CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI: 1043815848
· HUNTINGTON, NY 11743
· 261QU0200X
$4.09M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
404 |
$44K |
| 2022 |
9,255 |
$714K |
| 2023 |
52,112 |
$2.15M |
| 2024 |
34,107 |
$1.18M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
8,505 |
8,502 |
$1.20M |
| 99214 |
|
9,914 |
9,157 |
$958K |
| 31231 |
|
2,092 |
1,986 |
$363K |
| 99213 |
|
4,025 |
3,768 |
$313K |
| 99203 |
|
2,535 |
2,532 |
$261K |
| 95165 |
|
421 |
411 |
$161K |
| 95004 |
|
830 |
827 |
$125K |
| 30469 |
|
43 |
43 |
$92K |
| 93306 |
|
515 |
514 |
$80K |
| U0003 |
Cov-19 amp prb hgh thruput |
634 |
621 |
$47K |
| 88305 |
|
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 |
Infec agen detec ampli probe |
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 |
|
151 |
148 |
$3K |
| 99401 |
|
210 |
200 |
$3K |
| 92520 |
|
147 |
147 |
$3K |
| 3074F |
|
5,115 |
4,677 |
$3K |
| 92550 |
|
144 |
144 |
$3K |
| 43239 |
|
25 |
25 |
$3K |
| 93015 |
|
49 |
49 |
$2K |
| 93975 |
|
12 |
12 |
$2K |
| G0268 |
Removal of impacted wax md |
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 |
Who cock-up nonmolde pre ots |
13 |
13 |
$846.61 |
| 96372 |
|
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 |
|
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 |
Triamcinolone acet inj nos |
92 |
91 |
$305.87 |
| 3079F |
|
925 |
872 |
$190.00 |
| 36415 |
|
673 |
644 |
$88.14 |
| 81002 |
|
33 |
33 |
$46.92 |
| 87088 |
|
39 |
39 |
$34.00 |
| 92551 |
|
14 |
14 |
$33.54 |
| 87086 |
|
39 |
39 |
$33.00 |
| 87070 |
|
21 |
21 |
$24.45 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
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 |