FORME MEDICAL CENTER, INC.
NPI: 1083755920
· WHITE PLAINS, NY 10601
· 261QR0400X
$3.23M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,523 |
$336K |
| 2019 |
1,346 |
$204K |
| 2020 |
5,540 |
$314K |
| 2021 |
21,901 |
$955K |
| 2022 |
19,128 |
$855K |
| 2023 |
4,906 |
$346K |
| 2024 |
2,808 |
$221K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
8,863 |
6,722 |
$635K |
| 99214 |
|
6,503 |
5,612 |
$573K |
| S9083 |
Urgent care center global |
1,183 |
1,094 |
$467K |
| 99213 |
|
4,805 |
4,227 |
$409K |
| 99202 |
|
5,008 |
4,722 |
$395K |
| 99401 |
|
8,597 |
7,161 |
$256K |
| G2023 |
Specimen collect covid-19 |
11,425 |
9,365 |
$144K |
| 87426 |
|
4,472 |
3,949 |
$121K |
| 99396 |
|
730 |
715 |
$75K |
| 87635 |
|
1,547 |
1,437 |
$52K |
| 99201 |
|
235 |
222 |
$18K |
| 36410 |
|
783 |
742 |
$15K |
| 99203 |
|
142 |
136 |
$14K |
| 99395 |
|
119 |
118 |
$12K |
| 93923 |
|
81 |
81 |
$9K |
| 90674 |
|
342 |
341 |
$8K |
| 90756 |
|
241 |
238 |
$6K |
| 90471 |
|
834 |
807 |
$5K |
| 99204 |
|
40 |
40 |
$5K |
| 87804 |
|
230 |
180 |
$2K |
| 97799 |
|
40 |
13 |
$2K |
| 99211 |
|
83 |
79 |
$1K |
| 0002A |
|
42 |
42 |
$1K |
| 87811 |
|
48 |
43 |
$1K |
| 96372 |
|
87 |
86 |
$1K |
| 90686 |
|
46 |
46 |
$1K |
| 36415 |
|
130 |
129 |
$592.75 |
| 93000 |
|
105 |
99 |
$396.19 |
| 0001A |
|
42 |
41 |
$358.92 |
| J3301 |
Triamcinolone acet inj nos |
25 |
25 |
$157.76 |
| 87880 |
|
20 |
20 |
$45.48 |
| 82962 |
|
79 |
76 |
$29.85 |
| 82948 |
|
25 |
25 |
$4.04 |
| G8754 |
Dias bp less 90 |
41 |
40 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
43 |
42 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
31 |
30 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
30 |
28 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
30 |
28 |
$0.00 |
| 99072 |
|
13 |
13 |
$0.00 |
| G8752 |
Sys bp less 140 |
12 |
12 |
$0.00 |