Uptown Healthcare Management INC

Uptown Healthcare Management INC was paid $226K by Medicaid between Jan 2018 and Sep 2024, across 25 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 48% of everything it billed.

33Billing provider infoUPTOWN HEALTHCARE MANAGEMENT INC
BRONX, NY 10453

33aNPI1386673937assigned 07/03/2006

33bProvider typeInternal Medicine Physician

28Total paid$226K

24GClaims8,872

24DCodes billed25

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#796 of 6,049

Median peer was paid$11K

This provider vs. median20×

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	1,692	$34K
2019	1,160	$26K
2020	1,190	$46K
2021	873	$28K
2022	1,677	$32K
2023	1,483	$31K
2024incomplete	797	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	48%	4,472	3,435	$109K
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	21%	817	686	$48K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	859	737	$35K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.4%	189	156	$14K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	2.7%	467	193	$6K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	1.7%	432	177	$4K
97032		1.3%	438	189	$3K
36415	Collection of venous blood by venipuncture	<1%	329	302	$2K
99401		<1%	45	39	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	36	31	$923.62
97162		<1%	12	12	$806.27
86328		<1%	35	30	$653.27

13 more codes

99244	Office or other outpatient consultation, moderate to high complexity	<1%	115	$452.85
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	34	$429.45
99243		<1%	14	$100.93
97010		<1%	434	$51.52
81000		<1%	15	$6.44
95921		0%	20	$0.00
94375		0%	16	$0.00
94690		0%	12	$0.00
94729		0%	16	$0.00
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	0%	12	$0.00
95851		0%	14	$0.00
95831		0%	27	$0.00
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	0%	12	$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, HISHAM (DIRECTOR OF ADMINISTRATION)

Same official

Other billing entities under AHMED, HISHAM

Full network →

Provider	Location	Paid
Uptown Healthcare Management INC.	New York, NY	$667K
Hisham I Ahmed MD PLLC	Lapeer, MI	$244K
Uptown Healthcare Management, INC.	Bronx, NY	$18K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.