Clinic
Urban Health Plan, INC.
Urban Health Plan, INC. was paid $7.71M by Medicaid between Dec 2018 and Dec 2024, across 11 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 53% of everything it billed.
33Billing provider infoURBAN HEALTH PLAN, INC.
BRONX, NY 10457
BRONX, NY 10457
33aNPI1316446586assigned 02/02/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.71M
24GClaims35,167
24DCodes billed11
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#40 of 158
Median peer was paid$1.73M
This provider vs. median4.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 56 | $1K | |
| 2019 | 2,072 | $207K | |
| 2020 | 7,739 | $1.65M | |
| 2021 | 7,434 | $1.69M | |
| 2022 | 5,827 | $1.31M | |
| 2023 | 6,187 | $1.42M | |
| 2024incomplete | 5,852 | $1.43M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 53% | 18,625 | 9,096 | $4.05M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 6,705 | 6,407 | $1.39M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 16% | 5,192 | 2,764 | $1.20M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 7.3% | 2,448 | 1,763 | $565K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.4% | 1,369 | 1,241 | $336K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.2% | 403 | 403 | $94K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 122 | 120 | $29K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 108 | 86 | $25K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 125 | 66 | $5K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 35 | 35 | $4K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 35 | 35 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHERNANDEZ, PALOMA (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Urban Health Plan, INC. | Bronx, NY | $1.25M |
| Urban Health Plan, INC. | Bronx, NY | $9K |
| Urban Health Plan, INC | New York, NY | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.