Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CITY MEDICAL OF UPPER EAST SIDE, PLLC

NPI: 1649768912 · SELDEN, NY 11784 · Urgent Care Clinic/Center · NPI assigned 04/23/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HENRY, SWAHILI controls 15+ related entities in our dataset. Read more

$80K
Total Medicaid Paid
728
Total Claims
691
Beneficiaries
4
Codes Billed
2019-11
First Month
2020-04
Last Month

Provider Details

Authorized OfficialHENRY, SWAHILI (DIRECTOR OF PAYMENT SOLUTIONS)
Parent OrganizationCITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI Enumeration Date04/23/2018

Related Entities

Other providers sharing the same authorized official: HENRY, SWAHILI

ProviderCityStateTotal Paid
CITY MEDICAL OF UPPER EAST SIDE, PLLC NEW YORK NY $643.18M
WESTCHESTER MEDICAL GROUP, P.C. RYE BROOK NY $16.09M
SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ $6.74M
CITY MEDICAL OF UPPER EAST SIDE, PLLC NEW YORK NY $260K
CITY MEDICAL OF UPPER EAST SIDE, PLLC DEER PARK NY $90K
CITY MEDICAL OF UPPER EAST SIDE, PLLC BAY SHORE NY $89K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SAYVILLE NY $81K
CITY MEDICAL OF UPPER EAST SIDE, PLLC RONKONKOMA NY $62K
CITY MEDICAL OF UPPER EAST SIDE, PLLC PORT JEFFERSON STATION NY $61K
CITY MEDICAL OF UPPER EAST SIDE, PLLC ROCKY POINT NY $47K
CITY MEDICAL OF UPPER EAST SIDE, PLLC RIVERHEAD NY $44K
CITY MEDICAL OF UPPER EAST SIDE, PLLC BROOKLYN NY $41K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SMITHTOWN NY $14K
CITY MEDICAL OF UPPER EAST SIDE, PLLC PLAINVIEW NY $7K
SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 312 $34K
2020 416 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 378 353 $41K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 257 245 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 78 78 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $2K