BROCKPORT MEDICAL CARE PLLC
NPI: 1477996353
· BROCKPORT, NY 14420
· Urgent Care Clinic/Center
· NPI assigned 04/10/2013
$366K
Total Medicaid Paid
Provider Details
| Authorized Official | NISSIEM, HANY (PRESIDENT) |
| NPI Enumeration Date | 04/10/2013 |
Related Entities
Other providers sharing the same authorized official: NISSIEM, HANY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
289 |
$27K |
| 2019 |
251 |
$22K |
| 2020 |
420 |
$32K |
| 2021 |
810 |
$64K |
| 2022 |
892 |
$88K |
| 2023 |
804 |
$73K |
| 2024 |
602 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,282 |
2,167 |
$213K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
775 |
775 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
633 |
587 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
136 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
211 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$455.18 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
17 |
17 |
$0.15 |