CITY MEDICAL OF UPPER EAST SIDE, PLLC

NPI: 1306334677 · ROCKY POINT, NY 11778 · Urgent Care Clinic/Center · NPI assigned 04/23/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$47K

Total Medicaid Paid

423

Total Claims

400

Beneficiaries

Codes Billed

2019-11

First Month

2020-03

Last Month

Provider Details

Authorized Official	HENRY, SWAHILI (DIRECTOR OF PAYMENT SOLUTIONS)
Parent Organization	CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI Enumeration Date	04/23/2018

Other providers sharing the same authorized official: HENRY, SWAHILI

Provider	City	State	Total 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	BAY SHORE	NY	$89K
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	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

Year	Claims	Total Paid
2019	185	$20K
2020	238	$26K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	275	261	$30K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	135	126	$15K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$1K