Uptown Healthcare Management INC.

Uptown Healthcare Management INC. was paid $2.74M by Medicaid between Jan 2018 and Oct 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoUPTOWN HEALTHCARE MANAGEMENT INC.
BRONX, NY 10460

33aNPI1336173194assigned 07/10/2006

33bProvider typeInternal Medicine Physician

28Total paid$2.74M

24GClaims78,618

24DCodes billed80

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#100 of 6,049

Median peer was paid$11K

This provider vs. median242×

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	27,247	$898K
2019	29,633	$1.03M
2020	11,773	$439K
2021	4,177	$143K
2022	2,673	$88K
2023	1,941	$81K
2024incomplete	1,174	$62K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	31%	12,169	9,289	$837K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	10,195	8,328	$515K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	11%	8,205	2,744	$307K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	8.7%	6,466	5,060	$238K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	5.4%	8,564	2,853	$148K
62323		4.0%	439	200	$109K
97032		2.9%	8,165	2,764	$80K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	1,033	955	$71K
99244	Office or other outpatient consultation, moderate to high complexity	1.7%	487	355	$48K
97162		1.1%	635	627	$31K
11056		1.0%	698	673	$29K
72275		<1%	232	83	$27K

68 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	271	$26K
27096		<1%	113	$25K
99243		<1%	280	$18K
99215	Doctor's office visit, returning patient (complex)	<1%	241	$18K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	169	$16K
11721		<1%	571	$15K
97010		<1%	7,975	$14K
90791	Psychiatric diagnostic evaluation	<1%	130	$13K
90901		<1%	475	$12K
76942		<1%	232	$12K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	936	$10K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	85	$10K
93975		<1%	33	$7K
64483		<1%	24	$7K
99245		<1%	43	$6K
62321		<1%	23	$6K
93923		<1%	48	$5K
95831		<1%	1,341	$5K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	13	$5K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	128	$4K
20611		<1%	80	$4K
17360		<1%	31	$4K
G0378	Hospital observation service, per hour	<1%	293	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	51	$4K
97014		<1%	579	$4K
20553		<1%	108	$3K
20610		<1%	111	$3K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	41	$3K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	29	$3K
64484		<1%	25	$3K
88141		<1%	112	$3K
95905		<1%	31	$3K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	30	$3K
95911		<1%	16	$3K
36415	Collection of venous blood by venipuncture	<1%	3,286	$2K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	13	$2K
86328		<1%	34	$2K
99401		<1%	88	$2K
10040		<1%	62	$2K
D0120	Dental checkup, returning patient	<1%	99	$1K
97164		<1%	605	$1K
93970		<1%	12	$1K
76870		<1%	16	$979.65
95921		<1%	105	$893.69
01991		<1%	22	$880.00
D1110	Prophylaxis - adult	<1%	30	$702.00
95851		<1%	1,225	$668.12
93000		<1%	39	$590.64
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	81	$463.92
94690		<1%	85	$425.38
81000		<1%	176	$409.30
99242		<1%	15	$401.01
D0230	Intraoral - periapical each additional radiographic image	<1%	39	$317.23
D0272	Bitewings - two radiographic images	<1%	27	$222.64
95910		<1%	16	$184.96
94729		<1%	12	$96.78
94375		<1%	12	$90.30
95922		<1%	18	$63.20
97024		<1%	34	$40.32
81002		<1%	15	$15.93
G8907	Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility	0%	63	$0.00
98940		0%	275	$0.00
G8918	Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis	0%	61	$0.00
99499		0%	13	$0.00
80101		0%	20	$0.00
99241		0%	21	$0.00
S0612	Annual gynecological examination, established patient	0%	12	$0.00
95864		0%	31	$0.00

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 officialAHMED, DR. H (DIRECTOR OF ADMINISTRATION)

Parent organizationUPTOWN HEALTHCARE MANAGEMENT INC.