Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › HUNTINGTON › CITY MEDICAL OF UPPER EAST SIDE, PLLC

CITY MEDICAL OF UPPER EAST SIDE, PLLC

NPI: 1043815848 · HUNTINGTON, NY 11743 · Urgent Care Clinic/Center · NPI assigned 12/01/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HENRY, SWAHILI controls 16+ related entities in our dataset. Read more

$4.09M
Total Medicaid Paid
95,878
Total Claims
88,272
Beneficiaries
88
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENRY, SWAHILI (DIRECTOR OF PAYMENT SOLUTIONS)
Parent OrganizationCITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI Enumeration Date12/01/2020

Related Entities

Other providers sharing the same authorized official: HENRY, SWAHILI

ProviderCityStateTotal Paid
CITY MEDICAL OF UPPER EAST SIDE, PLLC NEW YORK NY $643.18M
WESTCHESTER MEDICAL GROUP, P.C. RYE BROOK NY $16.09M
SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ $6.74M
CITY MEDICAL OF UPPER EAST SIDE, PLLC NEW YORK NY $260K
CITY MEDICAL OF UPPER EAST SIDE, PLLC DEER PARK NY $90K
CITY MEDICAL OF UPPER EAST SIDE, PLLC BAY SHORE NY $89K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SAYVILLE NY $81K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SELDEN NY $80K
CITY MEDICAL OF UPPER EAST SIDE, PLLC RONKONKOMA NY $62K
CITY MEDICAL OF UPPER EAST SIDE, PLLC PORT JEFFERSON STATION NY $61K
CITY MEDICAL OF UPPER EAST SIDE, PLLC ROCKY POINT NY $47K
CITY MEDICAL OF UPPER EAST SIDE, PLLC RIVERHEAD NY $44K
CITY MEDICAL OF UPPER EAST SIDE, PLLC BROOKLYN NY $41K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SMITHTOWN NY $14K
CITY MEDICAL OF UPPER EAST SIDE, PLLC PLAINVIEW NY $7K
SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 404 $44K
2022 9,255 $714K
2023 52,112 $2.15M
2024 34,107 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,505 8,502 $1.20M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,914 9,157 $958K
31231 2,092 1,986 $363K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,025 3,768 $313K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,535 2,532 $261K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 421 411 $161K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 830 827 $125K
30469 43 43 $92K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 515 514 $80K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 634 621 $47K
88305 Level IV - Surgical pathology, gross and microscopic examination 181 181 $42K
88313 132 132 $40K
30117 74 44 $34K
95117 2,414 1,198 $28K
99215 Prolong outpt/office vis 180 168 $27K
92557 832 826 $27K
31237 107 93 $26K
93880 177 177 $24K
92512 359 359 $19K
88312 103 103 $17K
92504 635 550 $17K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 628 615 $16K
69210 2,023 2,018 $15K
93925 95 95 $13K
31575 110 108 $12K
93978 117 117 $12K
98925 461 433 $12K
93000 1,043 1,032 $12K
11104 85 84 $11K
92567 543 539 $8K
73140 213 186 $8K
99205 Prolong outpt/office vis 28 28 $5K
94729 93 93 $5K
99441 184 177 $4K
95816 12 12 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 151 148 $3K
99401 210 200 $3K
92520 147 147 $3K
3074F 5,115 4,677 $3K
92550 144 144 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 25 25 $3K
93015 49 49 $2K
93975 12 12 $2K
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing 203 203 $2K
73130 46 46 $2K
99385 67 66 $2K
93886 12 12 $2K
3078F 3,220 2,967 $2K
93892 12 12 $1K
87340 132 129 $1K
86803 128 126 $1K
92511 12 12 $1K
30801 14 14 $1K
93922 48 48 $999.87
92653 12 12 $878.68
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 13 13 $846.61
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 250 154 $794.90
87510 59 58 $789.42
11721 25 25 $687.68
29130 17 15 $687.64
87428 34 34 $631.04
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 58 52 $551.77
73110 12 12 $471.24
87660 28 27 $376.65
92552 12 12 $365.61
29550 22 15 $336.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 92 91 $305.87
3079F 925 872 $190.00
36415 Collection of venous blood by venipuncture 673 644 $88.14
81002 33 33 $46.92
87088 39 39 $34.00
92551 14 14 $33.54
87086 Culture, bacterial; quantitative colony count, urine 39 39 $33.00
87070 21 21 $24.45
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 14 14 $13.14
87077 14 13 $8.08
87186 15 13 $6.59
1159F 7,594 6,984 $0.00
1160F 7,593 6,983 $0.00
3725F 1,933 1,845 $0.00
72100 43 43 $0.00
99173 17 17 $0.00
1036F 15,525 13,622 $0.00
3008F 10,026 9,204 $0.00
96127 172 172 $0.00
1034F 52 38 $0.00
3075F 60 55 $0.00
1125F 352 321 $0.00