Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Mount Vernon › NPI 1417452467
Clinic

Providence Medical Services PLLC

Providence Medical Services PLLC was paid $3K by Medicaid between Nov 2019 and Nov 2019, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 70% of everything it billed.

33Billing provider infoPROVIDENCE MEDICAL SERVICES PLLC
MOUNT VERNON, NY 10550
33aNPI1417452467assigned 03/29/2018
28Total paid$3K
24GClaims96
24DCodes billed3
24AFirst – last monthNov 2019 – Nov 2019
Compared with peers

Next to other Urgent Care Clinic/Center providers in New York

Rank by total paid#130 of 138
Median peer was paid$576K
This provider vs. median0.0×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
201996$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 70% 57 57 $2K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25% 13 13 $747.05
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.9% 26 13 $145.00

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 officialSUN, DHARINI (MEDICAL DIRECTOR)