medicaid electronic health records incentive program

1205
Provider Type Eligible Hospital Name Eligible 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 Provide

Upload: others

Post on 30-May-2022

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Medicaid Electronic Health Records Incentive Program

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

Page 2: Medicaid Electronic Health Records Incentive Program

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

Page 3: Medicaid Electronic Health Records Incentive Program

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

Page 4: Medicaid Electronic Health Records Incentive Program

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

Page 5: Medicaid Electronic Health Records Incentive Program

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

Page 6: Medicaid Electronic Health Records Incentive Program

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

Page 7: Medicaid Electronic Health Records Incentive Program

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

Page 8: Medicaid Electronic Health Records Incentive Program

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

Page 9: Medicaid Electronic Health Records Incentive Program

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

Page 10: Medicaid Electronic Health Records Incentive Program

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

Page 11: Medicaid Electronic Health Records Incentive Program

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

Page 12: Medicaid Electronic Health Records Incentive Program

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

Page 13: Medicaid Electronic Health Records Incentive Program

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

Page 14: Medicaid Electronic Health Records Incentive Program

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

Page 15: Medicaid Electronic Health Records Incentive Program

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

Page 16: Medicaid Electronic Health Records Incentive Program

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

Page 17: Medicaid Electronic Health Records Incentive Program

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

Page 18: Medicaid Electronic Health Records Incentive Program

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

Page 19: Medicaid Electronic Health Records Incentive Program

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

Page 20: Medicaid Electronic Health Records Incentive Program

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

Page 21: Medicaid Electronic Health Records Incentive Program

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

Page 22: Medicaid Electronic Health Records Incentive Program

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

Page 23: Medicaid Electronic Health Records Incentive Program

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

Page 24: Medicaid Electronic Health Records Incentive Program

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

Page 25: Medicaid Electronic Health Records Incentive Program

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

Page 26: Medicaid Electronic Health Records Incentive Program

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

Page 27: Medicaid Electronic Health Records Incentive Program

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

Page 28: Medicaid Electronic Health Records Incentive Program

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

Page 29: Medicaid Electronic Health Records Incentive Program

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

Page 30: Medicaid Electronic Health Records Incentive Program

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

Page 31: Medicaid Electronic Health Records Incentive Program

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

Page 32: Medicaid Electronic Health Records Incentive Program

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

Page 33: Medicaid Electronic Health Records Incentive Program

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

Page 34: Medicaid Electronic Health Records Incentive Program

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

Page 35: Medicaid Electronic Health Records Incentive Program

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

Page 36: Medicaid Electronic Health Records Incentive Program

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

Page 37: Medicaid Electronic Health Records Incentive Program

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

Page 38: Medicaid Electronic Health Records Incentive Program

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

Page 39: Medicaid Electronic Health Records Incentive Program

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

Page 40: Medicaid Electronic Health Records Incentive Program

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

Page 41: Medicaid Electronic Health Records Incentive Program

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

Page 42: Medicaid Electronic Health Records Incentive Program

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

Page 43: Medicaid Electronic Health Records Incentive Program

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

Page 44: Medicaid Electronic Health Records Incentive Program

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

Page 45: Medicaid Electronic Health Records Incentive Program

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

Page 46: Medicaid Electronic Health Records Incentive Program

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

Page 47: Medicaid Electronic Health Records Incentive Program

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

Page 48: Medicaid Electronic Health Records Incentive Program

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

Page 49: Medicaid Electronic Health Records Incentive Program

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

Page 50: Medicaid Electronic Health Records Incentive Program

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

Page 51: Medicaid Electronic Health Records Incentive Program

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

Page 52: Medicaid Electronic Health Records Incentive Program

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

Page 53: Medicaid Electronic Health Records Incentive Program

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

Page 54: Medicaid Electronic Health Records Incentive Program

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

Page 55: Medicaid Electronic Health Records Incentive Program

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

Page 56: Medicaid Electronic Health Records Incentive Program

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

Page 57: Medicaid Electronic Health Records Incentive Program

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

Page 58: Medicaid Electronic Health Records Incentive Program

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

Page 59: Medicaid Electronic Health Records Incentive Program

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

Page 60: Medicaid Electronic Health Records Incentive Program

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

Page 61: Medicaid Electronic Health Records Incentive Program

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

Page 62: Medicaid Electronic Health Records Incentive Program

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

Page 63: Medicaid Electronic Health Records Incentive Program

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

Page 64: Medicaid Electronic Health Records Incentive Program

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

Page 65: Medicaid Electronic Health Records Incentive Program

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

Page 66: Medicaid Electronic Health Records Incentive Program

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

Page 67: Medicaid Electronic Health Records Incentive Program

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

Page 68: Medicaid Electronic Health Records Incentive Program

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

Page 69: Medicaid Electronic Health Records Incentive Program

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

Page 70: Medicaid Electronic Health Records Incentive Program

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

Page 71: Medicaid Electronic Health Records Incentive Program

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

Page 72: Medicaid Electronic Health Records Incentive Program

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

Page 73: Medicaid Electronic Health Records Incentive Program

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

Page 74: Medicaid Electronic Health Records Incentive Program

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

Page 75: Medicaid Electronic Health Records Incentive Program

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

Page 76: Medicaid Electronic Health Records Incentive Program

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

Page 77: Medicaid Electronic Health Records Incentive Program

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

Page 78: Medicaid Electronic Health Records Incentive Program

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

Page 79: Medicaid Electronic Health Records Incentive Program

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

Page 80: Medicaid Electronic Health Records Incentive Program

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

Page 81: Medicaid Electronic Health Records Incentive Program

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

Page 82: Medicaid Electronic Health Records Incentive Program

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

Page 83: Medicaid Electronic Health Records Incentive Program

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

Page 84: Medicaid Electronic Health Records Incentive Program

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

Page 85: Medicaid Electronic Health Records Incentive Program

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

Page 86: Medicaid Electronic Health Records Incentive Program

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

Page 87: Medicaid Electronic Health Records Incentive Program

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

Page 88: Medicaid Electronic Health Records Incentive Program

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

Page 89: Medicaid Electronic Health Records Incentive Program

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

Page 90: Medicaid Electronic Health Records Incentive Program

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

Page 91: Medicaid Electronic Health Records Incentive Program

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

Page 92: Medicaid Electronic Health Records Incentive Program

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

Page 93: Medicaid Electronic Health Records Incentive Program

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

Page 94: Medicaid Electronic Health Records Incentive Program

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

Page 95: Medicaid Electronic Health Records Incentive Program

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

Page 96: Medicaid Electronic Health Records Incentive Program

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

Page 97: Medicaid Electronic Health Records Incentive Program

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

Page 98: Medicaid Electronic Health Records Incentive Program

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

Page 99: Medicaid Electronic Health Records Incentive Program

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

Page 100: Medicaid Electronic Health Records Incentive Program

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

Page 101: Medicaid Electronic Health Records Incentive Program

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

Page 102: Medicaid Electronic Health Records Incentive Program

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

Page 103: Medicaid Electronic Health Records Incentive Program

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

Page 104: Medicaid Electronic Health Records Incentive Program

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

Page 105: Medicaid Electronic Health Records Incentive Program

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

Page 106: Medicaid Electronic Health Records Incentive Program

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

Page 107: Medicaid Electronic Health Records Incentive Program

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

Page 108: Medicaid Electronic Health Records Incentive Program

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

Page 109: Medicaid Electronic Health Records Incentive Program

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

Page 110: Medicaid Electronic Health Records Incentive Program

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

Page 111: Medicaid Electronic Health Records Incentive Program

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

Page 112: Medicaid Electronic Health Records Incentive Program

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

Page 113: Medicaid Electronic Health Records Incentive Program

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

Page 114: Medicaid Electronic Health Records Incentive Program

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

Page 115: Medicaid Electronic Health Records Incentive Program

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

Page 116: Medicaid Electronic Health Records Incentive Program

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

Page 117: Medicaid Electronic Health Records Incentive Program

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

Page 118: Medicaid Electronic Health Records Incentive Program

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

Page 119: Medicaid Electronic Health Records Incentive Program

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

Page 120: Medicaid Electronic Health Records Incentive Program

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

Page 121: Medicaid Electronic Health Records Incentive Program

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

Page 122: Medicaid Electronic Health Records Incentive Program

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

Page 123: Medicaid Electronic Health Records Incentive Program

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

Page 124: Medicaid Electronic Health Records Incentive Program

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

Page 125: Medicaid Electronic Health Records Incentive Program

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

Page 126: Medicaid Electronic Health Records Incentive Program

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

Page 127: Medicaid Electronic Health Records Incentive Program

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

Page 128: Medicaid Electronic Health Records Incentive Program

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

Page 129: Medicaid Electronic Health Records Incentive Program

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

Page 130: Medicaid Electronic Health Records Incentive Program

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

Page 131: Medicaid Electronic Health Records Incentive Program

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

Page 132: Medicaid Electronic Health Records Incentive Program

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

Page 133: Medicaid Electronic Health Records Incentive Program

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

Page 134: Medicaid Electronic Health Records Incentive Program

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

Page 135: Medicaid Electronic Health Records Incentive Program

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

Page 136: Medicaid Electronic Health Records Incentive Program

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

Page 137: Medicaid Electronic Health Records Incentive Program

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

Page 138: Medicaid Electronic Health Records Incentive Program

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

Page 139: Medicaid Electronic Health Records Incentive Program

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

Page 140: Medicaid Electronic Health Records Incentive Program

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

Page 141: Medicaid Electronic Health Records Incentive Program

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

Page 142: Medicaid Electronic Health Records Incentive Program

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

Page 143: Medicaid Electronic Health Records Incentive Program

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

Page 144: Medicaid Electronic Health Records Incentive Program

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

Page 145: Medicaid Electronic Health Records Incentive Program

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

Page 146: Medicaid Electronic Health Records Incentive Program

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

Page 147: Medicaid Electronic Health Records Incentive Program

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

Page 148: Medicaid Electronic Health Records Incentive Program

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

Page 149: Medicaid Electronic Health Records Incentive Program

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

Page 150: Medicaid Electronic Health Records Incentive Program

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

Page 151: Medicaid Electronic Health Records Incentive Program

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

Page 152: Medicaid Electronic Health Records Incentive Program

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

Page 153: Medicaid Electronic Health Records Incentive Program

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

Page 154: Medicaid Electronic Health Records Incentive Program

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

Page 155: Medicaid Electronic Health Records Incentive Program

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

Page 156: Medicaid Electronic Health Records Incentive Program

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

Page 157: Medicaid Electronic Health Records Incentive Program

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

Page 158: Medicaid Electronic Health Records Incentive Program

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

Page 159: Medicaid Electronic Health Records Incentive Program

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

Page 160: Medicaid Electronic Health Records Incentive Program

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

Page 161: Medicaid Electronic Health Records Incentive Program

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

Page 162: Medicaid Electronic Health Records Incentive Program

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

Page 163: Medicaid Electronic Health Records Incentive Program

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

Page 164: Medicaid Electronic Health Records Incentive Program

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

Page 165: Medicaid Electronic Health Records Incentive Program

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

Page 166: Medicaid Electronic Health Records Incentive Program

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

Page 167: Medicaid Electronic Health Records Incentive Program

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

Page 168: Medicaid Electronic Health Records Incentive Program

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

Page 169: Medicaid Electronic Health Records Incentive Program

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

Page 170: Medicaid Electronic Health Records Incentive Program

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

Page 171: Medicaid Electronic Health Records Incentive Program

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

Page 172: Medicaid Electronic Health Records Incentive Program

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

Page 173: Medicaid Electronic Health Records Incentive Program

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

Page 174: Medicaid Electronic Health Records Incentive Program

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

Page 175: Medicaid Electronic Health Records Incentive Program

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

Page 176: Medicaid Electronic Health Records Incentive Program

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

Page 177: Medicaid Electronic Health Records Incentive Program

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

Page 178: Medicaid Electronic Health Records Incentive Program

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

Page 179: Medicaid Electronic Health Records Incentive Program

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

Page 180: Medicaid Electronic Health Records Incentive Program

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

Page 181: Medicaid Electronic Health Records Incentive Program

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

Page 182: Medicaid Electronic Health Records Incentive Program

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

Page 183: Medicaid Electronic Health Records Incentive Program

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

Page 184: Medicaid Electronic Health Records Incentive Program

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

Page 185: Medicaid Electronic Health Records Incentive Program

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

Page 186: Medicaid Electronic Health Records Incentive Program

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

Page 187: Medicaid Electronic Health Records Incentive Program

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

Page 188: Medicaid Electronic Health Records Incentive Program

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

Page 189: Medicaid Electronic Health Records Incentive Program

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

Page 190: Medicaid Electronic Health Records Incentive Program

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

Page 191: Medicaid Electronic Health Records Incentive Program

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

Page 192: Medicaid Electronic Health Records Incentive Program

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

Page 193: Medicaid Electronic Health Records Incentive Program

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

Page 194: Medicaid Electronic Health Records Incentive Program

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

Page 195: Medicaid Electronic Health Records Incentive Program

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

Page 196: Medicaid Electronic Health Records Incentive Program

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

Page 197: Medicaid Electronic Health Records Incentive Program

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

Page 198: Medicaid Electronic Health Records Incentive Program

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

Page 199: Medicaid Electronic Health Records Incentive Program

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

Page 200: Medicaid Electronic Health Records Incentive Program

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

Page 201: Medicaid Electronic Health Records Incentive Program

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

Page 202: Medicaid Electronic Health Records Incentive Program

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

Page 203: Medicaid Electronic Health Records Incentive Program

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

Page 204: Medicaid Electronic Health Records Incentive Program

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

Page 205: Medicaid Electronic Health Records Incentive Program

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

Page 206: Medicaid Electronic Health Records Incentive Program

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

Page 207: Medicaid Electronic Health Records Incentive Program

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

Page 208: Medicaid Electronic Health Records Incentive Program

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

Page 209: Medicaid Electronic Health Records Incentive Program

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

Page 210: Medicaid Electronic Health Records Incentive Program

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

Page 211: Medicaid Electronic Health Records Incentive Program

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

Page 212: Medicaid Electronic Health Records Incentive Program

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

Page 213: Medicaid Electronic Health Records Incentive Program

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

Page 214: Medicaid Electronic Health Records Incentive Program

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

Page 215: Medicaid Electronic Health Records Incentive Program

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

Page 216: Medicaid Electronic Health Records Incentive Program

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

Page 217: Medicaid Electronic Health Records Incentive Program

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

Page 218: Medicaid Electronic Health Records Incentive Program

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

Page 219: Medicaid Electronic Health Records Incentive Program

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

Page 220: Medicaid Electronic Health Records Incentive Program

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

Page 221: Medicaid Electronic Health Records Incentive Program

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

Page 222: Medicaid Electronic Health Records Incentive Program

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

Page 223: Medicaid Electronic Health Records Incentive Program

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

Page 224: Medicaid Electronic Health Records Incentive Program

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

Page 225: Medicaid Electronic Health Records Incentive Program

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

Page 226: Medicaid Electronic Health Records Incentive Program

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

Page 227: Medicaid Electronic Health Records Incentive Program

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

Page 228: Medicaid Electronic Health Records Incentive Program

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

Page 229: Medicaid Electronic Health Records Incentive Program

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

Page 230: Medicaid Electronic Health Records Incentive Program

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

Page 231: Medicaid Electronic Health Records Incentive Program

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

Page 232: Medicaid Electronic Health Records Incentive Program

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

Page 233: Medicaid Electronic Health Records Incentive Program

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

Page 234: Medicaid Electronic Health Records Incentive Program

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

Page 235: Medicaid Electronic Health Records Incentive Program

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

Page 236: Medicaid Electronic Health Records Incentive Program

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

Page 237: Medicaid Electronic Health Records Incentive Program

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

Page 238: Medicaid Electronic Health Records Incentive Program

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

Page 239: Medicaid Electronic Health Records Incentive Program

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

Page 240: Medicaid Electronic Health Records Incentive Program

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

Page 241: Medicaid Electronic Health Records Incentive Program

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

Page 242: Medicaid Electronic Health Records Incentive Program

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

Page 243: Medicaid Electronic Health Records Incentive Program

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

Page 244: Medicaid Electronic Health Records Incentive Program

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

Page 245: Medicaid Electronic Health Records Incentive Program

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

Page 246: Medicaid Electronic Health Records Incentive Program

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

Page 247: Medicaid Electronic Health Records Incentive Program

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

Page 248: Medicaid Electronic Health Records Incentive Program

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

Page 249: Medicaid Electronic Health Records Incentive Program

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

Page 250: Medicaid Electronic Health Records Incentive Program

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

Page 251: Medicaid Electronic Health Records Incentive Program

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

Page 252: Medicaid Electronic Health Records Incentive Program

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

Page 253: Medicaid Electronic Health Records Incentive Program

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

Page 254: Medicaid Electronic Health Records Incentive Program

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

Page 255: Medicaid Electronic Health Records Incentive Program

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

Page 256: Medicaid Electronic Health Records Incentive Program

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

Page 257: Medicaid Electronic Health Records Incentive Program

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

Page 258: Medicaid Electronic Health Records Incentive Program

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

Page 259: Medicaid Electronic Health Records Incentive Program

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

Page 260: Medicaid Electronic Health Records Incentive Program

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

Page 261: Medicaid Electronic Health Records Incentive Program

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

Page 262: Medicaid Electronic Health Records Incentive Program

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

Page 263: Medicaid Electronic Health Records Incentive Program

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

Page 264: Medicaid Electronic Health Records Incentive Program

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

Page 265: Medicaid Electronic Health Records Incentive Program

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

Page 266: Medicaid Electronic Health Records Incentive Program

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

Page 267: Medicaid Electronic Health Records Incentive Program

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

Page 268: Medicaid Electronic Health Records Incentive Program

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

Page 269: Medicaid Electronic Health Records Incentive Program

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

Page 270: Medicaid Electronic Health Records Incentive Program

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

Page 271: Medicaid Electronic Health Records Incentive Program

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

Page 272: Medicaid Electronic Health Records Incentive Program

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

Page 273: Medicaid Electronic Health Records Incentive Program

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

Page 274: Medicaid Electronic Health Records Incentive Program

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

Page 275: Medicaid Electronic Health Records Incentive Program

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

Page 276: Medicaid Electronic Health Records Incentive Program

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

Page 277: Medicaid Electronic Health Records Incentive Program

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

Page 278: Medicaid Electronic Health Records Incentive Program

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

Page 279: Medicaid Electronic Health Records Incentive Program

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

Page 280: Medicaid Electronic Health Records Incentive Program

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

Page 281: Medicaid Electronic Health Records Incentive Program

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

Page 282: Medicaid Electronic Health Records Incentive Program

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

Page 283: Medicaid Electronic Health Records Incentive Program

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

Page 284: Medicaid Electronic Health Records Incentive Program

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

Page 285: Medicaid Electronic Health Records Incentive Program

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

Page 286: Medicaid Electronic Health Records Incentive Program

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

Page 287: Medicaid Electronic Health Records Incentive Program

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

Page 288: Medicaid Electronic Health Records Incentive Program

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

Page 289: Medicaid Electronic Health Records Incentive Program

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

Page 290: Medicaid Electronic Health Records Incentive Program

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

Page 291: Medicaid Electronic Health Records Incentive Program

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

Page 292: Medicaid Electronic Health Records Incentive Program

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

Page 293: Medicaid Electronic Health Records Incentive Program

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

Page 294: Medicaid Electronic Health Records Incentive Program

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

Page 295: Medicaid Electronic Health Records Incentive Program

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

Page 296: Medicaid Electronic Health Records Incentive Program

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

Page 297: Medicaid Electronic Health Records Incentive Program

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

Page 298: Medicaid Electronic Health Records Incentive Program

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

Page 299: Medicaid Electronic Health Records Incentive Program

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

Page 300: Medicaid Electronic Health Records Incentive Program

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

Page 301: Medicaid Electronic Health Records Incentive Program

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

Page 302: Medicaid Electronic Health Records Incentive Program

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

Page 303: Medicaid Electronic Health Records Incentive Program

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

Page 304: Medicaid Electronic Health Records Incentive Program

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

Page 305: Medicaid Electronic Health Records Incentive Program

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

Page 306: Medicaid Electronic Health Records Incentive Program

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

Page 307: Medicaid Electronic Health Records Incentive Program

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

Page 308: Medicaid Electronic Health Records Incentive Program

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

Page 309: Medicaid Electronic Health Records Incentive Program

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

Page 310: Medicaid Electronic Health Records Incentive Program

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

Page 311: Medicaid Electronic Health Records Incentive Program

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

Page 312: Medicaid Electronic Health Records Incentive Program

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

Page 313: Medicaid Electronic Health Records Incentive Program

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

Page 314: Medicaid Electronic Health Records Incentive Program

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

Page 315: Medicaid Electronic Health Records Incentive Program

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

Page 316: Medicaid Electronic Health Records Incentive Program

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

Page 317: Medicaid Electronic Health Records Incentive Program

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

Page 318: Medicaid Electronic Health Records Incentive Program

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

Page 319: Medicaid Electronic Health Records Incentive Program

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

Page 320: Medicaid Electronic Health Records Incentive Program

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

Page 321: Medicaid Electronic Health Records Incentive Program

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

Page 322: Medicaid Electronic Health Records Incentive Program

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

Page 323: Medicaid Electronic Health Records Incentive Program

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

Page 324: Medicaid Electronic Health Records Incentive Program

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

Page 325: Medicaid Electronic Health Records Incentive Program

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

Page 326: Medicaid Electronic Health Records Incentive Program

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

Page 327: Medicaid Electronic Health Records Incentive Program

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

Page 328: Medicaid Electronic Health Records Incentive Program

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

Page 329: Medicaid Electronic Health Records Incentive Program

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

Page 330: Medicaid Electronic Health Records Incentive Program

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

Page 331: Medicaid Electronic Health Records Incentive Program

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

Page 332: Medicaid Electronic Health Records Incentive Program

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

Page 333: Medicaid Electronic Health Records Incentive Program

-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

Page 334: Medicaid Electronic Health Records Incentive Program

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

Page 335: Medicaid Electronic Health Records Incentive Program

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

Page 336: Medicaid Electronic Health Records Incentive Program

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

Page 337: Medicaid Electronic Health Records Incentive Program

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

Page 338: Medicaid Electronic Health Records Incentive Program

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

Page 339: Medicaid Electronic Health Records Incentive Program

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

Page 340: Medicaid Electronic Health Records Incentive Program

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

Page 341: Medicaid Electronic Health Records Incentive Program

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

Page 342: Medicaid Electronic Health Records Incentive Program

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

Page 343: Medicaid Electronic Health Records Incentive Program

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

Page 344: Medicaid Electronic Health Records Incentive Program

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

Page 345: Medicaid Electronic Health Records Incentive Program

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

Page 346: Medicaid Electronic Health Records Incentive Program

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

Page 347: Medicaid Electronic Health Records Incentive Program

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

Page 348: Medicaid Electronic Health Records Incentive Program

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

Page 349: Medicaid Electronic Health Records Incentive Program

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

Page 350: Medicaid Electronic Health Records Incentive Program

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

Page 351: Medicaid Electronic Health Records Incentive Program

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

Page 352: Medicaid Electronic Health Records Incentive Program

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

Page 353: Medicaid Electronic Health Records Incentive Program

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

Page 354: Medicaid Electronic Health Records Incentive Program

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

Page 355: Medicaid Electronic Health Records Incentive Program

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

Page 356: Medicaid Electronic Health Records Incentive Program

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

Page 357: Medicaid Electronic Health Records Incentive Program

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

Page 358: Medicaid Electronic Health Records Incentive Program

-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

Page 359: Medicaid Electronic Health Records Incentive Program

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

Page 360: Medicaid Electronic Health Records Incentive Program

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

Page 361: Medicaid Electronic Health Records Incentive Program

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

Page 362: Medicaid Electronic Health Records Incentive Program

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

Page 363: Medicaid Electronic Health Records Incentive Program

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

Page 364: Medicaid Electronic Health Records Incentive Program

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

Page 365: Medicaid Electronic Health Records Incentive Program

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

Page 366: Medicaid Electronic Health Records Incentive Program

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

Page 367: Medicaid Electronic Health Records Incentive Program

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

Page 368: Medicaid Electronic Health Records Incentive Program

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

Page 369: Medicaid Electronic Health Records Incentive Program

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

Page 370: Medicaid Electronic Health Records Incentive Program

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

Page 371: Medicaid Electronic Health Records Incentive Program

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

Page 372: Medicaid Electronic Health Records Incentive Program

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

Page 373: Medicaid Electronic Health Records Incentive Program

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

Page 374: Medicaid Electronic Health Records Incentive Program

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

Page 375: Medicaid Electronic Health Records Incentive Program

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

Page 376: Medicaid Electronic Health Records Incentive Program

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

Page 377: Medicaid Electronic Health Records Incentive Program

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

Page 378: Medicaid Electronic Health Records Incentive Program

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

Page 379: Medicaid Electronic Health Records Incentive Program

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

Page 380: Medicaid Electronic Health Records Incentive Program

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

Page 381: Medicaid Electronic Health Records Incentive Program

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

Page 382: Medicaid Electronic Health Records Incentive Program

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

Page 383: Medicaid Electronic Health Records Incentive Program

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

Page 384: Medicaid Electronic Health Records Incentive Program

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

Page 385: Medicaid Electronic Health Records Incentive Program

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

Page 386: Medicaid Electronic Health Records Incentive Program

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

Page 387: Medicaid Electronic Health Records Incentive Program

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

Page 388: Medicaid Electronic Health Records Incentive Program

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

Page 389: Medicaid Electronic Health Records Incentive Program

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

Page 390: Medicaid Electronic Health Records Incentive Program

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

Page 391: Medicaid Electronic Health Records Incentive Program

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

Page 392: Medicaid Electronic Health Records Incentive Program

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

Page 393: Medicaid Electronic Health Records Incentive Program

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

Page 394: Medicaid Electronic Health Records Incentive Program

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

Page 395: Medicaid Electronic Health Records Incentive Program

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

Page 396: Medicaid Electronic Health Records Incentive Program

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

Page 397: Medicaid Electronic Health Records Incentive Program

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

Page 398: Medicaid Electronic Health Records Incentive Program

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

Page 399: Medicaid Electronic Health Records Incentive Program

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

Page 400: Medicaid Electronic Health Records Incentive Program

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

Page 401: Medicaid Electronic Health Records Incentive Program

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

Page 402: Medicaid Electronic Health Records Incentive Program

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

Page 403: Medicaid Electronic Health Records Incentive Program

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

Page 404: Medicaid Electronic Health Records Incentive Program

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

Page 405: Medicaid Electronic Health Records Incentive Program

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

Page 406: Medicaid Electronic Health Records Incentive Program

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

Page 407: Medicaid Electronic Health Records Incentive Program

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

Page 408: Medicaid Electronic Health Records Incentive Program

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

Page 409: Medicaid Electronic Health Records Incentive Program

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

Page 410: Medicaid Electronic Health Records Incentive Program

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

Page 411: Medicaid Electronic Health Records Incentive Program

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

Page 412: Medicaid Electronic Health Records Incentive Program

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

Page 413: Medicaid Electronic Health Records Incentive Program

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

Page 414: Medicaid Electronic Health Records Incentive Program

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

Page 415: Medicaid Electronic Health Records Incentive Program

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

Page 416: Medicaid Electronic Health Records Incentive Program

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

Page 417: Medicaid Electronic Health Records Incentive Program

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

Page 418: Medicaid Electronic Health Records Incentive Program

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

Page 419: Medicaid Electronic Health Records Incentive Program

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

Page 420: Medicaid Electronic Health Records Incentive Program

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

Page 421: Medicaid Electronic Health Records Incentive Program

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

Page 422: Medicaid Electronic Health Records Incentive Program

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

Page 423: Medicaid Electronic Health Records Incentive Program

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

Page 424: Medicaid Electronic Health Records Incentive Program

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

Page 425: Medicaid Electronic Health Records Incentive Program

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

Page 426: Medicaid Electronic Health Records Incentive Program

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

Page 427: Medicaid Electronic Health Records Incentive Program

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

Page 428: Medicaid Electronic Health Records Incentive Program

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

Page 429: Medicaid Electronic Health Records Incentive Program

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

Page 430: Medicaid Electronic Health Records Incentive Program

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

Page 431: Medicaid Electronic Health Records Incentive Program

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

Page 432: Medicaid Electronic Health Records Incentive Program

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

Page 433: Medicaid Electronic Health Records Incentive Program

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

Page 434: Medicaid Electronic Health Records Incentive Program

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

Page 435: Medicaid Electronic Health Records Incentive Program

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

Page 436: Medicaid Electronic Health Records Incentive Program

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

Page 437: Medicaid Electronic Health Records Incentive Program

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

Page 438: Medicaid Electronic Health Records Incentive Program

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

Page 439: Medicaid Electronic Health Records Incentive Program

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

Page 440: Medicaid Electronic Health Records Incentive Program

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

Page 441: Medicaid Electronic Health Records Incentive Program

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

Page 442: Medicaid Electronic Health Records Incentive Program

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

Page 443: Medicaid Electronic Health Records Incentive Program

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

Page 444: Medicaid Electronic Health Records Incentive Program

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

Page 445: Medicaid Electronic Health Records Incentive Program

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

Page 446: Medicaid Electronic Health Records Incentive Program

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

Page 447: Medicaid Electronic Health Records Incentive Program

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

Page 448: Medicaid Electronic Health Records Incentive Program

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

Page 449: Medicaid Electronic Health Records Incentive Program

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

Page 450: Medicaid Electronic Health Records Incentive Program

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

Page 451: Medicaid Electronic Health Records Incentive Program

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

Page 452: Medicaid Electronic Health Records Incentive Program

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

Page 453: Medicaid Electronic Health Records Incentive Program

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

Page 454: Medicaid Electronic Health Records Incentive Program

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

Page 455: Medicaid Electronic Health Records Incentive Program

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

Page 456: Medicaid Electronic Health Records Incentive Program

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

Page 457: Medicaid Electronic Health Records Incentive Program

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

Page 458: Medicaid Electronic Health Records Incentive Program

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

Page 459: Medicaid Electronic Health Records Incentive Program

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

Page 460: Medicaid Electronic Health Records Incentive Program

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

Page 461: Medicaid Electronic Health Records Incentive Program

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

Page 462: Medicaid Electronic Health Records Incentive Program

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

Page 463: Medicaid Electronic Health Records Incentive Program

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

Page 464: Medicaid Electronic Health Records Incentive Program

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

Page 465: Medicaid Electronic Health Records Incentive Program

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

Page 466: Medicaid Electronic Health Records Incentive Program

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

Page 467: Medicaid Electronic Health Records Incentive Program

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

Page 468: Medicaid Electronic Health Records Incentive Program

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

Page 469: Medicaid Electronic Health Records Incentive Program

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

Page 470: Medicaid Electronic Health Records Incentive Program

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

Page 471: Medicaid Electronic Health Records Incentive Program

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

Page 472: Medicaid Electronic Health Records Incentive Program

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

Page 473: Medicaid Electronic Health Records Incentive Program

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

Page 474: Medicaid Electronic Health Records Incentive Program

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

Page 475: Medicaid Electronic Health Records Incentive Program

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

Page 476: Medicaid Electronic Health Records Incentive Program

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

Page 477: Medicaid Electronic Health Records Incentive Program

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

Page 478: Medicaid Electronic Health Records Incentive Program

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

Page 479: Medicaid Electronic Health Records Incentive Program

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

Page 480: Medicaid Electronic Health Records Incentive Program

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

Page 481: Medicaid Electronic Health Records Incentive Program

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

Page 482: Medicaid Electronic Health Records Incentive Program

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

Page 483: Medicaid Electronic Health Records Incentive Program

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

Page 484: Medicaid Electronic Health Records Incentive Program

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

Page 485: Medicaid Electronic Health Records Incentive Program

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

Page 486: Medicaid Electronic Health Records Incentive Program

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

Page 487: Medicaid Electronic Health Records Incentive Program

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

Page 488: Medicaid Electronic Health Records Incentive Program

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

Page 489: Medicaid Electronic Health Records Incentive Program

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

Page 490: Medicaid Electronic Health Records Incentive Program

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

Page 491: Medicaid Electronic Health Records Incentive Program

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

Page 492: Medicaid Electronic Health Records Incentive Program

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

Page 493: Medicaid Electronic Health Records Incentive Program

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

Page 494: Medicaid Electronic Health Records Incentive Program

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

Page 495: Medicaid Electronic Health Records Incentive Program

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

Page 496: Medicaid Electronic Health Records Incentive Program

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

Page 497: Medicaid Electronic Health Records Incentive Program

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

Page 498: Medicaid Electronic Health Records Incentive Program

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

Page 499: Medicaid Electronic Health Records Incentive Program

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

Page 500: Medicaid Electronic Health Records Incentive Program

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

Page 501: Medicaid Electronic Health Records Incentive Program

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

Page 502: Medicaid Electronic Health Records Incentive Program

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

Page 503: Medicaid Electronic Health Records Incentive Program

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

Page 504: Medicaid Electronic Health Records Incentive Program

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

Page 505: Medicaid Electronic Health Records Incentive Program

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

Page 506: Medicaid Electronic Health Records Incentive Program

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

Page 507: Medicaid Electronic Health Records Incentive Program

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

Page 508: Medicaid Electronic Health Records Incentive Program

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

Page 509: Medicaid Electronic Health Records Incentive Program

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

Page 510: Medicaid Electronic Health Records Incentive Program

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

Page 511: Medicaid Electronic Health Records Incentive Program

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

Page 512: Medicaid Electronic Health Records Incentive Program

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

Page 513: Medicaid Electronic Health Records Incentive Program

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

Page 514: Medicaid Electronic Health Records Incentive Program

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

Page 515: Medicaid Electronic Health Records Incentive Program

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

Page 516: Medicaid Electronic Health Records Incentive Program

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

Page 517: Medicaid Electronic Health Records Incentive Program

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

Page 518: Medicaid Electronic Health Records Incentive Program

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

Page 519: Medicaid Electronic Health Records Incentive Program

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

Page 520: Medicaid Electronic Health Records Incentive Program

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

Page 521: Medicaid Electronic Health Records Incentive Program

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

Page 522: Medicaid Electronic Health Records Incentive Program

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

Page 523: Medicaid Electronic Health Records Incentive Program

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

Page 524: Medicaid Electronic Health Records Incentive Program

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

Page 525: Medicaid Electronic Health Records Incentive Program

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

Page 526: Medicaid Electronic Health Records Incentive Program

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

Page 527: Medicaid Electronic Health Records Incentive Program

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

Page 528: Medicaid Electronic Health Records Incentive Program

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

Page 529: Medicaid Electronic Health Records Incentive Program

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

Page 530: Medicaid Electronic Health Records Incentive Program

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

Page 531: Medicaid Electronic Health Records Incentive Program

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

Page 532: Medicaid Electronic Health Records Incentive Program

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

Page 533: Medicaid Electronic Health Records Incentive Program

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

Page 534: Medicaid Electronic Health Records Incentive Program

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

Page 535: Medicaid Electronic Health Records Incentive Program

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

Page 536: Medicaid Electronic Health Records Incentive Program

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

Page 537: Medicaid Electronic Health Records Incentive Program

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

Page 538: Medicaid Electronic Health Records Incentive Program

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

Page 539: Medicaid Electronic Health Records Incentive Program

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

Page 540: Medicaid Electronic Health Records Incentive Program

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

Page 541: Medicaid Electronic Health Records Incentive Program

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

Page 542: Medicaid Electronic Health Records Incentive Program

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

Page 543: Medicaid Electronic Health Records Incentive Program

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

Page 544: Medicaid Electronic Health Records Incentive Program

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

Page 545: Medicaid Electronic Health Records Incentive Program

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

Page 546: Medicaid Electronic Health Records Incentive Program

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

Page 547: Medicaid Electronic Health Records Incentive Program

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

Page 548: Medicaid Electronic Health Records Incentive Program

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

Page 549: Medicaid Electronic Health Records Incentive Program

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

Page 550: Medicaid Electronic Health Records Incentive Program

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

Page 551: Medicaid Electronic Health Records Incentive Program

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

Page 552: Medicaid Electronic Health Records Incentive Program

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

Page 553: Medicaid Electronic Health Records Incentive Program

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

Page 554: Medicaid Electronic Health Records Incentive Program

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

Page 555: Medicaid Electronic Health Records Incentive Program

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

Page 556: Medicaid Electronic Health Records Incentive Program

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

Page 557: Medicaid Electronic Health Records Incentive Program

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

Page 558: Medicaid Electronic Health Records Incentive Program

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

Page 559: Medicaid Electronic Health Records Incentive Program

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

Page 560: Medicaid Electronic Health Records Incentive Program

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

Page 561: Medicaid Electronic Health Records Incentive Program

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

Page 562: Medicaid Electronic Health Records Incentive Program

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

Page 563: Medicaid Electronic Health Records Incentive Program

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

Page 564: Medicaid Electronic Health Records Incentive Program

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

Page 565: Medicaid Electronic Health Records Incentive Program

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

Page 566: Medicaid Electronic Health Records Incentive Program

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

Page 567: Medicaid Electronic Health Records Incentive Program

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

Page 568: Medicaid Electronic Health Records Incentive Program

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

Page 569: Medicaid Electronic Health Records Incentive Program

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

Page 570: Medicaid Electronic Health Records Incentive Program

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

Page 571: Medicaid Electronic Health Records Incentive Program

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

Page 572: Medicaid Electronic Health Records Incentive Program

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

Page 573: Medicaid Electronic Health Records Incentive Program

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

Page 574: Medicaid Electronic Health Records Incentive Program

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

Page 575: Medicaid Electronic Health Records Incentive Program

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

Page 576: Medicaid Electronic Health Records Incentive Program

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

Page 577: Medicaid Electronic Health Records Incentive Program

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

Page 578: Medicaid Electronic Health Records Incentive Program

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

Page 579: Medicaid Electronic Health Records Incentive Program

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

Page 580: Medicaid Electronic Health Records Incentive Program

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

Page 581: Medicaid Electronic Health Records Incentive Program

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

Page 582: Medicaid Electronic Health Records Incentive Program

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

Page 583: Medicaid Electronic Health Records Incentive Program

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

Page 584: Medicaid Electronic Health Records Incentive Program

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

Page 585: Medicaid Electronic Health Records Incentive Program

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

Page 586: Medicaid Electronic Health Records Incentive Program

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

Page 587: Medicaid Electronic Health Records Incentive Program

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

Page 588: Medicaid Electronic Health Records Incentive Program

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

Page 589: Medicaid Electronic Health Records Incentive Program

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

Page 590: Medicaid Electronic Health Records Incentive Program

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

Page 591: Medicaid Electronic Health Records Incentive Program

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

Page 592: Medicaid Electronic Health Records Incentive Program

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

Page 593: Medicaid Electronic Health Records Incentive Program

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

Page 594: Medicaid Electronic Health Records Incentive Program

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

Page 595: Medicaid Electronic Health Records Incentive Program

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

Page 596: Medicaid Electronic Health Records Incentive Program

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

Page 597: Medicaid Electronic Health Records Incentive Program

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

Page 598: Medicaid Electronic Health Records Incentive Program

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

Page 599: Medicaid Electronic Health Records Incentive Program

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

Page 600: Medicaid Electronic Health Records Incentive Program

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

Page 601: Medicaid Electronic Health Records Incentive Program

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

Page 602: Medicaid Electronic Health Records Incentive Program

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

Page 603: Medicaid Electronic Health Records Incentive Program

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

Page 604: Medicaid Electronic Health Records Incentive Program

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

Page 605: Medicaid Electronic Health Records Incentive Program

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

Page 606: Medicaid Electronic Health Records Incentive Program

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

Page 607: Medicaid Electronic Health Records Incentive Program

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

Page 608: Medicaid Electronic Health Records Incentive Program

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

Page 609: Medicaid Electronic Health Records Incentive Program

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

Page 610: Medicaid Electronic Health Records Incentive Program

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

Page 611: Medicaid Electronic Health Records Incentive Program

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

Page 612: Medicaid Electronic Health Records Incentive Program

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

Page 613: Medicaid Electronic Health Records Incentive Program

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

Page 614: Medicaid Electronic Health Records Incentive Program

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

Page 615: Medicaid Electronic Health Records Incentive Program

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

Page 616: Medicaid Electronic Health Records Incentive Program

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

Page 617: Medicaid Electronic Health Records Incentive Program

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

Page 618: Medicaid Electronic Health Records Incentive Program

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

Page 619: Medicaid Electronic Health Records Incentive Program

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

Page 620: Medicaid Electronic Health Records Incentive Program

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

Page 621: Medicaid Electronic Health Records Incentive Program

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

Page 622: Medicaid Electronic Health Records Incentive Program

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

Page 623: Medicaid Electronic Health Records Incentive Program

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

Page 624: Medicaid Electronic Health Records Incentive Program

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

Page 625: Medicaid Electronic Health Records Incentive Program

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

Page 626: Medicaid Electronic Health Records Incentive Program

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

Page 627: Medicaid Electronic Health Records Incentive Program

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

Page 628: Medicaid Electronic Health Records Incentive Program

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

Page 629: Medicaid Electronic Health Records Incentive Program

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

Page 630: Medicaid Electronic Health Records Incentive Program

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

Page 631: Medicaid Electronic Health Records Incentive Program

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

Page 632: Medicaid Electronic Health Records Incentive Program

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

Page 633: Medicaid Electronic Health Records Incentive Program

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

Page 634: Medicaid Electronic Health Records Incentive Program

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

Page 635: Medicaid Electronic Health Records Incentive Program

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

Page 636: Medicaid Electronic Health Records Incentive Program

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

Page 637: Medicaid Electronic Health Records Incentive Program

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

Page 638: Medicaid Electronic Health Records Incentive Program

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

Page 639: Medicaid Electronic Health Records Incentive Program

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

Page 640: Medicaid Electronic Health Records Incentive Program

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

Page 641: Medicaid Electronic Health Records Incentive Program

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

Page 642: Medicaid Electronic Health Records Incentive Program

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

Page 643: Medicaid Electronic Health Records Incentive Program

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

Page 644: Medicaid Electronic Health Records Incentive Program

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

Page 645: Medicaid Electronic Health Records Incentive Program

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

Page 646: Medicaid Electronic Health Records Incentive Program

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

Page 647: Medicaid Electronic Health Records Incentive Program

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

Page 648: Medicaid Electronic Health Records Incentive Program

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

Page 649: Medicaid Electronic Health Records Incentive Program

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

Page 650: Medicaid Electronic Health Records Incentive Program

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

Page 651: Medicaid Electronic Health Records Incentive Program

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

Page 652: Medicaid Electronic Health Records Incentive Program

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

Page 653: Medicaid Electronic Health Records Incentive Program

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

Page 654: Medicaid Electronic Health Records Incentive Program

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

Page 655: Medicaid Electronic Health Records Incentive Program

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

Page 656: Medicaid Electronic Health Records Incentive Program

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

Page 657: Medicaid Electronic Health Records Incentive Program

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

Page 658: Medicaid Electronic Health Records Incentive Program

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

Page 659: Medicaid Electronic Health Records Incentive Program

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

Page 660: Medicaid Electronic Health Records Incentive Program

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

Page 661: Medicaid Electronic Health Records Incentive Program

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

Page 662: Medicaid Electronic Health Records Incentive Program

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

Page 663: Medicaid Electronic Health Records Incentive Program

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

Page 664: Medicaid Electronic Health Records Incentive Program

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

Page 665: Medicaid Electronic Health Records Incentive Program

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

Page 666: Medicaid Electronic Health Records Incentive Program

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

Page 667: Medicaid Electronic Health Records Incentive Program

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

Page 668: Medicaid Electronic Health Records Incentive Program

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

Page 669: Medicaid Electronic Health Records Incentive Program

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

Page 670: Medicaid Electronic Health Records Incentive Program

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

Page 671: Medicaid Electronic Health Records Incentive Program

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

Page 672: Medicaid Electronic Health Records Incentive Program

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

Page 673: Medicaid Electronic Health Records Incentive Program

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

Page 674: Medicaid Electronic Health Records Incentive Program

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

Page 675: Medicaid Electronic Health Records Incentive Program

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

Page 676: Medicaid Electronic Health Records Incentive Program

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

Page 677: Medicaid Electronic Health Records Incentive Program

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

Page 678: Medicaid Electronic Health Records Incentive Program

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

Page 679: Medicaid Electronic Health Records Incentive Program

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

Page 680: Medicaid Electronic Health Records Incentive Program

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

Page 681: Medicaid Electronic Health Records Incentive Program

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

Page 682: Medicaid Electronic Health Records Incentive Program

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

Page 683: Medicaid Electronic Health Records Incentive Program

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

Page 684: Medicaid Electronic Health Records Incentive Program

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

Page 685: Medicaid Electronic Health Records Incentive Program

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

Page 686: Medicaid Electronic Health Records Incentive Program

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

Page 687: Medicaid Electronic Health Records Incentive Program

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

Page 688: Medicaid Electronic Health Records Incentive Program

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

Page 689: Medicaid Electronic Health Records Incentive Program

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

Page 690: Medicaid Electronic Health Records Incentive Program

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

Page 691: Medicaid Electronic Health Records Incentive Program

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

Page 692: Medicaid Electronic Health Records Incentive Program

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

Page 693: Medicaid Electronic Health Records Incentive Program

-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

Page 694: Medicaid Electronic Health Records Incentive Program

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

Page 695: Medicaid Electronic Health Records Incentive Program

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

Page 696: Medicaid Electronic Health Records Incentive Program

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

Page 697: Medicaid Electronic Health Records Incentive Program

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

Page 698: Medicaid Electronic Health Records Incentive Program

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

Page 699: Medicaid Electronic Health Records Incentive Program

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

Page 700: Medicaid Electronic Health Records Incentive Program

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

Page 701: Medicaid Electronic Health Records Incentive Program

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

Page 702: Medicaid Electronic Health Records Incentive Program

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

Page 703: Medicaid Electronic Health Records Incentive Program

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

Page 704: Medicaid Electronic Health Records Incentive Program

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

Page 705: Medicaid Electronic Health Records Incentive Program

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

Page 706: Medicaid Electronic Health Records Incentive Program

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

Page 707: Medicaid Electronic Health Records Incentive Program

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

Page 708: Medicaid Electronic Health Records Incentive Program

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

Page 709: Medicaid Electronic Health Records Incentive Program

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

Page 710: Medicaid Electronic Health Records Incentive Program

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

Page 711: Medicaid Electronic Health Records Incentive Program

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

Page 712: Medicaid Electronic Health Records Incentive Program

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

Page 713: Medicaid Electronic Health Records Incentive Program

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

Page 714: Medicaid Electronic Health Records Incentive Program

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

Page 715: Medicaid Electronic Health Records Incentive Program

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

Page 716: Medicaid Electronic Health Records Incentive Program

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

Page 717: Medicaid Electronic Health Records Incentive Program

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

Page 718: Medicaid Electronic Health Records Incentive Program

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

Page 719: Medicaid Electronic Health Records Incentive Program

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

Page 720: Medicaid Electronic Health Records Incentive Program

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

Page 721: Medicaid Electronic Health Records Incentive Program

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

Page 722: Medicaid Electronic Health Records Incentive Program

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

Page 723: Medicaid Electronic Health Records Incentive Program

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

Page 724: Medicaid Electronic Health Records Incentive Program

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

Page 725: Medicaid Electronic Health Records Incentive Program

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

Page 726: Medicaid Electronic Health Records Incentive Program

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

Page 727: Medicaid Electronic Health Records Incentive Program

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

Page 728: Medicaid Electronic Health Records Incentive Program

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

Page 729: Medicaid Electronic Health Records Incentive Program

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

Page 730: Medicaid Electronic Health Records Incentive Program

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

Page 731: Medicaid Electronic Health Records Incentive Program

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

Page 732: Medicaid Electronic Health Records Incentive Program

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

Page 733: Medicaid Electronic Health Records Incentive Program

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

Page 734: Medicaid Electronic Health Records Incentive Program

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

Page 735: Medicaid Electronic Health Records Incentive Program

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

Page 736: Medicaid Electronic Health Records Incentive Program

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

Page 737: Medicaid Electronic Health Records Incentive Program

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

Page 738: Medicaid Electronic Health Records Incentive Program

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

Page 739: Medicaid Electronic Health Records Incentive Program

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

Page 740: Medicaid Electronic Health Records Incentive Program

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

Page 741: Medicaid Electronic Health Records Incentive Program

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

Page 742: Medicaid Electronic Health Records Incentive Program

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

Page 743: Medicaid Electronic Health Records Incentive Program

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

Page 744: Medicaid Electronic Health Records Incentive Program

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

Page 745: Medicaid Electronic Health Records Incentive Program

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

Page 746: Medicaid Electronic Health Records Incentive Program

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

Page 747: Medicaid Electronic Health Records Incentive Program

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

Page 748: Medicaid Electronic Health Records Incentive Program

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

Page 749: Medicaid Electronic Health Records Incentive Program

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

Page 750: Medicaid Electronic Health Records Incentive Program

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

Page 751: Medicaid Electronic Health Records Incentive Program

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

Page 752: Medicaid Electronic Health Records Incentive Program

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

Page 753: Medicaid Electronic Health Records Incentive Program

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

Page 754: Medicaid Electronic Health Records Incentive Program

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

Page 755: Medicaid Electronic Health Records Incentive Program

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

Page 756: Medicaid Electronic Health Records Incentive Program

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

Page 757: Medicaid Electronic Health Records Incentive Program

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

Page 758: Medicaid Electronic Health Records Incentive Program

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

Page 759: Medicaid Electronic Health Records Incentive Program

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

Page 760: Medicaid Electronic Health Records Incentive Program

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

Page 761: Medicaid Electronic Health Records Incentive Program

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

Page 762: Medicaid Electronic Health Records Incentive Program

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

Page 763: Medicaid Electronic Health Records Incentive Program

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

Page 764: Medicaid Electronic Health Records Incentive Program

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

Page 765: Medicaid Electronic Health Records Incentive Program

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

Page 766: Medicaid Electronic Health Records Incentive Program

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

Page 767: Medicaid Electronic Health Records Incentive Program

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

Page 768: Medicaid Electronic Health Records Incentive Program

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

Page 769: Medicaid Electronic Health Records Incentive Program

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

Page 770: Medicaid Electronic Health Records Incentive Program

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

Page 771: Medicaid Electronic Health Records Incentive Program

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

Page 772: Medicaid Electronic Health Records Incentive Program

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

Page 773: Medicaid Electronic Health Records Incentive Program

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

Page 774: Medicaid Electronic Health Records Incentive Program

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

Page 775: Medicaid Electronic Health Records Incentive Program

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

Page 776: Medicaid Electronic Health Records Incentive Program

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

Page 777: Medicaid Electronic Health Records Incentive Program

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

Page 778: Medicaid Electronic Health Records Incentive Program

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

Page 779: Medicaid Electronic Health Records Incentive Program

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

Page 780: Medicaid Electronic Health Records Incentive Program

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

Page 781: Medicaid Electronic Health Records Incentive Program

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

Page 782: Medicaid Electronic Health Records Incentive Program

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

Page 783: Medicaid Electronic Health Records Incentive Program

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

Page 784: Medicaid Electronic Health Records Incentive Program

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

Page 785: Medicaid Electronic Health Records Incentive Program

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

Page 786: Medicaid Electronic Health Records Incentive Program

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

Page 787: Medicaid Electronic Health Records Incentive Program

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

Page 788: Medicaid Electronic Health Records Incentive Program

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

Page 789: Medicaid Electronic Health Records Incentive Program

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

Page 790: Medicaid Electronic Health Records Incentive Program

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

Page 791: Medicaid Electronic Health Records Incentive Program

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

Page 792: Medicaid Electronic Health Records Incentive Program

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

Page 793: Medicaid Electronic Health Records Incentive Program

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

Page 794: Medicaid Electronic Health Records Incentive Program

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

Page 795: Medicaid Electronic Health Records Incentive Program

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

Page 796: Medicaid Electronic Health Records Incentive Program

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

Page 797: Medicaid Electronic Health Records Incentive Program

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

Page 798: Medicaid Electronic Health Records Incentive Program

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

Page 799: Medicaid Electronic Health Records Incentive Program

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

Page 800: Medicaid Electronic Health Records Incentive Program

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

Page 801: Medicaid Electronic Health Records Incentive Program

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

Page 802: Medicaid Electronic Health Records Incentive Program

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

Page 803: Medicaid Electronic Health Records Incentive Program

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

Page 804: Medicaid Electronic Health Records Incentive Program

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

Page 805: Medicaid Electronic Health Records Incentive Program

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

Page 806: Medicaid Electronic Health Records Incentive Program

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

Page 807: Medicaid Electronic Health Records Incentive Program

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

Page 808: Medicaid Electronic Health Records Incentive Program

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

Page 809: Medicaid Electronic Health Records Incentive Program

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

Page 810: Medicaid Electronic Health Records Incentive Program

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

Page 811: Medicaid Electronic Health Records Incentive Program

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

Page 812: Medicaid Electronic Health Records Incentive Program

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

Page 813: Medicaid Electronic Health Records Incentive Program

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

Page 814: Medicaid Electronic Health Records Incentive Program

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

Page 815: Medicaid Electronic Health Records Incentive Program

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

Page 816: Medicaid Electronic Health Records Incentive Program

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

Page 817: Medicaid Electronic Health Records Incentive Program

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

Page 818: Medicaid Electronic Health Records Incentive Program

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

Page 819: Medicaid Electronic Health Records Incentive Program

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

Page 820: Medicaid Electronic Health Records Incentive Program

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

Page 821: Medicaid Electronic Health Records Incentive Program

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

Page 822: Medicaid Electronic Health Records Incentive Program

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

Page 823: Medicaid Electronic Health Records Incentive Program

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

Page 824: Medicaid Electronic Health Records Incentive Program

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

Page 825: Medicaid Electronic Health Records Incentive Program

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

Page 826: Medicaid Electronic Health Records Incentive Program

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

Page 827: Medicaid Electronic Health Records Incentive Program

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

Page 828: Medicaid Electronic Health Records Incentive Program

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

Page 829: Medicaid Electronic Health Records Incentive Program

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

Page 830: Medicaid Electronic Health Records Incentive Program

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

Page 831: Medicaid Electronic Health Records Incentive Program

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

Page 832: Medicaid Electronic Health Records Incentive Program

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

Page 833: Medicaid Electronic Health Records Incentive Program

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

Page 834: Medicaid Electronic Health Records Incentive Program

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

Page 835: Medicaid Electronic Health Records Incentive Program

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

Page 836: Medicaid Electronic Health Records Incentive Program

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

Page 837: Medicaid Electronic Health Records Incentive Program

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

Page 838: Medicaid Electronic Health Records Incentive Program

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

Page 839: Medicaid Electronic Health Records Incentive Program

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

Page 840: Medicaid Electronic Health Records Incentive Program

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

Page 841: Medicaid Electronic Health Records Incentive Program

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

Page 842: Medicaid Electronic Health Records Incentive Program

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

Page 843: Medicaid Electronic Health Records Incentive Program

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

Page 844: Medicaid Electronic Health Records Incentive Program

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

Page 845: Medicaid Electronic Health Records Incentive Program

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

Page 846: Medicaid Electronic Health Records Incentive Program

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

Page 847: Medicaid Electronic Health Records Incentive Program

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

Page 848: Medicaid Electronic Health Records Incentive Program

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

Page 849: Medicaid Electronic Health Records Incentive Program

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

Page 850: Medicaid Electronic Health Records Incentive Program

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

Page 851: Medicaid Electronic Health Records Incentive Program

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

Page 852: Medicaid Electronic Health Records Incentive Program

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

Page 853: Medicaid Electronic Health Records Incentive Program

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

Page 854: Medicaid Electronic Health Records Incentive Program

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

Page 855: Medicaid Electronic Health Records Incentive Program

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

Page 856: Medicaid Electronic Health Records Incentive Program

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

Page 857: Medicaid Electronic Health Records Incentive Program

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

Page 858: Medicaid Electronic Health Records Incentive Program

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

Page 859: Medicaid Electronic Health Records Incentive Program

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

Page 860: Medicaid Electronic Health Records Incentive Program

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

Page 861: Medicaid Electronic Health Records Incentive Program

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

Page 862: Medicaid Electronic Health Records Incentive Program

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

Page 863: Medicaid Electronic Health Records Incentive Program

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

Page 864: Medicaid Electronic Health Records Incentive Program

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

Page 865: Medicaid Electronic Health Records Incentive Program

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

Page 866: Medicaid Electronic Health Records Incentive Program

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

Page 867: Medicaid Electronic Health Records Incentive Program

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

Page 868: Medicaid Electronic Health Records Incentive Program

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

Page 869: Medicaid Electronic Health Records Incentive Program

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

Page 870: Medicaid Electronic Health Records Incentive Program

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

Page 871: Medicaid Electronic Health Records Incentive Program

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

Page 872: Medicaid Electronic Health Records Incentive Program

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

Page 873: Medicaid Electronic Health Records Incentive Program

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

Page 874: Medicaid Electronic Health Records Incentive Program

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

Page 875: Medicaid Electronic Health Records Incentive Program

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

Page 876: Medicaid Electronic Health Records Incentive Program

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

Page 877: Medicaid Electronic Health Records Incentive Program

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

Page 878: Medicaid Electronic Health Records Incentive Program

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

Page 879: Medicaid Electronic Health Records Incentive Program

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

Page 880: Medicaid Electronic Health Records Incentive Program

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

Page 881: Medicaid Electronic Health Records Incentive Program

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

Page 882: Medicaid Electronic Health Records Incentive Program

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

Page 883: Medicaid Electronic Health Records Incentive Program

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

Page 884: Medicaid Electronic Health Records Incentive Program

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

Page 885: Medicaid Electronic Health Records Incentive Program

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

Page 886: Medicaid Electronic Health Records Incentive Program

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

Page 887: Medicaid Electronic Health Records Incentive Program

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

Page 888: Medicaid Electronic Health Records Incentive Program

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

Page 889: Medicaid Electronic Health Records Incentive Program

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

Page 890: Medicaid Electronic Health Records Incentive Program

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

Page 891: Medicaid Electronic Health Records Incentive Program

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

Page 892: Medicaid Electronic Health Records Incentive Program

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

Page 893: Medicaid Electronic Health Records Incentive Program

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

Page 894: Medicaid Electronic Health Records Incentive Program

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

Page 895: Medicaid Electronic Health Records Incentive Program

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

Page 896: Medicaid Electronic Health Records Incentive Program

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

Page 897: Medicaid Electronic Health Records Incentive Program

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

Page 898: Medicaid Electronic Health Records Incentive Program

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

Page 899: Medicaid Electronic Health Records Incentive Program

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

Page 900: Medicaid Electronic Health Records Incentive Program

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

Page 901: Medicaid Electronic Health Records Incentive Program

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

Page 902: Medicaid Electronic Health Records Incentive Program

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

Page 903: Medicaid Electronic Health Records Incentive Program

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

Page 904: Medicaid Electronic Health Records Incentive Program

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

Page 905: Medicaid Electronic Health Records Incentive Program

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

Page 906: Medicaid Electronic Health Records Incentive Program

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

Page 907: Medicaid Electronic Health Records Incentive Program

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

Page 908: Medicaid Electronic Health Records Incentive Program

-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

Page 909: Medicaid Electronic Health Records Incentive Program

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

Page 910: Medicaid Electronic Health Records Incentive Program

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

Page 911: Medicaid Electronic Health Records Incentive Program

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

Page 912: Medicaid Electronic Health Records Incentive Program

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

Page 913: Medicaid Electronic Health Records Incentive Program

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

Page 914: Medicaid Electronic Health Records Incentive Program

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

Page 915: Medicaid Electronic Health Records Incentive Program

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

Page 916: Medicaid Electronic Health Records Incentive Program

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

Page 917: Medicaid Electronic Health Records Incentive Program

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

Page 918: Medicaid Electronic Health Records Incentive Program

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

Page 919: Medicaid Electronic Health Records Incentive Program

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

Page 920: Medicaid Electronic Health Records Incentive Program

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

Page 921: Medicaid Electronic Health Records Incentive Program

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

Page 922: Medicaid Electronic Health Records Incentive Program

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

Page 923: Medicaid Electronic Health Records Incentive Program

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

Page 924: Medicaid Electronic Health Records Incentive Program

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

Page 925: Medicaid Electronic Health Records Incentive Program

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

Page 926: Medicaid Electronic Health Records Incentive Program

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

Page 927: Medicaid Electronic Health Records Incentive Program

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

Page 928: Medicaid Electronic Health Records Incentive Program

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

Page 929: Medicaid Electronic Health Records Incentive Program

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

Page 930: Medicaid Electronic Health Records Incentive Program

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

Page 931: Medicaid Electronic Health Records Incentive Program

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

Page 932: Medicaid Electronic Health Records Incentive Program

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

Page 933: Medicaid Electronic Health Records Incentive Program

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

Page 934: Medicaid Electronic Health Records Incentive Program

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

Page 935: Medicaid Electronic Health Records Incentive Program

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

Page 936: Medicaid Electronic Health Records Incentive Program

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

Page 937: Medicaid Electronic Health Records Incentive Program

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

Page 938: Medicaid Electronic Health Records Incentive Program

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

Page 939: Medicaid Electronic Health Records Incentive Program

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

Page 940: Medicaid Electronic Health Records Incentive Program

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

Page 941: Medicaid Electronic Health Records Incentive Program

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

Page 942: Medicaid Electronic Health Records Incentive Program

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

Page 943: Medicaid Electronic Health Records Incentive Program

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

Page 944: Medicaid Electronic Health Records Incentive Program

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

Page 945: Medicaid Electronic Health Records Incentive Program

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

Page 946: Medicaid Electronic Health Records Incentive Program

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

Page 947: Medicaid Electronic Health Records Incentive Program

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

Page 948: Medicaid Electronic Health Records Incentive Program

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

Page 949: Medicaid Electronic Health Records Incentive Program

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

Page 950: Medicaid Electronic Health Records Incentive Program

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

Page 951: Medicaid Electronic Health Records Incentive Program

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

Page 952: Medicaid Electronic Health Records Incentive Program

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

Page 953: Medicaid Electronic Health Records Incentive Program

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

Page 954: Medicaid Electronic Health Records Incentive Program

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

Page 955: Medicaid Electronic Health Records Incentive Program

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

Page 956: Medicaid Electronic Health Records Incentive Program

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

Page 957: Medicaid Electronic Health Records Incentive Program

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

Page 958: Medicaid Electronic Health Records Incentive Program

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

Page 959: Medicaid Electronic Health Records Incentive Program

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

Page 960: Medicaid Electronic Health Records Incentive Program

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

Page 961: Medicaid Electronic Health Records Incentive Program

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

Page 962: Medicaid Electronic Health Records Incentive Program

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

Page 963: Medicaid Electronic Health Records Incentive Program

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

Page 964: Medicaid Electronic Health Records Incentive Program

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

Page 965: Medicaid Electronic Health Records Incentive Program

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

Page 966: Medicaid Electronic Health Records Incentive Program

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

Page 967: Medicaid Electronic Health Records Incentive Program

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

Page 968: Medicaid Electronic Health Records Incentive Program

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

Page 969: Medicaid Electronic Health Records Incentive Program

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

Page 970: Medicaid Electronic Health Records Incentive Program

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

Page 971: Medicaid Electronic Health Records Incentive Program

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

Page 972: Medicaid Electronic Health Records Incentive Program

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

Page 973: Medicaid Electronic Health Records Incentive Program

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

Page 974: Medicaid Electronic Health Records Incentive Program

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

Page 975: Medicaid Electronic Health Records Incentive Program

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

Page 976: Medicaid Electronic Health Records Incentive Program

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

Page 977: Medicaid Electronic Health Records Incentive Program

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

Page 978: Medicaid Electronic Health Records Incentive Program

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

Page 979: Medicaid Electronic Health Records Incentive Program

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

Page 980: Medicaid Electronic Health Records Incentive Program

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

Page 981: Medicaid Electronic Health Records Incentive Program

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

Page 982: Medicaid Electronic Health Records Incentive Program

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

Page 983: Medicaid Electronic Health Records Incentive Program

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

Page 984: Medicaid Electronic Health Records Incentive Program

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

Page 985: Medicaid Electronic Health Records Incentive Program

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

Page 986: Medicaid Electronic Health Records Incentive Program

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

Page 987: Medicaid Electronic Health Records Incentive Program

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

Page 988: Medicaid Electronic Health Records Incentive Program

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

Page 989: Medicaid Electronic Health Records Incentive Program

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

Page 990: Medicaid Electronic Health Records Incentive Program

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

Page 991: Medicaid Electronic Health Records Incentive Program

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

Page 992: Medicaid Electronic Health Records Incentive Program

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

Page 993: Medicaid Electronic Health Records Incentive Program

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

Page 994: Medicaid Electronic Health Records Incentive Program

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

Page 995: Medicaid Electronic Health Records Incentive Program

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

Page 996: Medicaid Electronic Health Records Incentive Program

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

Page 997: Medicaid Electronic Health Records Incentive Program

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

Page 998: Medicaid Electronic Health Records Incentive Program

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

Page 999: Medicaid Electronic Health Records Incentive Program

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

Page 1000: Medicaid Electronic Health Records Incentive Program

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

Page 1001: Medicaid Electronic Health Records Incentive Program

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

Page 1002: Medicaid Electronic Health Records Incentive Program

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

Page 1003: Medicaid Electronic Health Records Incentive Program

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

Page 1004: Medicaid Electronic Health Records Incentive Program

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

Page 1005: Medicaid Electronic Health Records Incentive Program

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

Page 1006: Medicaid Electronic Health Records Incentive Program

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

Page 1007: Medicaid Electronic Health Records Incentive Program

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

Page 1008: Medicaid Electronic Health Records Incentive Program

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

Page 1009: Medicaid Electronic Health Records Incentive Program

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

Page 1010: Medicaid Electronic Health Records Incentive Program

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

Page 1011: Medicaid Electronic Health Records Incentive Program

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

Page 1012: Medicaid Electronic Health Records Incentive Program

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

Page 1013: Medicaid Electronic Health Records Incentive Program

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

Page 1014: Medicaid Electronic Health Records Incentive Program

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

Page 1015: Medicaid Electronic Health Records Incentive Program

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

Page 1016: Medicaid Electronic Health Records Incentive Program

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

Page 1017: Medicaid Electronic Health Records Incentive Program

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

Page 1018: Medicaid Electronic Health Records Incentive Program

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

Page 1019: Medicaid Electronic Health Records Incentive Program

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

Page 1020: Medicaid Electronic Health Records Incentive Program

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

Page 1021: Medicaid Electronic Health Records Incentive Program

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

Page 1022: Medicaid Electronic Health Records Incentive Program

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

Page 1023: Medicaid Electronic Health Records Incentive Program

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

Page 1024: Medicaid Electronic Health Records Incentive Program

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

Page 1025: Medicaid Electronic Health Records Incentive Program

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

Page 1026: Medicaid Electronic Health Records Incentive Program

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

Page 1027: Medicaid Electronic Health Records Incentive Program

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

Page 1028: Medicaid Electronic Health Records Incentive Program

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

Page 1029: Medicaid Electronic Health Records Incentive Program

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

Page 1030: Medicaid Electronic Health Records Incentive Program

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

Page 1031: Medicaid Electronic Health Records Incentive Program

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

Page 1032: Medicaid Electronic Health Records Incentive Program

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

Page 1033: Medicaid Electronic Health Records Incentive Program

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

Page 1034: Medicaid Electronic Health Records Incentive Program

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

Page 1035: Medicaid Electronic Health Records Incentive Program

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

Page 1036: Medicaid Electronic Health Records Incentive Program

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

Page 1037: Medicaid Electronic Health Records Incentive Program

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

Page 1038: Medicaid Electronic Health Records Incentive Program

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

Page 1039: Medicaid Electronic Health Records Incentive Program

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

Page 1040: Medicaid Electronic Health Records Incentive Program

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

Page 1041: Medicaid Electronic Health Records Incentive Program

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

Page 1042: Medicaid Electronic Health Records Incentive Program

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

Page 1043: Medicaid Electronic Health Records Incentive Program

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

Page 1044: Medicaid Electronic Health Records Incentive Program

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

Page 1045: Medicaid Electronic Health Records Incentive Program

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

Page 1046: Medicaid Electronic Health Records Incentive Program

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

Page 1047: Medicaid Electronic Health Records Incentive Program

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

Page 1048: Medicaid Electronic Health Records Incentive Program

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

Page 1049: Medicaid Electronic Health Records Incentive Program

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

Page 1050: Medicaid Electronic Health Records Incentive Program

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

Page 1051: Medicaid Electronic Health Records Incentive Program

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

Page 1052: Medicaid Electronic Health Records Incentive Program

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

Page 1053: Medicaid Electronic Health Records Incentive Program

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

Page 1054: Medicaid Electronic Health Records Incentive Program

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

Page 1055: Medicaid Electronic Health Records Incentive Program

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

Page 1056: Medicaid Electronic Health Records Incentive Program

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

Page 1057: Medicaid Electronic Health Records Incentive Program

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

Page 1058: Medicaid Electronic Health Records Incentive Program

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

Page 1059: Medicaid Electronic Health Records Incentive Program

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

Page 1060: Medicaid Electronic Health Records Incentive Program

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

Page 1061: Medicaid Electronic Health Records Incentive Program

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

Page 1062: Medicaid Electronic Health Records Incentive Program

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

Page 1063: Medicaid Electronic Health Records Incentive Program

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

Page 1064: Medicaid Electronic Health Records Incentive Program

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

Page 1065: Medicaid Electronic Health Records Incentive Program

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

Page 1066: Medicaid Electronic Health Records Incentive Program

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

Page 1067: Medicaid Electronic Health Records Incentive Program

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

Page 1068: Medicaid Electronic Health Records Incentive Program

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

Page 1069: Medicaid Electronic Health Records Incentive Program

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

Page 1070: Medicaid Electronic Health Records Incentive Program

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

Page 1071: Medicaid Electronic Health Records Incentive Program

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

Page 1072: Medicaid Electronic Health Records Incentive Program

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

Page 1073: Medicaid Electronic Health Records Incentive Program

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

Page 1074: Medicaid Electronic Health Records Incentive Program

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

Page 1075: Medicaid Electronic Health Records Incentive Program

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

Page 1076: Medicaid Electronic Health Records Incentive Program

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

Page 1077: Medicaid Electronic Health Records Incentive Program

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

Page 1078: Medicaid Electronic Health Records Incentive Program

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

Page 1079: Medicaid Electronic Health Records Incentive Program

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

Page 1080: Medicaid Electronic Health Records Incentive Program

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

Page 1081: Medicaid Electronic Health Records Incentive Program

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

Page 1082: Medicaid Electronic Health Records Incentive Program

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

Page 1083: Medicaid Electronic Health Records Incentive Program

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

Page 1084: Medicaid Electronic Health Records Incentive Program

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

Page 1085: Medicaid Electronic Health Records Incentive Program

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

Page 1086: Medicaid Electronic Health Records Incentive Program

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

Page 1087: Medicaid Electronic Health Records Incentive Program

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

Page 1088: Medicaid Electronic Health Records Incentive Program

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

Page 1089: Medicaid Electronic Health Records Incentive Program

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

Page 1090: Medicaid Electronic Health Records Incentive Program

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

Page 1091: Medicaid Electronic Health Records Incentive Program

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

Page 1092: Medicaid Electronic Health Records Incentive Program

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

Page 1093: Medicaid Electronic Health Records Incentive Program

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

Page 1094: Medicaid Electronic Health Records Incentive Program

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

Page 1095: Medicaid Electronic Health Records Incentive Program

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

Page 1096: Medicaid Electronic Health Records Incentive Program

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

Page 1097: Medicaid Electronic Health Records Incentive Program

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

Page 1098: Medicaid Electronic Health Records Incentive Program

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

Page 1099: Medicaid Electronic Health Records Incentive Program

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

Page 1100: Medicaid Electronic Health Records Incentive Program

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

Page 1101: Medicaid Electronic Health Records Incentive Program

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

Page 1102: Medicaid Electronic Health Records Incentive Program

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

Page 1103: Medicaid Electronic Health Records Incentive Program

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

Page 1104: Medicaid Electronic Health Records Incentive Program

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

Page 1105: Medicaid Electronic Health Records Incentive Program

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

Page 1106: Medicaid Electronic Health Records Incentive Program

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

Page 1107: Medicaid Electronic Health Records Incentive Program

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

Page 1108: Medicaid Electronic Health Records Incentive Program

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

Page 1109: Medicaid Electronic Health Records Incentive Program

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

Page 1110: Medicaid Electronic Health Records Incentive Program

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

Page 1111: Medicaid Electronic Health Records Incentive Program

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

Page 1112: Medicaid Electronic Health Records Incentive Program

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

Page 1113: Medicaid Electronic Health Records Incentive Program

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

Page 1114: Medicaid Electronic Health Records Incentive Program

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

Page 1115: Medicaid Electronic Health Records Incentive Program

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

Page 1116: Medicaid Electronic Health Records Incentive Program

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

Page 1117: Medicaid Electronic Health Records Incentive Program

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

Page 1118: Medicaid Electronic Health Records Incentive Program

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

Page 1119: Medicaid Electronic Health Records Incentive Program

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

Page 1120: Medicaid Electronic Health Records Incentive Program

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

Page 1121: Medicaid Electronic Health Records Incentive Program

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

Page 1122: Medicaid Electronic Health Records Incentive Program

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

Page 1123: Medicaid Electronic Health Records Incentive Program

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

Page 1124: Medicaid Electronic Health Records Incentive Program

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

Page 1125: Medicaid Electronic Health Records Incentive Program

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

Page 1126: Medicaid Electronic Health Records Incentive Program

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

Page 1127: Medicaid Electronic Health Records Incentive Program

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

Page 1128: Medicaid Electronic Health Records Incentive Program

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

Page 1129: Medicaid Electronic Health Records Incentive Program

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

Page 1130: Medicaid Electronic Health Records Incentive Program

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

Page 1131: Medicaid Electronic Health Records Incentive Program

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

Page 1132: Medicaid Electronic Health Records Incentive Program

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

Page 1133: Medicaid Electronic Health Records Incentive Program

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

Page 1134: Medicaid Electronic Health Records Incentive Program

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

Page 1135: Medicaid Electronic Health Records Incentive Program

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

Page 1136: Medicaid Electronic Health Records Incentive Program

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

Page 1137: Medicaid Electronic Health Records Incentive Program

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

Page 1138: Medicaid Electronic Health Records Incentive Program

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

Page 1139: Medicaid Electronic Health Records Incentive Program

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

Page 1140: Medicaid Electronic Health Records Incentive Program

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

Page 1141: Medicaid Electronic Health Records Incentive Program

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

Page 1142: Medicaid Electronic Health Records Incentive Program

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

Page 1143: Medicaid Electronic Health Records Incentive Program

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

Page 1144: Medicaid Electronic Health Records Incentive Program

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

Page 1145: Medicaid Electronic Health Records Incentive Program

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

Page 1146: Medicaid Electronic Health Records Incentive Program

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

Page 1147: Medicaid Electronic Health Records Incentive Program

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

Page 1148: Medicaid Electronic Health Records Incentive Program

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

Page 1149: Medicaid Electronic Health Records Incentive Program

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

Page 1150: Medicaid Electronic Health Records Incentive Program

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

Page 1151: Medicaid Electronic Health Records Incentive Program

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

Page 1152: Medicaid Electronic Health Records Incentive Program

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

Page 1153: Medicaid Electronic Health Records Incentive Program

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

Page 1154: Medicaid Electronic Health Records Incentive Program

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

Page 1155: Medicaid Electronic Health Records Incentive Program

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

Page 1156: Medicaid Electronic Health Records Incentive Program

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

Page 1157: Medicaid Electronic Health Records Incentive Program

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

Page 1158: Medicaid Electronic Health Records Incentive Program

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

Page 1159: Medicaid Electronic Health Records Incentive Program

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

Page 1160: Medicaid Electronic Health Records Incentive Program

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

Page 1161: Medicaid Electronic Health Records Incentive Program

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

Page 1162: Medicaid Electronic Health Records Incentive Program

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

Page 1163: Medicaid Electronic Health Records Incentive Program

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

Page 1164: Medicaid Electronic Health Records Incentive Program

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

Page 1165: Medicaid Electronic Health Records Incentive Program

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

Page 1166: Medicaid Electronic Health Records Incentive Program

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

Page 1167: Medicaid Electronic Health Records Incentive Program

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

Page 1168: Medicaid Electronic Health Records Incentive Program

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

Page 1169: Medicaid Electronic Health Records Incentive Program

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

Page 1170: Medicaid Electronic Health Records Incentive Program

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

Page 1171: Medicaid Electronic Health Records Incentive Program

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

Page 1172: Medicaid Electronic Health Records Incentive Program

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

Page 1173: Medicaid Electronic Health Records Incentive Program

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

Page 1174: Medicaid Electronic Health Records Incentive Program

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

Page 1175: Medicaid Electronic Health Records Incentive Program

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

Page 1176: Medicaid Electronic Health Records Incentive Program

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

Page 1177: Medicaid Electronic Health Records Incentive Program

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

Page 1178: Medicaid Electronic Health Records Incentive Program

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

Page 1179: Medicaid Electronic Health Records Incentive Program

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

Page 1180: Medicaid Electronic Health Records Incentive Program

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

Page 1181: Medicaid Electronic Health Records Incentive Program

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

Page 1182: Medicaid Electronic Health Records Incentive Program

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

Page 1183: Medicaid Electronic Health Records Incentive Program

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

Page 1184: Medicaid Electronic Health Records Incentive Program

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

Page 1185: Medicaid Electronic Health Records Incentive Program

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

Page 1186: Medicaid Electronic Health Records Incentive Program

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

Page 1187: Medicaid Electronic Health Records Incentive Program

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

Page 1188: Medicaid Electronic Health Records Incentive Program

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

Page 1189: Medicaid Electronic Health Records Incentive Program

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

Page 1190: Medicaid Electronic Health Records Incentive Program

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

Page 1191: Medicaid Electronic Health Records Incentive Program

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

Page 1192: Medicaid Electronic Health Records Incentive Program

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

Page 1193: Medicaid Electronic Health Records Incentive Program

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

Page 1194: Medicaid Electronic Health Records Incentive Program

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

Page 1195: Medicaid Electronic Health Records Incentive Program

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

Page 1196: Medicaid Electronic Health Records Incentive Program

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

Page 1197: Medicaid Electronic Health Records Incentive Program

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

Page 1198: Medicaid Electronic Health Records Incentive Program

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

Page 1199: Medicaid Electronic Health Records Incentive Program

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

Page 1200: Medicaid Electronic Health Records Incentive Program

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

Page 1201: Medicaid Electronic Health Records Incentive Program

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

Page 1202: Medicaid Electronic Health Records Incentive Program

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

Page 1203: Medicaid Electronic Health Records Incentive Program

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

Page 1204: Medicaid Electronic Health Records Incentive Program

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

Page 1205: Medicaid Electronic Health Records Incentive Program

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