Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Upstate Urgent Care PLLC

Upstate Urgent Care PLLC was paid $22K by Medicaid between Dec 2021 and Sep 2024, across 11 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 31% of everything it billed.

33Billing provider infoUPSTATE URGENT CARE PLLC
WOODMERE, NY 11598
33aNPI1174194856assigned 07/05/2021
28Total paid$22K
24GClaims1,526
24DCodes billed11
24AFirst – last monthDec 2021 – Sep 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in New York

Rank by total paid#118 of 138
Median peer was paid$576K
This provider vs. median0.0×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2021202$2K
2022784$8K
2023248$8K
2024incomplete292$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31% 256 256 $7K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25% 71 70 $5K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 15% 95 91 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.9% 137 126 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5.7% 159 158 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.8% 93 55 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 3.3% 186 169 $700.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.2% 367 342 $681.53
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.4% 17 17 $307.86
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 30 26 $46.96
99051 <1% 115 111 $7.07

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 officialJACOBS, BLIMY (OFFICER)
Same official

Other billing entities under JACOBS, BLIMY

Full network →
ProviderLocationPaid
BMG East Orange LLCEast Orange, NJ$2.33M
Brooklyn Medical Office PLLCBrooklyn, NY$215K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.