Medicaid Provider Spending

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

CITY MEDICAL OF UPPER EAST SIDE, PLLC

NPI: 1285182873 · BAY SHORE, NY 11706 · Urgent Care Clinic/Center · NPI assigned 09/13/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HENRY, SWAHILI controls 15+ related entities in our dataset. Read more

$89K
Total Medicaid Paid
810
Total Claims
781
Beneficiaries
4
Codes Billed
2019-11
First Month
2020-04
Last Month

Provider Details

Authorized OfficialHENRY, SWAHILI (DIRECTOR OF PAYMENT SOLUTIONS)
Parent OrganizationCITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI Enumeration Date09/13/2016

Related Entities

Other providers sharing the same authorized official: HENRY, SWAHILI

ProviderCityStateTotal Paid
CITY MEDICAL OF UPPER EAST SIDE, PLLC NEW YORK NY $643.18M
WESTCHESTER MEDICAL GROUP, P.C. RYE BROOK NY $16.09M
SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ $6.74M
CITY MEDICAL OF UPPER EAST SIDE, PLLC NEW YORK NY $260K
CITY MEDICAL OF UPPER EAST SIDE, PLLC DEER PARK NY $90K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SAYVILLE NY $81K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SELDEN NY $80K
CITY MEDICAL OF UPPER EAST SIDE, PLLC RONKONKOMA NY $62K
CITY MEDICAL OF UPPER EAST SIDE, PLLC PORT JEFFERSON STATION NY $61K
CITY MEDICAL OF UPPER EAST SIDE, PLLC ROCKY POINT NY $47K
CITY MEDICAL OF UPPER EAST SIDE, PLLC RIVERHEAD NY $44K
CITY MEDICAL OF UPPER EAST SIDE, PLLC BROOKLYN NY $41K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SMITHTOWN NY $14K
CITY MEDICAL OF UPPER EAST SIDE, PLLC PLAINVIEW NY $7K
SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 285 $31K
2020 525 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 455 431 $50K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 200 195 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 114 114 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 41 41 $4K