Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPSTATE URGENT CARE PLLC

NPI: 1174194856 · WOODMERE, NY 11598 · Urgent Care Clinic/Center · NPI assigned 07/05/2021

$22K
Total Medicaid Paid
1,526
Total Claims
1,421
Beneficiaries
11
Codes Billed
2021-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialJACOBS, BLIMY (OFFICER)
NPI Enumeration Date07/05/2021

Related Entities

Other providers sharing the same authorized official: JACOBS, BLIMY

ProviderCityStateTotal Paid
BMG EAST ORANGE LLC EAST ORANGE NJ $2.33M
BROOKLYN MEDICAL OFFICE PLLC BROOKLYN NY $215K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 202 $2K
2022 784 $8K
2023 248 $8K
2024 292 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 256 256 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 71 70 $5K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 95 91 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 137 126 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 159 158 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 93 55 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 186 169 $700.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 367 342 $681.53
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 17 $307.86
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30 26 $46.96
99051 115 111 $7.07