Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BRONX › URBAN HEALTH PLAN, INC.

URBAN HEALTH PLAN, INC.

NPI: 1265596548 · BRONX, NY 10459 · Federally Qualified Health Center (FQHC) · NPI assigned 12/20/2006

$61.73M
Total Medicaid Paid
2,152,814
Total Claims
2,010,975
Beneficiaries
258
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDELEON, SAMUEL (MD, VP/CMO)
NPI Enumeration Date12/20/2006

Related Entities

Other providers sharing the same authorized official: DELEON, SAMUEL

ProviderCityStateTotal Paid
VAIL HEALTHCARE MEDICAL PLLC BRONX NY $1.10M
MULTIMEDIC MEDICAL SERVICES PLLC BRONX NY $55K
URBAN HEALTH PLAN, INC. BRONX NY $29K
URBAN HEALTH PLAN, INC. CORONA NY $9K
URBAN HEALTH PLAN, INC BRONX NY $1K
URBAN HEALTH PLAN, INC. BRONX NY $863.27

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 292,171 $8.43M
2019 329,910 $10.30M
2020 287,526 $9.27M
2021 326,653 $10.05M
2022 269,139 $8.01M
2023 355,786 $8.72M
2024 291,629 $6.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 587,475 536,073 $24.80M
90834 Psychotherapy, 45 minutes with patient 39,491 26,582 $3.90M
90832 Psychotherapy, 30 minutes with patient 21,757 13,427 $3.34M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 119,867 113,531 $3.26M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45,041 43,048 $2.77M
90460 Immunization administration through 18 years of age via any route, first or only component 117,830 113,650 $2.03M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 38,224 38,146 $1.67M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 31,776 31,675 $1.25M
99442 30,501 28,964 $1.21M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 19,158 19,121 $979K
77067 Screening mammography, bilateral, including computer-aided detection 8,577 8,568 $917K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 16,355 16,311 $861K
99441 35,501 34,219 $789K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13,942 13,875 $749K
92551 100,306 100,134 $487K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,636 14,456 $479K
90461 31,878 31,624 $457K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,378 5,354 $451K
97803 20,318 20,054 $409K
90791 Psychiatric diagnostic evaluation 2,950 2,943 $403K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6,661 6,646 $401K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 35,920 35,328 $387K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 40,715 40,234 $380K
D1110 Prophylaxis - adult 10,667 10,655 $354K
77063 Screening digital breast tomosynthesis, bilateral 8,185 8,179 $345K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,459 7,618 $336K
99443 5,474 4,753 $320K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 23,115 21,112 $267K
D0120 Periodic oral evaluation - established patient 13,774 13,767 $263K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 2,531 2,091 $244K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 12,053 7,418 $240K
90674 13,141 13,126 $211K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,793 2,791 $199K
76801 1,735 1,732 $187K
99173 60,967 60,895 $184K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,555 2,544 $182K
90847 Family psychotherapy with the patient present, 50 minutes 845 596 $179K
81025 32,708 32,186 $171K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,791 2,783 $167K
90686 40,402 40,339 $164K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,639 1,630 $164K
D0274 Bitewings - four radiographic images 8,427 8,425 $156K
D1120 Prophylaxis - child 5,198 5,196 $151K
90792 Psychiatric diagnostic evaluation with medical services 872 870 $135K
90715 4,961 4,951 $133K
0001A 3,640 3,638 $131K
0002A 3,523 3,517 $128K
97162 1,646 1,643 $124K
83036 Hemoglobin; glycosylated (A1C) 18,876 18,764 $120K
71046 Radiologic examination, chest; 2 views 4,404 4,380 $116K
81002 52,459 42,082 $114K
D0220 Intraoral - periapical first radiographic image 12,259 12,219 $113K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,580 8,959 $102K
95012 5,505 5,227 $101K
90746 1,681 1,677 $100K
93000 8,159 7,988 $100K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 865 858 $91K
73630 3,148 2,338 $91K
57454 510 510 $89K
76642 1,323 1,095 $88K
92250 1,738 1,735 $88K
97014 8,319 5,103 $87K
82962 69,375 64,134 $86K
76641 672 642 $84K
76830 Ultrasound, transvaginal 772 770 $82K
D0230 Intraoral - periapical each additional radiographic image 10,401 10,384 $81K
97802 3,711 3,709 $77K
D1351 Sealant - per tooth 2,075 1,060 $73K
0012A 2,211 2,210 $71K
73562 2,088 1,654 $70K
D1206 Topical application of fluoride varnish 3,099 3,092 $69K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 462 461 $68K
D0210 Intraoral - complete series of radiographic images 6,886 6,869 $68K
72100 1,906 1,904 $62K
0072A 1,679 1,678 $58K
90732 763 763 $58K
0011A 2,207 2,206 $57K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,722 1,410 $56K
77066 Tomosynthesis, mammo 391 391 $55K
D0150 Comprehensive oral evaluation - new or established patient 2,834 2,834 $55K
0071A 1,497 1,496 $53K
59430 244 243 $53K
73130 1,644 1,149 $51K
92100 973 971 $50K
73030 1,820 1,542 $50K
0064A 1,564 1,564 $49K
99381 686 682 $49K
77065 Tomosynthesis, mammo 385 384 $42K
11721 2,348 2,332 $42K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 551 504 $41K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,415 5,405 $38K
99385 456 453 $38K
D0272 Bitewings - two radiographic images 3,278 3,277 $38K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 744 604 $37K
99383 706 506 $36K
90661 1,326 1,325 $33K
94060 648 639 $33K
95117 2,540 2,097 $30K
A4614 Peak expiratory flow rate meter, hand held 1,546 1,522 $28K
T1015 Clinic visit/encounter, all-inclusive 121 52 $27K
91322 257 257 $25K
97163 329 328 $25K
0054A 719 719 $24K
73610 764 618 $23K
D1354 1,493 604 $23K
92020 999 997 $23K
77062 308 308 $22K
92015 Determination of refractive state 3,239 3,229 $22K
D1208 Topical application of fluoride, excluding varnish 2,128 2,126 $22K
90472 Immunization administration, each additional vaccine (list separately) 1,952 1,933 $21K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 1,358 1,358 $21K
92229 808 808 $21K
92230 835 834 $21K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 535 534 $19K
J0561 Injection, penicillin g benzathine, 100,000 units 212 200 $19K
90620 1,787 1,786 $18K
D0140 Limited oral evaluation - problem focused 1,985 1,964 $18K
0052A 494 493 $18K
0031A 638 638 $17K
11056 310 303 $15K
D9995 708 685 $14K
0134A 415 415 $14K
77061 230 230 $13K
90658 1,499 1,497 $13K
92225 1,144 1,142 $12K
94010 1,020 999 $12K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,192 704 $12K
0051A 320 320 $11K
20550 309 259 $11K
99386 106 106 $10K
0004A 323 323 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 213 174 $10K
90707 347 344 $9K
72040 287 287 $8K
92557 249 249 $8K
72070 263 263 $7K
72110 158 157 $6K
90694 330 330 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 388 375 $6K
0034A 151 151 $5K
77080 421 419 $5K
90688 668 668 $5K
36416 24,716 23,822 $5K
3074F 34,476 32,405 $5K
90677 793 792 $5K
99382 67 67 $5K
99348 527 504 $5K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 269 258 $5K
3078F 30,432 28,640 $5K
36415 Collection of venous blood by venipuncture 2,536 2,516 $5K
90480 169 169 $5K
93923 42 42 $4K
0124A 131 131 $4K
73110 114 85 $4K
99406 278 270 $3K
3079F 13,565 13,025 $3K
D2930 Prefabricated stainless steel crown - primary tooth 44 36 $3K
96132 98 98 $3K
11730 32 28 $3K
92568 239 239 $3K
73564 81 42 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 25 25 $3K
93224 37 37 $3K
94375 1,004 982 $3K
90651 3,413 3,410 $3K
D0270 273 272 $2K
90656 1,759 1,759 $2K
96127 1,044 1,041 $2K
73565 72 72 $2K
92002 30 30 $2K
99384 26 26 $2K
D7140 Extraction, erupted tooth or exposed root 73 55 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 881 864 $2K
90619 602 602 $2K
90839 13 13 $2K
3075F 4,965 4,828 $2K
0112A 39 39 $2K
99397 132 132 $1K
94729 32 32 $1K
90621 147 147 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 17 17 $1K
90734 909 909 $1K
97010 9,673 5,974 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 419 418 $1K
90756 68 68 $1K
0111A 28 28 $1K
S0620 Routine ophthalmological examination including refraction; new patient 55 55 $1K
90685 921 921 $1K
0144A 25 25 $1K
90633 3,691 3,689 $869.66
90670 7,379 7,368 $869.25
90853 Group psychotherapy (other than of a multiple-family group) 19 12 $769.80
90671 696 696 $742.96
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 20 18 $709.73
92550 46 46 $690.98
D0330 Panoramic radiographic image 37 37 $686.27
96160 481 481 $649.14
90672 3,476 3,470 $609.13
85610 195 123 $577.42
0003A 21 21 $514.52
94726 12 12 $494.37
72081 15 15 $444.34
90653 156 156 $440.71
11055 12 12 $432.82
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $420.00
J1885 Injection, ketorolac tromethamine, per 15 mg 331 327 $418.37
D0145 Oral evaluation for a patient under three years of age 17 17 $407.50
94761 264 263 $348.98
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $348.72
90660 320 320 $340.42
3044F 1,180 1,159 $300.00
A7004 Small volume nonfiltered pneumatic nebulizer, disposable 291 281 $287.09
S0621 Routine ophthalmological examination including refraction; established patient 14 14 $280.00
V2020 Frames, purchases 12 12 $252.00
J0558 Injection, penicillin g benzathine and penicillin g procaine, 100,000 units 30 30 $246.09
92202 41 41 $210.75
3077F 2,379 2,280 $209.50
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 13 13 $122.66
1126F 128 123 $115.00
86580 13 12 $91.97
J1030 Injection, methylprednisolone acetate, 40 mg 13 13 $69.04
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 247 244 $66.28
90710 378 378 $35.70
96146 100 100 $17.67
J2357 Injection, omalizumab, 5 mg 809 573 $0.09
1160F 3,436 3,207 $0.01
90723 3,505 3,498 $0.00
90647 3,408 3,403 $0.00
90716 274 274 $0.00
90680 177 177 $0.00
90696 226 226 $0.00
3080F 420 398 $0.00
88142 368 368 $0.00
90697 956 955 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 122 119 $0.00
D0170 137 136 $0.00
92567 219 219 $0.00
2033F 282 282 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 17 17 $0.00
90698 13 13 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 12 12 $0.00
99072 11,754 11,151 $0.00
2022F 844 844 $0.00
90681 1,183 1,183 $0.00
1159F 791 746 $0.00
90700 105 105 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 83 81 $0.00
99499 2,980 2,305 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 171 171 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 171 171 $0.00
G8539 Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment 26 26 $0.00
3046F 51 42 $0.00
90713 46 46 $0.00
2026F 13 13 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 13 13 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 13 13 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 14 14 $0.00