Medicaid Provider Spending

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

WEST SIDE PHYSICIANS OF NYC, PLLC

NPI: 1205375557 · NEW YORK, NY 10019 · Urgent Care Clinic/Center · NPI assigned 02/20/2017

$206K
Total Medicaid Paid
4,675
Total Claims
4,289
Beneficiary Records
17
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPALLI, VINO (OWNER)
NPI Enumeration Date02/20/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 43 $727.99
2020 14 $225.82
2022 577 $21K
2023 2,023 $85K
2024 2,018 $100K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,436 1,263 $104K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 273 272 $24K
S9083 Global fee urgent care centers 659 544 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 406 375 $19K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 266 256 $12K
99401 477 441 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 119 119 $7K
99385 51 51 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 86 85 $2K
99406 134 134 $1K
0134A 27 27 $898.41
99441 20 20 $884.85
S9088 Services provided in an urgent care center (list in addition to code for service) 43 42 $624.76
0124A 13 13 $599.23
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $143.69
36415 Collection of venous blood by venipuncture 637 619 $43.17
96127 12 12 $0.00