Physician
Uptown Healthcare Management INC.
Uptown Healthcare Management INC. was paid $667K by Medicaid between Jan 2018 and Jul 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoUPTOWN HEALTHCARE MANAGEMENT INC.
NEW YORK, NY 10040
NEW YORK, NY 10040
33aNPI1093742355assigned 06/26/2006
33bProvider typeInternal Medicine Physician
28Total paid$667K
24GClaims19,550
24DCodes billed26
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#374 of 6,049
Median peer was paid$11K
This provider vs. median59×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,881 | $246K | |
| 2019 | 8,333 | $234K | |
| 2020 | 1,338 | $80K | |
| 2021 | 1,352 | $53K | |
| 2022 | 510 | $37K | |
| 2023 | 105 | $13K | |
| 2024incomplete | 31 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 33% | 2,789 | 2,221 | $219K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 3,822 | 3,086 | $198K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 13% | 2,201 | 779 | $84K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.7% | 688 | 552 | $58K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 5.9% | 2,392 | 882 | $39K |
| 97032 | 3.5% | 2,322 | 842 | $23K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 122 | 96 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 132 | 127 | $8K |
| 97162 | <1% | 176 | 170 | $6K | |
| 99401 | <1% | 97 | 63 | $4K | |
| 86328 | <1% | 45 | 42 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 31 | 30 | $3K |
14 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 27 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 61 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,164 | $2K |
| 90901 | <1% | 49 | $1K | |
| 95831 | <1% | 429 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 96 | $1K |
| 97164 | <1% | 164 | $546.00 | |
| 81000 | <1% | 249 | $530.24 | |
| 97010 | <1% | 1,904 | $462.41 | |
| 97014 | <1% | 151 | $161.12 | |
| 88141 | <1% | 12 | $142.90 | |
| 81002 | <1% | 28 | $31.05 | |
| 95851 | <1% | 383 | $14.00 | |
| 2000F | 0% | 16 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAHMED, HISHAM (DIRECTOR OF ADMINISTRATION)
| Provider | Location | Paid |
|---|---|---|
| Hisham I Ahmed MD PLLC | Lapeer, MI | $244K |
| Uptown Healthcare Management INC | Bronx, NY | $226K |
| Uptown Healthcare Management, INC. | Bronx, NY | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.