215 KINGS
8500 2017 2 13326 OTSEGO
8500 2016 2 13210 ONONDAGA
8500 2018 6 10467 BRONX
8500 2015 4 12550 ORANGE
8500 2019 2 10038 NEW YORK
8500 2016 2 10532 WESTCHESTER
8500 2017 5 14222 ERIE
8500 2018 4 10562 WESTCHESTER
8500 2020 3 10038 NEW YORK
8500 2015 3 11794 SUFFOLK
8500 2019 4 10038 NEW YORK
8500 2020 5 10038 NEW YORK
8500 2019 4 11249 KINGS
8500 2016 4 10461 BRONX
21250 2016 1 12208 ALBANY
21250 2016 1 10455 BRONX
8500 2017 2 13202 ONONDAGA
Page 1133 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
BROOKLYN DENTAL SERVICES PC (40.65642, -73.950691) 809 2090 31
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PP OF MID-HUDSON VALLEY INC (41.422459, -74.241929) 1496 2134 32
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
WILLIOT PIERRE EMILE MD (42.888143, -78.795544) 62 2041 63
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WHITNEY M YOUNG HEALTH CENTER (42.678066, -73.814233) 40 2030 34
OPEN DENTAL PC (40.85589, -73.868294) 675 2032 52
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
Page 1134 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 27
529
755
37 176
76
37 108
224
646
224
37 108
137
37 108
37 108
37 27
37 176
1 573
37 176
755
Page 1135 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN VINOD
NURSE PRACTITIONER KATERI
PHYSICIAN PAUL
PHYSICIAN AKIVA
PHYSICIAN DANIEL
PHYSICIAN AFSHIN
PHYSICIAN ROBERT
DENTIST AMY
PHYSICIAN VIHREN
PHYSICIAN ABDULLAH
PHYSICIAN MICHAEL
PHYSICIAN SOLOMON
PHYSICIAN FRIDA
PHYSICIAN CHUN
PHYSICIAN ADEDAYO
NURSE PRACTITIONER RENIE
PHYSICIAN ALEXANDER
NURSE PRACTITIONER KENNETH
DENTIST GARY
PHYSICIAN JOHANA
DENTIST KEITH
Page 1136 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PATEL 1700879319 1942294467 08/06/2018
MCGUIRE 1295917847 1750352381 02/04/2019
LEHOULLIER 1902875719 1255360517 06/18/2018
NOVETSKY 1811191604 1063525152 08/14/2017
SPEVACK 1417038837 1063525152 01/15/2018
SHAHKOOHI 1326198631 1720177066 07/30/2018
DRACKER 1528175361 1609949049 09/30/2019
TRUESDALE 1114250628 1164555124 02/25/2019
DIMITROV 1720159163 1427063270 11/01/2021
FIROZE AHMED 1831539121 1255360517 09/04/2017
TEITEL 1376509364 1639430671 04/29/2019
MOSHE 1396820619 1063525152 03/18/2019
POPILEVSKY 1104086156 1124032982 10/16/2017
WONG 1790759298 1790759298 01/01/2018
OJO 1992022651 1356406136 08/10/2020
EIS 1891830709 1194832477 06/04/2018
KUCHEROV 1104106244 1063525152 10/02/2017
SAX 1740216829 1619969458 08/21/2017
GOLDSTEIN 1629198916 1164555124 02/18/2019
ANGARITA 1902118490 1063426377 08/12/2019
KELLER 1700179710 1437231693 11/06/2017
Page 1137 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 6 14208 ERIE
8500 2017 2 10065 NEW YORK
8500 2016 5 14621 MONROE
8500 2015 2 10461 BRONX
8500 2016 5 10467 BRONX
8500 2016 5 11249 KINGS
8500 2018 4 13088 ONONDAGA
8500 2017 2 10010 NEW YORK
8500 2021 4 10038 NEW YORK
21250 2016 1 14621 MONROE
8500 2017 2 10003 NEW YORK
8500 2017 6 10461 BRONX
21250 2016 1 10038 NEW YORK
8500 2015 3 10002 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2016 5 10032 NEW YORK
21250 2016 1 10469 BRONX
8500 2015 3 10566 WESTCHESTER
8500 2017 2 10010 NEW YORK
8500 2018 3 10038 NEW YORK
21250 2016 1 10456 BRONX
Page 1138 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
FAMILY MEDICINE FACULTY ASSOC (42.888143, -78.795544) 62 2041 63
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
NORTH AREA PEDIATRICS INC (43.065629, -76.168033) 713 2132 43
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
FACULTY PRACTICE ASSOCIATES MOUNT
S
(40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
WONG CHUN TUNG MD (40.726966, -74.005966) 737 2095 50
CUMBERLAND D & T CTR (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HUDSON RIVER HEALTHCARE INC (41.039278, -73.805386) 1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MARTIN LUTHER KING HLTH CTR (40.85589, -73.868294) 675 2032 52
Page 1139 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
646
37 108
50 844
37 176
37 176
37 27
755
37 108
37 108
50 844
37 108
37 176
37 108
37 108
37 108
37 108
37 176
224
37 108
37 108
37 176
Page 1140 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ALAN
NURSE PRACTITIONER MARIA
PHYSICIAN MARGARET
PHYSICIAN WILLIAM
NURSE PRACTITIONER PATRICIA
PHYSICIAN STEVEN
PHYSICIAN DIANA
NURSE PRACTITIONER AMY
PHYSICIAN SERENA
PHYSICIAN SHAUL
PHYSICIAN ZAHRA
PHYSICIAN VIVIA
PHYSICIAN JOSEPH
PHYSICIAN NAZMUL
PHYSICIAN YOUNGSOOK
PHYSICIAN MAHENDRA
PHYSICIAN ELIZABETH
DENTIST DAVID
PHYSICIAN MOHAMMAD
PHYSICIAN JONATHAN
NURSE PRACTITIONER EMILY
NURSE PRACTITIONER ASHLEY
Page 1141 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HIRSCHFELD 1457387318 1033124961 04/06/2020
HERNANDEZ 1336480664 1477505220 05/07/2018
KRAUSE 1023091162 1194832477 08/07/2017
MIDDLESWORTH 1679666440 1265598783 11/27/2017
DELLATTO 1609817279 1609817279 04/16/2018
SILVER 1306846837 1548290455 05/03/2021
LEE 1215105960 1063525152 10/18/2021
VIERHILE 1447267992 1184725525 03/25/2019
ROTH 1689877920 1063525152 11/27/2017
FISHMAN 1306846621 1467469023 07/03/2017
VIRANI 1023387354 1295729408 05/14/2018
FRANCOIS 1083828008 1073535027 07/31/2017
SAFDIEH 1790078590 1043224355 06/07/2021
KHAN 1962594812 1962594812 08/20/2018
KIM 1548252828 1467454967 01/01/2018
SOMASUNDARAM 1053307686 1043224355 03/01/2021
CIRINCIONE 1134196561 1801857172 09/13/2021
LEVINSKY 1902894843 1043224355 02/26/2018
QUAMRUZZAMAN 1154497865 1154497865 12/03/2018
SHUTER 1578648341 1063525152 09/11/2017
HACKENBURG 1528183613 1295729408 05/14/2018
DUDDEN 1790072254 1821266321 10/28/2019
Page 1142 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2019 3 10038 NEW YORK
8500 2016 3 11418 QUEENS
8500 2015 4 10032 NEW YORK
8500 2015 5 10032 NEW YORK
8500 2016 5 11554 NASSAU
8500 2020 5 12208 ALBANY
8500 2021 6 10467 BRONX
8500 2017 2 14642 MONROE
8500 2016 3 10467 BRONX
21250 2016 1 10038 NEW YORK
8500 2016 3 10453 BRONX
21250 2016 1 10038 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2016 6 11432 QUEENS
8500 2016 3 10532 WESTCHESTER
8500 2020 3 10038 NEW YORK
8500 2021 6 11554 NASSAU
21250 2016 1 10038 NEW YORK
8500 2017 4 11432 QUEENS
8500 2015 5 10467 BRONX
8500 2016 5 10452 BRONX
8500 2018 2 13790 BROOME
Page 1143 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JAMAICA HOSPITAL PHYSICIANS (40.749338, -73.789673) 828 2137 11
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
DELLATTO PATRICIA (40.715749, -73.601185) 1455 2094 6
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
KHAN NAZMUL HOSSAIN MD (40.749338, -73.789673) 828 2137 11
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
QUAMRUZZAMAN MOHAMMAD MD (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (40.85589, -73.868294) 675 2032 52
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
Page 1144 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 111
37 108
37 108
93
1 573
37 176
50 844
37 176
37 108
37 176
37 108
37 108
37 111
224
37 108
93
37 108
37 111
37 176
37 176
346
Page 1145 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN KARIKEHALLI
PHYSICIAN IVETTE
PHYSICIAN JOSE
PHYSICIAN IMRAN
PHYSICIAN LUCILLE
PHYSICIAN ROCCO
PHYSICIAN JEAN-MARIE
PHYSICIAN HERMAN
PHYSICIAN ERICA
PHYSICIAN DIANA
NURSE PRACTITIONER EILEEN
PHYSICIAN PAUL
PHYSICIAN ANILA
PHYSICIAN PENG
PHYSICIAN NRUPEN
PHYSICIAN JEAN ROBERT
PHYSICIAN SUZETTE
PHYSICIAN JASON
PHYSICIAN CARMEN
PHYSICIAN MAREK
PHYSICIAN TASNEEM
Page 1146 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DILIP 1801845656 1376590117 11/12/2018
VIGODA 1467724286 1740595917 01/20/2020
WILEY 1366542284 1063525152 04/05/2021
AHMED 1235214537 1063525152 10/14/2019
TORRES-DEAS 1578850848 1194832477 01/20/2020
RUSSO 1174664858 1689669079 08/28/2017
CLAUDE 1629124433 1235147497 11/22/2021
ANDERSON 1881746139 1033124961 08/19/2019
CARDONA 1700052933 1821045485 08/21/2017
WOLFE 1972755445 1063525152 09/07/2020
HARVEY 1386891083 1265598783 04/30/2018
FRITZ 1205989761 1376642371 07/03/2017
SIDDIQI 1376624544 1801803903 06/12/2017
LI 1013007814 1063525152 10/28/2019
BAXI 1265756910 1063525152 10/09/2017
JACQUES 1154306868 1043224355 03/05/2018
BROWN 1508032533 1093777492 04/16/2018
STEPKOVITCH 1730227315 1821001579 05/28/2018
FAMILIA 1770807992 1679646061 10/12/2018
BALUTOWSKI 1942259643 1295729408 08/07/2017
ZAHRA 1093889677 1427063270 12/09/2019
Page 1147 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 4 13210 ONONDAGA
8500 2018 2 10457 BRONX
8500 2020 5 10029 NEW YORK
8500 2018 6 10467 BRONX
8500 2018 3 10032 NEW YORK
8500 2015 2 12518 ORANGE
8500 2021 3 10038 NEW YORK
8500 2018 2 10038 NEW YORK
8500 2015 3 11208 KINGS
8500 2019 2 10461 BRONX
8500 2016 4 10032 NEW YORK
21250 2016 1 11777 SUFFOLK
21250 2015 1 10038 NEW YORK
8500 2018 3 10468 BRONX
21250 2016 1 10467 BRONX
21250 2016 1 10038 NEW YORK
8500 2016 3 11219 KINGS
8500 2016 2 13045 CORTLAND
-8500 2013 2 10033 NEW YORK
8500 2015 5 12561 ULSTER
8500 2018 2 10038 NEW YORK
Page 1148 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UNIVERSITY SURGICAL ASSOC LLP (43.065629, -76.168033) 713 2132 43
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
GREATER HUDSON VALLEY FAM HLT, THE (41.422459, -74.241929) 1496 2134 32
RENAISSANCE HLTH CARE NETWORK (40.726966, -74.005966) 737 2095 50
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MEDISYS FAMILY CARE (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
JOHN T MATHER MEMORIAL HOSPITAL (40.820237, -73.119032) 1421 2179 3
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
CORTLAND CTY COMM SRVCS BOARD (42.597101, -76.143291) 362 620 44
GROUPO MEDICO DOMINICANO PLLC (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (41.848374, -74.099412) 264 2182 32
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
Page 1149 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
755
37 176
37 108
37 176
37 108
76
37 108
37 108
37 27
37 176
37 108
137
37 108
37 176
37 176
37 108
37 27
537
37 108
198
37 108
Page 1150 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NURSE PRACTITIONER MARLENE
PHYSICIAN PAULETTE
PHYSICIAN JUSTIN
PHYSICIAN OFEK
NURSE PRACTITIONER JANIS
PHYSICIAN NURKIA
PHYSICIAN JONATHAN
PHYSICIAN HAEYOUNG
DENTIST ROYA
PHYSICIAN FARZAD
NURSE PRACTITIONER MARIE-ANGE
NURSE PRACTITIONER CHRISTINE
NURSE PRACTITIONER JOANN
PHYSICIAN KHATUNA
CERTIFIED NURSE MIDWIFE MICHELE
PHYSICIAN TANYA
PHYSICIAN NORLAND
DENTIST JEFFREY
PHYSICIAN KELLY
PHYSICIAN DIANA
NURSE PRACTITIONER MYUNG
Page 1151 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
OTHONIEL 1891853651 1619341716 02/04/2019
STEWART 1053336404 1053336404 09/23/2019
MCCLAIN 1487887766 1033124961 09/11/2017
HAI 1710111661 1801857172 05/10/2021
FREEMAN 1730493214 1730493214 09/02/2019
MIHU 1891994406 1891994406 03/19/2018
CHA 1548201817 1336578772 08/31/2020
HWANG 1235235318 1467454967 03/26/2018
AFSHAR-MOHAJER 1740327675 1164555124 11/22/2021
NABATIAN 1134297005 1720177066 09/11/2017
CASTAGNE-PETIT-FRERE 1679720692 1063426377 12/31/2018
MERLE 1881649093 1508266347 02/18/2019
FOGG 1679623367 1013035112 07/23/2018
KADEISHVILI 1235239633 1013924372 04/26/2021
GERSMAN 1184977217 1417027558 05/07/2018
JOHNS 1699932095 1063525152 10/21/2019
NG 1063537041 1003901711 09/10/2018
ROUSE 1073711271 1295997724 08/05/2019
MATMATI 1093961294 1255360517 07/09/2018
SHERMAN 1942536537 1942536537 09/16/2019
AHN 1184875221 1548217763 03/19/2018
Page 1152 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 3 11211 KINGS
8500 2018 3 11411 QUEENS
21250 2016 1 10038 NEW YORK
8500 2020 4 11554 NASSAU
8500 2018 2 12032 FULTON
8500 2015 3 11104 QUEENS
8500 2019 5 10041 NEW YORK
8500 2016 3 10520 WESTCHESTER
8500 2021 5 10010 NEW YORK
8500 2015 4 11249 KINGS
8500 2017 3 10038 NEW YORK
8500 2017 2 10032 NEW YORK
8500 2016 5 12550 ORANGE
8500 2020 3 10038 NEW YORK
8500 2016 2 10456 BRONX
8500 2018 5 10467 BRONX
8500 2016 6 10013 NEW YORK
8500 2018 4 11753 NASSAU
21250 2016 1 14621 MONROE
8500 2018 3 12078 FULTON
8500 2015 2 11355 QUEENS
Page 1153 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
PAULETTE A STEWART M D P C (40.749338, -73.789673) 828 2137 11
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
FREEMAN JANIS EVE (43.06014, -74.331296) 1227 2085 42
MIHU NURKIA ANGELINA (40.749338, -73.789673) 828 2137 11
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
TRUSTEES OF COLUMBIA UNIVERSITY IN (40.726966, -74.005966) 737 2095 50
PP OF MID-HUDSON VALLEY INC (41.422459, -74.241929) 1496 2134 32
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ADVANCED ONCOLOGY PC (40.726966, -74.005966) 737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
ROCHESTER GENERAL HOSPITAL (43.161748, -77.620143) 1666 2093 56
SHERMAN DIANA (43.06014, -74.331296) 1227 2085 42
FLUSHING HOSPITAL & MED CTR (40.749338, -73.789673) 828 2137 11
Page 1154 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
37 111
37 108
93
830
37 111
37 108
224
37 108
37 27
37 108
37 108
76
37 108
37 176
37 176
37 108
93
50 844
830
37 111
Page 1155 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN BAOEN
PHYSICIAN ANEELA
NURSE PRACTITIONER REGINA
PHYSICIAN ELIZABETH
PHYSICIAN LYNNE
NURSE PRACTITIONER NGUYET
NURSE PRACTITIONER JENNIFER
NURSE PRACTITIONER ELIZABETH
DENTIST HECTOR
PHYSICIAN MARK
PHYSICIAN VARDHINI
PHYSICIAN RICHARD
PHYSICIAN MARIEL
NURSE PRACTITIONER MEREDITH
PHYSICIAN ANJALI
CERTIFIED NURSE MIDWIFE AMY
PHYSICIAN BASHIR
PHYSICIAN NICOLE
PHYSICIAN CHRISTINA
DENTIST ROSS
PHYSICIAN VIJAY
Page 1156 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JIANG 1528140597 1528140597 11/19/2018
BIDIWALA 1598920043 1063525152 10/21/2019
SMITH 1376605923 1013924372 03/05/2018
JENNY-AVITAL 1730260811 1679587679 05/17/2021
QUITTELL 1861463218 1447518550 12/17/2018
DUONG 1063641074 1073535027 06/01/2020
GSELL 1306173877 1083639587 08/05/2019
KAHN 1669694956 1417959701 12/25/2017
MERCEDES 1184613564 1184613564 08/13/2018
RAGUCCI 1477550655 1073535027 06/08/2020
DESIKAN 1295984383 1467454967 09/20/2021
SMITH 1629149018 1063525152 02/12/2018
TURNER 1275716292 1447518550 11/25/2019
ABBASI 1528405255 1952357493 08/07/2017
SHARMA 1033193313 1063525152 01/01/2018
HALL 1275944894 1538114723 01/21/2019
AHMED 1891864773 1891864773 03/09/2020
HAYDE 1417196726 1063525152 07/31/2017
COYLE 1366573818 1679587679 06/07/2021
PHIPPEN 1104154111 1669568465 08/20/2018
ALLA 1598748592 1598748592 05/14/2018
Page 1157 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2017 2 10038 NEW YORK
8500 2018 3 10457 BRONX
21250 2016 1 10038 NEW YORK
8500 2020 3 10038 NEW YORK
8500 2017 2 10032 NEW YORK
8500 2019 4 10038 NEW YORK
8500 2018 6 12534 COLUMBIA
8500 2016 5 10012 NEW YORK
-21250 2013 1 10455 BRONX
8500 2019 3 10038 NEW YORK
8500 2021 6 10532 WESTCHESTER
8500 2016 6 10467 BRONX
8500 2018 5 10032 NEW YORK
8500 2015 2 14642 MONROE
8500 2016 3 11203 KINGS
8500 2017 4 11716 SUFFOLK
8500 2019 4 11784 SUFFOLK
21250 2016 1 10467 BRONX
8500 2020 3 10038 NEW YORK
21250 2016 1 14527 YATES
8500 2016 4 10455 BRONX
Page 1158 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
JIANG BAO EN MD (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
MERCEDES HECTOR LUIS DDS (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
UNIVERSITY UROLOGY ASSOC (43.161748, -77.620143) 1666 2093 56
MONTEFIORE PROF BILLING GROUP (40.65642, -73.950691) 809 2090 31
UNIVERSITY ASSOC OB & GYN UFPC (40.820237, -73.119032) 1421 2179 3
BASHIR AHMED MD (40.820237, -73.119032) 1421 2179 3
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
FINGER LAKES MIGRANT HLTH (42.634338, -77.078311) 2225 58
ALLA VIJAYAKUMAR MD (40.85589, -73.868294) 675 2032 52
Page 1159 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 176
37 108
37 108
37 108
37 108
388
37 108
37 176
37 108
224
37 176
37 108
50 844
37 27
137
137
37 176
37 108
581
37 176
Page 1160 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN EUGENIO
PHYSICIAN JEANNE
PHYSICIAN MARIE
NURSE PRACTITIONER LINDA
DENTIST NARINDER
PHYSICIAN NICOLLE
PHYSICIAN RUBINA
PHYSICIAN SHADAB
NURSE PRACTITIONER KAREN
PHYSICIAN NINA
PHYSICIAN ALEX
PHYSICIAN CLAUDINE
NURSE PRACTITIONER CHIOMA
PHYSICIAN SOREN
PHYSICIAN CARLOS
PHYSICIAN ZAKIA
PHYSICIAN MA. CARLA ANGELA
PHYSICIAN BHAVANA
PHYSICIAN MARIANNE
DENTIST ASMAHAN
NURSE PRACTITIONER MEREDITH
Page 1161 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
GUZMAN 1235246935 1023024882 08/14/2017
MANUBAY 1811090194 1194832477 01/28/2019
CHARLES 1447407507 1396059499 02/01/2021
YOU 1225204985 1306954631 01/28/2019
SINGH 1851513618 1295997724 05/03/2021
OVERSTREET 1295820462 1295820462 12/30/2019
MALIK 1750471587 1063525152 09/04/2017
AHMED 1952360935 1801857172 09/09/2019
CARUSO 1881008712 1083664221 03/12/2018
LAU 1477591204 1336578772 12/03/2018
THEVENTHIRAN 1831403278 1063525152 11/15/2021
WARD 1427086198 1336189919 02/26/2018
CHILAKA 1003249228 1467469023 06/21/2021
GANDHI 1023305281 1467469023 10/02/2017
TEJERA 1538255401 1457418337 01/14/2019
HOSSAIN 1780694927 1780694927 09/18/2017
EVANGELISTA 1750663340 1427063270 08/03/2020
JAPI 1023034295 1023034295 09/25/2017
DIETRICH 1992880017 1063525152 08/28/2017
KHATER 1841542370 1164555124 01/20/2020
ABBASI 1528405255 1952357493 03/26/2018
Page 1162 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2015 1 10038 NEW YORK
8500 2017 6 10032 NEW YORK
8500 2020 4 11575 NASSAU
8500 2017 5 11101 QUEENS
8500 2020 6 11753 NASSAU
8500 2018 3 11205 KINGS
8500 2015 5 10467 BRONX
8500 2018 3 11554 NASSAU
21250 2016 1 13326 OTSEGO
8500 2017 5 10041 NEW YORK
8500 2021 6 10467 BRONX
8500 2016 5 13210 ONONDAGA
8500 2020 4 10038 NEW YORK
21250 2015 1 10038 NEW YORK
8500 2017 5 11357 QUEENS
8500 2015 3 11377 QUEENS
8500 2019 3 10038 NEW YORK
8500 2015 3 11208 KINGS
8500 2015 3 10467 BRONX
8500 2018 2 10010 NEW YORK
8500 2016 3 14642 MONROE
Page 1163 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
FLOATING HOSPITAL (40.749338, -73.789673) 828 2137 11
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
OVERSTREET NICOLLE ANNE MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PHYSICAL MEDICINE & REHAB (43.065629, -76.168033) 713 2132 43
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
TRANSITIONAL SERVICES FOR NY (40.749338, -73.789673) 828 2137 11
HOSSAIN ZAKIA MD (40.749338, -73.789673) 828 2137 11
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
BHAVANA R JAPI PHYSICIAN PC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
UNIVERSITY UROLOGY ASSOC (43.161748, -77.620143) 1666 2093 56
Page 1164 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
93
37 111
93
37 27
37 176
93
529
37 108
37 176
755
37 108
37 108
37 111
37 111
37 108
37 27
37 176
37 108
50 844
Page 1165 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DANUSHAN
PHYSICIAN TINA
PHYSICIAN ROBERT
PHYSICIAN YULIA
PHYSICIAN GREGORY
DENTIST IRYNA
NURSE PRACTITIONER PAULETTE
PHYSICIAN AHMED
NURSE PRACTITIONER LISA
PHYSICIAN DIANA
NURSE PRACTITIONER CYNTHIA
PHYSICIAN MARY
PHYSICIAN HASMIK
PHYSICIAN JAYANT
PHYSICIAN MARJORIE
PHYSICIAN WILLIAM
PHYSICIAN RODERICK
PHYSICIAN GAINOSUKE
PHYSICIAN SOLEN
Page 1166 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SOORIABALAN 1851550180 1013928159 01/20/2020
WONG 1497847578 1689009854 09/30/2019
BLAKE 1023036548 1578612412 04/26/2021
MOGILYANSKY 1932369048 1720177066 09/23/2019
CROOKE 1457351744 1093777492 08/05/2019
BRANETS 1043335185 1164555124 11/15/2021
SHADE PIERRE 1629400296 1043224355 10/09/2017
ELSHERYIE 1275564759 1508812892 08/14/2017
AUGOSTINI 1235144767 1184725525 04/16/2018
GILLIGAN 1700964160 1063468239 08/21/2017
RIPPLE 1730117565 1962417352 10/29/2018
DAMORE 1447250287 1467454967 12/24/2018
STEPANYAN 1831346451 1821266321 12/03/2018
GANDHI 1235176355 1235176355 03/26/2018
STEIN 1922191162 1063525152 07/06/2020
WASSEL 1235129297 1083664221 09/04/2017
SANTOS 1669552220 1063525152 06/29/2020
SUGIYAMA 1811176332 1205868528 05/14/2018
GOKHAN 1174657936 1023024882 09/23/2019
Page 1167 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 6 12804 WARREN
8500 2018 6 11220 KINGS
8500 2020 5 11212 KINGS
8500 2018 3 11249 KINGS
8500 2018 3 10016 NEW YORK
8500 2021 5 10010 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2015 3 11418 QUEENS
8500 2016 6 14642 MONROE
8500 2015 4 13210 ONONDAGA
8500 2016 3 14810 STEUBEN
8500 2017 2 10532 WESTCHESTER
8500 2017 3 13790 BROOME
8500 2015 5 11211 KINGS
8500 2019 2 10467 BRONX
8500 2015 4 13326 OTSEGO
8500 2019 6 10463 BRONX
8500 2016 2 11203 KINGS
8500 2018 2 10038 NEW YORK
Page 1168 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
EXCELSIOR INTEGRATED MEDICAL
GROUP
(40.65642, -73.950691) 809 2090 31
BROWNSVILLE MULTI-SRV FAM H C (40.65642, -73.950691) 809 2090 31
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
MAIMONIDES MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
JAMAICA ANESTHESIA PC (40.749338, -73.789673) 828 2137 11
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
KEUKA FAMILY PRACTICE ASSOC (42.270053, -77.324618) 1757 2178 58
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
GANDHI JAYANT H MD (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
SUNY HEALTH SCIENCE CENTER AT
BKLYN
(40.65642, -73.950691) 809 2090 31
NORTH CENTRAL BRONX (40.726966, -74.005966) 737 2095 50
Page 1169 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
522
37 27
37 27
37 27
37 108
37 108
37 108
37 111
50 844
755
454
224
346
37 27
37 176
529
37 176
37 27
37 108
Page 1170 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN NATALYA
PHYSICIAN AHMED
PHYSICIAN VINOD
PHYSICIAN SWATHI
CERTIFIED NURSE MIDWIFE CONCETTA
PHYSICIAN DARLENE
PHYSICIAN JOSEPH
PHYSICIAN LENNOX
NURSE PRACTITIONER NORIE
PHYSICIAN MICHAEL
DENTIST STEVEN
PHYSICIAN MOHAMMED
PHYSICIAN NOAH
PHYSICIAN TABITHA
PHYSICIAN MOHD
PHYSICIAN ANA
PHYSICIAN EDWIN
PHYSICIAN ANITA
PHYSICIAN SAILA
NURSE PRACTITIONER LATISHA
Page 1171 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
UROVISH 1023278587 1093777492 01/01/2018
SHAWKAT 1922259118 1063468239 09/02/2019
GULATI 1306852942 1801857172 05/21/2018
REDDY 1851689046 1679587679 07/27/2020
SESTITO 1326330929 1124032982 05/11/2020
LEFRANCOIS-HABER 1760571061 1063525152 01/15/2018
PICORARO 1053623108 1447518550 12/17/2018
BRYSON 1235106493 1801857172 05/18/2020
GRANT 1669802500 1083664221 04/26/2021
WEINER 1083674303 1447518550 12/04/2017
RESNICK 1518982255 1164555124 02/25/2019
ISLAM 1245205012 1801803903 12/31/2018
BLOOMGARDEN 1952680795 1063525152 07/13/2020
KANE 1770745168 1164456067 06/11/2018
HOSSAIN 1083931919 1083931919 11/12/2018
SAITO-SCHACHNER 1568566602 1063525152 06/29/2020
CUEVA 1952319261 1265596548 07/31/2017
CULP 1588618797 1386689248 09/25/2017
MONI 1972899789 1063525152 09/25/2017
JONES 1164694857 1750352381 10/30/2017
Page 1172 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 11219 KINGS
8500 2018 3 13210 ONONDAGA
21250 2016 1 11554 NASSAU
8500 2019 2 10038 NEW YORK
8500 2019 3 10038 NEW YORK
8500 2016 5 10467 BRONX
8500 2017 2 10032 NEW YORK
8500 2019 4 11554 NASSAU
8500 2020 5 13326 OTSEGO
8500 2016 6 10032 NEW YORK
8500 2017 2 10010 NEW YORK
8500 2017 2 10038 NEW YORK
8500 2019 4 10461 BRONX
8500 2016 5 12208 ALBANY
8500 2017 4 11432 QUEENS
8500 2019 3 10475 BRONX
21250 2016 1 10459 BRONX
8500 2015 3 12401 ULSTER
21250 2016 1 10461 BRONX
21250 2016 1 10065 NEW YORK
Page 1173 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
MARY IMOGENE BASSETT HSP (42.564852, -75.060334) 432 2136 44
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
MOHD A HOSSAIN (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
URBAN HEALTH PLAN INC (40.85589, -73.868294) 675 2032 52
ALBANY MEDICAL COLLEGE OF UNI (41.848374, -74.099412) 264 2182 32
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MEMORIAL PEDIATRIC GROUP (40.726966, -74.005966) 737 2095 50
Page 1174 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
755
93
37 108
37 108
37 176
37 108
93
529
37 108
37 108
37 108
37 176
1 573
37 111
37 176
37 176
198
37 176
37 108
Page 1175 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN JANE
PHYSICIAN AMELIA
DENTIST SUE
PHYSICIAN KARA
PHYSICIAN CYNTHIA
PHYSICIAN SHARON
PHYSICIAN LINDA
PHYSICIAN YTHAN
NURSE PRACTITIONER DEBRA
PHYSICIAN SONAL
PHYSICIAN ROCHELLE
PHYSICIAN AMANDEEP
PHYSICIAN VINCENT
PHYSICIAN JONAH
DENTIST SAKSHI
PHYSICIAN MICHAEL
PHYSICIAN TAREK
PHYSICIAN MAMTA
PHYSICIAN FELIX
PHYSICIAN BRUCE
PHYSICIAN TIMOTHY
Page 1176 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SWEDLER 1174547772 1952325367 11/11/2019
BLISSETT 1083946651 1467469023 05/17/2021
BARRON 1780691345 1982787537 10/09/2017
MARGOLIS 1043315435 1447518550 11/06/2017
CALIXTE 1528300100 1295729408 12/17/2018
JOSEPH-GISS 1063598902 1467487637 03/12/2018
BLANC 1295170801 1043224355 10/09/2017
GOLDBERG 1033328562 1063525152 11/04/2019
GATES 1063698769 1255360517 08/21/2017
SURA 1497918601 1063426377 07/27/2020
BRAUN 1982679692 1982679692 05/06/2019
AULAKH 1821267394 1063426377 10/04/2021
CAPANELLI 1588989263 1013924372 09/04/2017
GREEN 1891702742 1467469023 03/22/2021
GUPTA 1093190423 1982683249 05/21/2018
FRIEDMAN 1285692517 1093777492 12/25/2017
MIKATI 1831117894 1013924372 09/25/2017
PUROHIT 1255521738 1124032982 09/27/2021
YANG 1780833285 1093777492 08/05/2019
SOLOWAY 1730259920 1063525152 08/21/2017
WANG 1154499218 1437176047 03/05/2018
Page 1177 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2018 3 11501 NASSAU
8500 2020 3 10038 NEW YORK
21250 2016 1 14620 MONROE
8500 2016 6 10032 NEW YORK
8500 2017 2 10035 NEW YORK
8500 2016 2 10562 WESTCHESTER
21250 2016 1 10038 NEW YORK
8500 2018 3 10461 BRONX
8500 2015 3 14432 ONTARIO
8500 2019 4 10038 NEW YORK
8500 2017 2 11210 KINGS
8500 2021 2 10004 NEW YORK
21250 2016 1 10038 NEW YORK
8500 2020 3 10038 NEW YORK
21250 2016 1 11219 KINGS
8500 2016 3 11219 KINGS
21250 2016 1 10038 NEW YORK
8500 2021 6 10038 NEW YORK
8500 2018 4 11219 KINGS
8500 2015 5 10458 BRONX
8500 2015 2 10032 NEW YORK
Page 1178 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WINTHROP PEDIATRIC ASSOCIATES (40.715749, -73.601185) 1455 2094 6
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
EASTMAN DENTAL CENTER (43.161748, -77.620143) 1666 2093 56
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
OPEN DOOR FAMILY MEDICAL CENTER
INC
(41.039278, -73.805386) 1440 2185 53
KINGS COUNTY HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ROCHESTER GENERAL HOSPITAL (42.894571, -77.252045) 178 2133 54
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
BRAUN ROCHELLE (40.65642, -73.950691) 809 2090 31
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
IRA GRONOWITZ D D S PC (40.65642, -73.950691) 809 2090 31
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
METROPOLITAN HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
MAIMONIDES MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
TRUSTEES OF COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
Page 1179 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
93
37 108
50 844
37 108
37 108
224
37 108
37 176
691
37 108
37 27
37 108
37 108
37 108
37 27
37 27
37 108
37 108
37 27
37 176
37 108
Page 1180 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN ANISH
PHYSICIAN YONG
PHYSICIAN MELISSA
PHYSICIAN VILMA
NURSE PRACTITIONER HUNTER
PHYSICIAN EDWARD
PHYSICIAN HUACHEN
PHYSICIAN JASON
PHYSICIAN BRUCE
PHYSICIAN DIANA
PHYSICIAN JULIO
NURSE PRACTITIONER JEANNE
PHYSICIAN JEBUN
PHYSICIAN HILARY
PHYSICIAN JENNIFER
PHYSICIAN ERICO
PHYSICIAN GEORGE
PHYSICIAN JODI
PHYSICIAN INDHIRA
DENTIST JACQUELINE
Page 1181 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DESAI 1093050007 1063468239 06/12/2017
HE 1174555486 1972803328 02/11/2019
MEYER 1407811482 1003861782 04/16/2018
VAS 1114246873 1801857172 05/18/2020
POLESE 1528441672 1477764496 08/07/2017
YUN 1467478560 1063525152 01/29/2018
WEI 1235167313 1477891901 03/09/2020
COHEN 1942588447 1063525152 04/12/2021
MOREL 1881773133 1801803903 02/25/2019
GILLIGAN 1700964160 1063468239 03/12/2018
ALBARRAN 1649364357 1649364357 09/25/2017
DAHL 1811934664 1164456067 06/25/2018
NAHAR 1669667325 1184670465 09/14/2020
HERTAN 1154471993 1063525152 03/05/2018
MCKENNA 1336397488 1063525152 04/05/2021
CARDOSO 1447392121 1124032982 11/11/2019
LAZAROU 1801976378 1487691481 11/11/2019
WALLIS 1811135684 1235170150 08/21/2017
ALMONTE 1912164781 1417027558 07/17/2017
GREEN 1417318411 1336113398 11/06/2017
Page 1182 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
21250 2016 1 13210 ONONDAGA
8500 2017 5 11220 KINGS
8500 2016 6 12901 CLINTON
8500 2019 3 11554 NASSAU
21250 2016 1 11106 QUEENS
8500 2016 5 10591 WESTCHESTER
8500 2019 4 11373 QUEENS
8500 2020 5 10701 WESTCHESTER
8500 2017 2 10038 NEW YORK
8500 2016 5 13210 ONONDAGA
21250 2016 1 10033 NEW YORK
8500 2016 3 12208 ALBANY
8500 2019 6 11418 QUEENS
8500 2016 2 10466 BRONX
8500 2020 5 10461 BRONX
8500 2018 3 10038 NEW YORK
8500 2018 3 11501 NASSAU
8500 2015 3 13210 ONONDAGA
21250 2016 1 10456 BRONX
21250 2016 1 11217 KINGS
Page 1183 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
YONG KANG MEDICAL PLLC (40.65642, -73.950691) 809 2090 31
PRIMARY CARE HLTH PTRS NYLLP (44.731944, -73.548883) 202 2038 35
NASSAU UNIVERSITY MEDICAL CENTER (40.715749, -73.601185) 1455 2094 6
COMMUNITY HEALTHCARE NETWORK (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
DR WW DERMATOLOGY PLLC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
QUEENS HOSPITAL (40.726966, -74.005966) 737 2095 50
DEPARTMENT OF MEDICINE MEDICAL
SERV
(43.065629, -76.168033) 713 2132 43
ALBARRAN MARZAN JULIO E MD (40.726966, -74.005966) 737 2095 50
ALBANY MEDICAL COLLEGE OF UNI (42.678066, -73.814233) 40 2030 34
TJH MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
CONEY ISLAND HOSPITAL (40.726966, -74.005966) 737 2095 50
OB-GYN CONTEMPORARY CARE (40.715749, -73.601185) 1455 2094 6
UNIVERSITY OB-GYN ASSOC INC (43.065629, -76.168033) 713 2132 43
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
BROOKLYN PLAZA MEDICAL CTR (40.65642, -73.950691) 809 2090 31
Page 1184 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
755
37 27
920
93
37 111
224
37 111
224
37 108
755
37 108
1 573
37 111
37 176
37 176
37 108
93
755
37 176
37 27
Page 1185 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN CAROL
PHYSICIAN MOHAMMED
PHYSICIAN KATARZYNA
PHYSICIAN ROBYN
PHYSICIAN CHRISTIAN
PHYSICIAN TU TU
PHYSICIAN ALEXANDER
PHYSICIAN SARAH
PHYSICIAN REVATHY
PHYSICIAN MERRITT
PHYSICIAN ALAN
DENTIST VASANT
PHYSICIAN JOYCE
PHYSICIAN ADEBAYO
PHYSICIAN MAUREEN
PHYSICIAN JAMES
PHYSICIAN ELIZABETH
PHYSICIAN SUDHEERA
NURSE PRACTITIONER CARMINIE
PHYSICIAN POURUCHISHTI
PHYSICIAN FRANCIS
PHYSICIAN JOYCE
Page 1186 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
EPSTEIN 1548204993 1740595917 06/21/2021
WAHID 1669790788 1902236433 03/02/2020
DUDYCZ-SULICZ 1225272248 1821266321 09/11/2017
ROSENBLUM 1609905975 1013960962 02/11/2019
HIETANEN 1558322958 1558322958 01/01/2018
AUNG-HILLMAN 1871523001 1467469023 07/20/2020
PACIORKOWSKI 1245206606 1184725525 12/23/2019
FINNEGAN 1043288426 1649293820 11/06/2017
SUNDARAM 1215999008 1780766964 05/14/2018
KINON 1063709574 1063525152 04/05/2021
LEVINE 1447252317 1063525152 04/12/2021
GADKAR 1023129400 1023129400 09/28/2018
YU 1295948123 1447518550 12/17/2018
ADEYINKA 1205912524 1861628091 10/30/2017
MCKENNA 1669674750 1467454967 02/22/2021
NORTH 1568476158 1013928159 08/06/2018
REED 1952683401 1679587679 10/04/2021
KOKKADA SATHYANARAYANA 1427299445 1427063270 11/01/2021
RAMLAL 1881948701 1619341716 10/02/2017
HIRJIBEHEDIN 1568409308 1336578772 03/05/2018
BACCAY 1346234630 1063525152 11/11/2019
ROBERT 1104088350 1295729408 08/07/2017
Page 1187 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 3 10457 BRONX
8500 2019 4 11416 QUEENS
21250 2015 1 13790 BROOME
8500 2017 2 11355 QUEENS
8500 2015 4 12601 DUTCHESS
8500 2019 3 10038 NEW YORK
8500 2018 5 14642 MONROE
8500 2015 3 14222 ERIE
8500 2016 2 11215 KINGS
8500 2020 4 10467 BRONX
8500 2020 5 10462 BRONX
-21250 2014 1 11221 KINGS
8500 2017 6 10032 NEW YORK
21250 2016 1 11201 KINGS
8500 2020 3 10532 WESTCHESTER
8500 2016 5 12801 WARREN
8500 2021 5 10038 NEW YORK
8500 2021 4 10038 NEW YORK
8500 2015 2 11211 KINGS
8500 2015 3 10041 NEW YORK
8500 2018 2 10461 BRONX
8500 2015 5 10035 NEW YORK
Page 1188 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SBH PHYSICIANS PC (40.85589, -73.868294) 675 2032 52
SAFE MEDICAL CARE PLLC (40.749338, -73.789673) 828 2137 11
UHSH PRIMARY CARE PHYSICIANS (42.122015, -75.933191) 479 2033 45
NEW YORK HOSPITAL MEDICAL CEN (40.749338, -73.789673) 828 2137 11
HIETANEN CHRISTIAN (41.686216, -73.840468) 1022 2040 30
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
U OF R NEUROLOGY DEPARTMENT (43.161748, -77.620143) 1666 2093 56
UNIVERSITY NEUROLOGY INC (42.888143, -78.795544) 62 2041 63
PARK SLOPE PEDIATRIC MED PC (40.65642, -73.950691) 809 2090 31
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GADKAR VASANT L DDS (40.65642, -73.950691) 809 2090 31
COLUMBIA UNIVERSITY (40.726966, -74.005966) 737 2095 50
TBHC PEDIATRIC SERVICES PC (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
ADVANTAGECARE PHYSICIANS PC (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
INSTITUTE FOR FAMILY HLTH (40.726966, -74.005966) 737 2095 50
Page 1189 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 176
37 111
346
37 111
63
37 108
50 844
646
37 27
37 176
37 176
37 27
37 108
37 27
224
522
37 108
37 108
37 27
37 108
37 176
37 108
Page 1190 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN GEORGE
PHYSICIAN DEEPALI
DENTIST ROBERT
PHYSICIAN WILLIAM
PHYSICIAN STANLEY
ACUTE CARE HOSPITALS WSNCHS NORTH, INC.
PHYSICIAN KAFUI
NURSE PRACTITIONER MARISA
PHYSICIAN BAHRAM
PHYSICIAN BARNETT
NURSE PRACTITIONER RAQUEL
DENTIST OLGA
PHYSICIAN MANISHA
PHYSICIAN ROBERT
PHYSICIAN JAMES
PHYSICIAN AFSHIN
DENTIST JAMSHED
PHYSICIAN VITALY
PHYSICIAN CHARLES
PHYSICIAN JAIME
PHYSICIAN LAKSHMI
Page 1191 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
SHAHIN 1124358809 1619341716 03/22/2021
TEWARI 1265728679 1467454967 04/20/2020
GUREASKO 1134337389 1164555124 11/18/2019
CHEUNG 1629031208 1629031208 09/04/2017
BOCZKO 1760406847 1063525152 04/12/2021
1013998426 07/03/2017
DEMASIO 1003850975 1063525152 06/15/2020
LAM 1477927093 1548208127 03/05/2018
SAFANI 1427265438 1568534766 08/06/2018
ZUMOFF 1073501300 1790988996 04/16/2018
MIRANDA 1538449111 1184694291 09/18/2017
CELLERI-PINCUS 1144232877 1396059499 08/02/2021
SINGH 1366689663 1417027558 05/07/2018
LEVY 1942385489 1073535027 11/08/2021
SULZER 1255531240 1841224508 01/07/2019
TAVAKOLY 1700059680 1760701031 12/09/2019
GHARDA 1184843211 1295997724 03/29/2021
SHLEZ 1972588234 1063525152 04/19/2021
NUSS 1629177753 1194832477 12/16/2019
RIVERA 1811057193 1841224508 08/21/2017
PARUCHURI 1396829115 1679587679 11/18/2019
Page 1192 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2020 4 11220 KINGS
8500 2019 5 10532 WESTCHESTER
8500 2018 3 10010 NEW YORK
8500 2015 4 10002 NEW YORK
8500 2020 5 10461 BRONX
328849.49 2016 1 11714 NASSAU
8500 2019 6 10461 BRONX
21250 2016 1 10038 NEW YORK
8500 2016 4 11385 QUEENS
8500 2016 4 10003 NEW YORK
21250 2016 1 10453 BRONX
8500 2021 5 11575 NASSAU
8500 2016 3 10457 BRONX
8500 2021 3 10038 NEW YORK
8500 2017 6 12603 DUTCHESS
8500 2018 6 11229 KINGS
8500 2020 6 11753 NASSAU
8500 2020 3 10467 BRONX
8500 2018 6 10032 NEW YORK
8500 2015 3 12603 DUTCHESS
8500 2018 2 10038 NEW YORK
Page 1193 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LUTHERAN MEDICAL CENTER (40.65642, -73.950691) 809 2090 31
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
NEW YORK UNIV DENTAL CTR (40.726966, -74.005966) 737 2095 50
CHEUNG WILLIAM MD (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ST JOSEPH HOSPITAL (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
AMB MEDICAL SERVICES PC (40.749338, -73.789673) 828 2137 11
BIMC FACULTY PRACTICE (40.726966, -74.005966) 737 2095 50
MORRIS HEIGHTS HEALTH CENTER (40.85589, -73.868294) 675 2032 52
HEMPSTEAD COMMUNITY HC FREEPORT (40.715749, -73.601185) 1455 2094 6
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
BELLEVUE HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
ADVANCED INTERNAL MEDICAL CARE LLC (40.65642, -73.950691) 809 2090 31
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
CHILDRENS MEDICAL GROUP PLLC (41.686216, -73.840468) 1022 2040 30
JACOBI MEDICAL CENTER (40.726966, -74.005966) 737 2095 50
Page 1194 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 27
224
37 108
37 108
37 176
93
37 176
37 108
37 111
37 108
37 176
93
37 176
37 108
63
37 27
93
37 176
37 108
63
37 108
Page 1195 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN DAVID
PHYSICIAN MARC
DENTIST NEAL
PHYSICIAN JODY
PHYSICIAN JASON
PHYSICIAN MARYBETH
NURSE PRACTITIONER KATE
DENTIST DESTINY
CERTIFIED NURSE MIDWIFE CYNTHIA
PHYSICIAN HELENE
PHYSICIAN SUSAN
PHYSICIAN MANOLIS
PHYSICIAN ANNE
PHYSICIAN SOO YEON
PHYSICIAN SUDHANSHU
PHYSICIAN ROBERT
PHYSICIAN LESLIE
DENTIST AHMED
DENTIST KENNETH
PHYSICIAN ELSA
DENTIST MARY
Page 1196 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
BELL 1124091848 1194832477 06/04/2018
LUSTIG 1053360149 1053360149 12/30/2019
EZRA 1316168453 1316168453 10/09/2017
SIMA 1285821132 1770539066 11/12/2018
MCKEAN 1104083849 1427063270 10/09/2017
JONES 1740500024 1821029463 03/26/2018
GATES 1972846517 1609946821 12/09/2019
BEAN 1558709378 1295997724 03/29/2021
FRIEDMAN 1043240971 1083639587 11/26/2018
STRAUSS 1407119647 1952332801 12/10/2018
KLUGMAN 1649350117 1063525152 09/04/2017
TSATSAS 1790730026 1063426377 01/25/2021
VAN ARSDALE 1407015183 1063525152 10/28/2019
KIM 1073868899 1063525152 09/04/2017
JAIN 1720287295 1033124961 09/02/2019
BROWN 1053488437 1427063270 10/25/2021
HARRIS-BERNSTEIN 1922019371 1467469023 11/22/2021
NOUR-EL-DEEN 1801949078 1295997724 08/05/2019
SWANSTON 1609920479 1609920479 02/07/2019
CORPUZ 1528144953 1821045485 01/21/2019
VARGHESE 1760474753 1548208127 03/05/2018
Page 1197 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2016 4 10032 NEW YORK
8500 2018 2 10023 NEW YORK
8500 2015 2 11557 NASSAU
8500 2017 6 13210 ONONDAGA
21250 2016 1 10038 NEW YORK
8500 2016 2 14642 MONROE
8500 2018 3 13601 JEFFERSON
8500 2020 5 11753 NASSAU
8500 2017 5 12534 COLUMBIA
8500 2017 2 10016 NEW YORK
8500 2015 5 10538 WESTCHESTER
8500 2020 5 10038 NEW YORK
8500 2018 5 10461 BRONX
8500 2015 2 10467 BRONX
8500 2018 2 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2021 5 10038 NEW YORK
8500 2018 4 11753 NASSAU
-21250 2014 1 10607 WESTCHESTER
8500 2017 6 11412 QUEENS
21250 2016 1 10038 NEW YORK
Page 1198 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
LUSTIG MARC MD (40.726966, -74.005966) 737 2095 50
EZRA NEAL DDS (40.715749, -73.601185) 1455 2094 6
PEDIATRIC SERVICE GROUP (43.065629, -76.168033) 713 2132 43
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
PEDIATRIC GROUP OF U OF R (43.161748, -77.620143) 1666 2093 56
NORTH COUNTRY CHILDRENS CLIN (44.019295, -75.898971) 1466 2089 41
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
COLUMBIA MEMORIAL HOSPITAL (42.276913, -73.682168) 977 619 33
NY HOSPITAL (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (41.039278, -73.805386) 1440 2185 53
ELMHURST HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
HARLEM HOSPITAL CENTER (40.726966, -74.005966) 737 2095 50
LINCOLN MEDICAL/MENTAL HLTH (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
AMERICAN DENTAL OFFICES PLLC (40.715749, -73.601185) 1455 2094 6
SWANSTON KENNETH JEREMY DDS (41.039278, -73.805386) 1440 2185 53
MEDISYS FAMILY CARE (40.749338, -73.789673) 828 2137 11
GOUVERNEUR DIAGNOSTIC&TRT CTR (40.726966, -74.005966) 737 2095 50
Page 1199 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
93
755
37 108
50 844
705
93
388
37 108
224
37 108
37 176
37 176
37 108
37 108
37 108
93
224
37 111
37 108
Page 1200 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
PHYSICIAN AILEEN
PHYSICIAN LUCILLE
CERTIFIED NURSE MIDWIFE CAROLINE
PHYSICIAN MINAL
PHYSICIAN JOHN
PHYSICIAN HARRIET
PHYSICIAN JAIME
PHYSICIAN LORRAINE
PHYSICIAN LARRY
NURSE PRACTITIONER DENA
CERTIFIED NURSE MIDWIFE MARIA TERESA
PHYSICIAN HOWARD
PHYSICIAN LAUREN
NURSE PRACTITIONER SIPORA
PHYSICIAN DEEPAK
PHYSICIAN JOSEPH
PHYSICIAN ANN
Page 1201 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
LANGSTON 1588684195 1467469023 11/22/2021
TORRES-DEAS 1578850848 1194832477 07/31/2017
PASTOR 1598013005 1467586792 02/12/2018
KALE 1629275276 1659639524 12/23/2019
BENT 1487725867 1063525152 10/14/2019
BUSCH 1790799435 1013928159 08/06/2018
GOLDSTEIN 1407938582 1417027558 05/07/2018
DAVIS 1578649455 1396711982 07/31/2017
BERNSTEIN 1851380950 1063525152 04/19/2021
KRANZBERG 1972844926 1417959701 02/11/2019
TIMONEY 1215079397 1417027558 02/18/2019
BOSTWICK 1083606818 1467454967 10/07/2019
SHAPIRO 1295050961 1063525152 03/25/2019
DERKHIDAM 1801265848 1720177066 09/04/2017
SANKHOLKAR 1598828808 1346261666 11/18/2019
RAPUANO 1750588588 1467469023 01/29/2018
DOERFLER 1255353124 1467469023 05/25/2020
Page 1202 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
8500 2021 5 10038 NEW YORK
21250 2016 1 10032 NEW YORK
8500 2016 3 11219 KINGS
8500 2018 4 10029 NEW YORK
8500 2018 6 10467 BRONX
8500 2016 6 12817 WARREN
8500 2016 3 10456 BRONX
21250 2016 1 12307 SCHENECTADY
8500 2020 3 11375 QUEENS
8500 2017 3 10012 NEW YORK
8500 2017 3 10456 BRONX
8500 2018 3 10532 WESTCHESTER
8500 2017 5 10467 BRONX
21250 2016 1 11249 KINGS
8500 2018 4 11432 QUEENS
21250 2015 1 10038 NEW YORK
8500 2019 3 10038 NEW YORK
Page 1203 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
PRESBYTERIAN HSP CITY OF NY (40.726966, -74.005966) 737 2095 50
BORO PARK OBSTETRICS & GYNECOLOGY
P
(40.65642, -73.950691) 809 2090 31
FACULTY PRACTICE ASSOCIATES (40.726966, -74.005966) 737 2095 50
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
WARRENSBURG HEALTH CENTER (43.403024, -73.716044) 128 2183 35
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
HOMETOWN HEALTH CENTERS (42.809233, -73.946838) 74 2142 42
MONTEFIORE PROF BILLING GROUP (40.749338, -73.789673) 828 2137 11
MARGARET SANGER CTR (40.726966, -74.005966) 737 2095 50
BRONX LEBANON HOSPITAL CENTER (40.85589, -73.868294) 675 2032 52
CHILDRENS PHYS WESTCHESTER LL (41.039278, -73.805386) 1440 2185 53
MONTEFIORE PROF BILLING GROUP (40.85589, -73.868294) 675 2032 52
ODA PRIMARY HLTH CARE CTR,INC (40.65642, -73.950691) 809 2090 31
ADVANCED CTR FOR PSYCHOTHERAP (40.749338, -73.789673) 828 2137 11
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
WOODHULL MED & MNTL HLTH CTR (40.726966, -74.005966) 737 2095 50
Page 1204 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011
37 108
37 108
37 27
37 108
37 176
522
37 176
617
37 111
37 108
37 176
224
37 176
37 27
37 111
37 108
37 108
Page 1205 of 1205 05/30/2022
Medicaid Electronic Health Records Incentive Program Provider Payments: Beginning 2011