Clinic
Upper Room AIDS Ministry, INC. Adult Day Health Care Center.
Upper Room AIDS Ministry, INC. Adult Day Health Care Center. was paid $21.27M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is S5102, adult day care, billed per day — 56% of everything it billed.
33Billing provider infoUPPER ROOM AIDS MINISTRY, INC. ADULT DAY HEALTH CARE CENTER.
NEW YORK, NY 10030
NEW YORK, NY 10030
33aNPI1417986340assigned 07/02/2006
33bProvider typeAdult Day Care Clinic/Center
28Total paid$21.27M
24GClaims191,297
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Adult Day Care Clinic/Center providers in New York
Rank by total paid#24 of 394
Median peer was paid$3.44M
This provider vs. median6.2×
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 | 9,175 | $396K | |
| 2019 | 26,033 | $2.22M | |
| 2020 | 37,128 | $3.89M | |
| 2021 | 37,642 | $4.66M | |
| 2022 | 30,451 | $3.87M | |
| 2023 | 29,327 | $3.68M | |
| 2024incomplete | 21,541 | $2.55M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 56% | 65,608 | 6,654 | $12.00M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 27,975 | 19,657 | $2.85M |
| 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 | 9.7% | 18,239 | 12,815 | $2.06M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.3% | 11,711 | 6,128 | $1.55M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.9% | 8,921 | 4,565 | $1.26M |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.8% | 6,370 | 4,919 | $376K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 3,256 | 2,476 | $291K |
| D1110 | Prophylaxis - adult | <1% | 2,069 | 1,373 | $146K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 643 | 467 | $97K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,390 | 642 | $64K |
| 3008F | <1% | 14,744 | 11,848 | $61K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,989 | 988 | $55K |
47 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 472 | $54K |
| D7311 | <1% | 343 | $46K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 523 | $39K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,330 | $36K |
| D0140 | Limited oral evaluation - problem focused | <1% | 998 | $35K |
| D0274 | Bitewings - four radiographic images | <1% | 1,098 | $32K |
| 99441 | <1% | 536 | $29K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 424 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 669 | $22K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 183 | $19K |
| 99442 | <1% | 299 | $18K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,025 | $17K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 134 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 124 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 565 | $9K |
| 0001F | <1% | 13,716 | $9K | |
| D1320 | <1% | 512 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 62 | $6K |
| 90836 | <1% | 81 | $5K | |
| 0012A | <1% | 234 | $3K | |
| 99051 | <1% | 445 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $2K |
| 90686 | <1% | 124 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 23 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,226 | $2K |
| 0011A | <1% | 224 | $2K | |
| D0270 | <1% | 103 | $2K | |
| D0470 | <1% | 22 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 26 | $2K |
| 99000 | <1% | 1,123 | $2K | |
| 90674 | <1% | 53 | $1K | |
| 0013A | <1% | 40 | $1K | |
| 90658 | <1% | 75 | $1K | |
| 86803 | <1% | 101 | $793.12 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 52 | $710.82 |
| 90682 | <1% | 18 | $700.64 | |
| 0134A | <1% | 13 | $500.13 | |
| 86704 | <1% | 43 | $323.76 | |
| 86706 | <1% | 44 | $312.42 | |
| 99406 | <1% | 45 | $229.94 | |
| 87340 | <1% | 43 | $180.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $172.29 |
| 88142 | <1% | 32 | $170.92 | |
| A4614 | Peak expiratory flow rate meter, hand held | <1% | 13 | $5.05 |
| D0603 | 0% | 112 | $0.00 | |
| D0180 | 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 officialMCPHERSON, TAMISHA (EXECUTIVE DIRECTOR)