Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Urban Medical Group, PLLC

Urban Medical Group, PLLC was paid $252K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoURBAN MEDICAL GROUP, PLLC
NEW YORK, NY 10013
33aNPI1437570256assigned 12/20/2013
28Total paid$252K
24GClaims2,681
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#117 of 656
Median peer was paid$12K
This provider vs. median21×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,218$76K
2019180$26K
2020307$31K
2021274$32K
2022337$41K
2023261$33K
2024incomplete104$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 58% 1,349 1,197 $147K
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 28% 416 416 $72K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 368 323 $28K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.7% 41 40 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 37 37 $725.66
90686 <1% 35 35 $479.85
36415 Collection of venous blood by venipuncture <1% 394 382 $330.66
83014 <1% 41 41 $260.92

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 officialJOHNSON, TIMOTHY (MD)
Same official

Other billing entities under JOHNSON, TIMOTHY

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