Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW YORK › CITY MEDICAL OF UPPER EAST SIDE, PLLC

CITY MEDICAL OF UPPER EAST SIDE, PLLC

NPI: 1730491945 · NEW YORK, NY 10028 · Urgent Care Clinic/Center · NPI assigned 07/06/2010

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

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

$643.18M
Total Medicaid Paid
7,838,014
Total Claims
7,277,905
Beneficiaries
162
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENRY, SWAHILI (DIR. PROVIDER ENROLLMENT)
NPI Enumeration Date07/06/2010

Related Entities

Other providers sharing the same authorized official: HENRY, SWAHILI

ProviderCityStateTotal Paid
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 SELDEN NY $80K
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
2018 297,110 $28.75M
2019 543,115 $45.35M
2020 1,083,328 $87.51M
2021 2,021,953 $166.11M
2022 1,484,388 $108.79M
2023 1,468,726 $116.36M
2024 939,394 $90.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,049,977 1,892,947 $226.51M
S9083 Global fee urgent care centers 868,497 793,406 $135.44M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 900,091 861,119 $108.67M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 651,224 649,391 $66.71M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 324,553 299,107 $33.15M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 262,867 262,217 $29.09M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,002,033 934,317 $18.53M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 144,512 144,144 $13.36M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 336,253 175,512 $1.81M
87428 67,966 65,689 $1.25M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,840 7,441 $991K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 62,965 61,626 $557K
90686 32,509 32,429 $539K
99201 3,776 3,772 $474K
99215 Prolong outpt/office vis 3,684 3,669 $473K
71046 Radiologic examination, chest; 2 views 48,164 47,463 $457K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 221,305 216,932 $406K
10060 4,117 4,069 $234K
12001 4,654 4,626 $218K
29515 6,251 6,196 $206K
73610 17,768 17,371 $200K
93000 34,207 33,935 $193K
73630 17,860 17,547 $188K
10061 2,145 2,122 $188K
99205 Prolong outpt/office vis 1,394 1,394 $183K
90715 10,106 10,072 $181K
69210 7,121 6,636 $173K
73562 13,345 12,755 $156K
29125 4,362 4,300 $146K
73140 12,424 12,216 $145K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24,644 23,348 $138K
29130 6,908 6,819 $130K
73110 9,882 9,703 $125K
73130 11,208 10,928 $120K
81025 151,067 145,539 $116K
90707 5,255 5,240 $114K
90716 2,286 2,273 $80K
12011 1,481 1,477 $80K
90734 2,228 2,221 $69K
12002 1,180 1,174 $67K
73030 6,836 6,683 $67K
26720 860 852 $64K
90746 3,990 3,973 $61K
81002 68,456 66,514 $61K
71101 4,392 4,358 $58K
73080 4,665 4,567 $50K
31231 234 218 $49K
81003 81,322 78,592 $47K
10120 630 625 $45K
73660 5,107 4,946 $44K
16020 1,009 955 $39K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 10,940 10,647 $39K
90714 4,830 4,819 $38K
J0561 Injection, penicillin g benzathine, 100,000 units 482 435 $36K
72100 3,077 3,067 $34K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 68 68 $34K
L3807 Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 1,574 1,557 $33K
69200 979 964 $31K
73502 2,105 2,041 $30K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 3,005 2,953 $28K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 128 127 $25K
90656 2,484 2,483 $24K
L3260 Surgical boot/shoe, each 4,642 4,593 $22K
36415 Collection of venous blood by venipuncture 167,346 164,358 $20K
73590 2,244 2,186 $20K
28510 578 574 $19K
73090 2,050 2,014 $18K
90750 200 199 $16K
72040 1,408 1,404 $15K
86308 6,937 6,869 $15K
29550 1,734 1,689 $15K
90675 74 47 $15K
86580 13,133 12,434 $14K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 5,431 5,397 $14K
90662 648 647 $13K
95117 790 371 $11K
L3923 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 1,054 1,047 $8K
26750 96 96 $8K
70160 539 537 $7K
74019 904 904 $7K
29105 123 123 $6K
90685 443 442 $6K
72070 627 626 $6K
70360 895 891 $6K
90472 Immunization administration, each additional vaccine (list separately) 2,947 2,857 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg 7,530 7,334 $6K
10160 569 561 $5K
S9088 Services provided in an urgent care center (list in addition to code for service) 164 150 $5K
72220 481 479 $4K
11740 162 154 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 9,256 9,128 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,494 2,458 $3K
73060 337 332 $3K
86703 728 719 $3K
90682 466 466 $3K
93880 25 25 $3K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 778 773 $3K
28490 43 43 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 28 28 $3K
99401 62 61 $3K
90674 391 390 $3K
71045 Radiologic examination, chest; single view 1,160 1,156 $2K
69209 315 275 $2K
31575 14 14 $2K
90619 208 206 $2K
0011A 146 146 $2K
92520 25 25 $2K
74018 264 264 $2K
0012A 154 154 $2K
73552 154 149 $2K
E0100 Cane, includes canes of all materials, adjustable or fixed, with tip 1,679 1,663 $2K
92557 60 60 $2K
82962 12,719 12,582 $1K
92512 25 24 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 17 16 $1K
98925 32 28 $1K
A4565 Slings 3,671 3,637 $1K
73650 171 162 $1K
11750 13 13 $955.52
73000 117 114 $921.44
36410 972 968 $868.34
92567 69 69 $853.01
90632 43 43 $617.72
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing 13 13 $585.50
92504 25 24 $566.25
29540 32 31 $449.77
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 17 16 $425.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 12 12 $422.50
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 6,249 6,094 $280.08
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 93 93 $279.56
G0008 Administration of influenza virus vaccine 41 41 $115.57
70150 12 12 $82.29
A9150 Non-prescription drugs 20 20 $72.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 116 116 $65.62
J2405 Injection, ondansetron hydrochloride, per 1 mg 136 133 $59.76
J1200 Injection, diphenhydramine hcl, up to 50 mg 121 119 $55.52
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 258 257 $45.60
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 3,144 3,123 $30.25
J8540 Dexamethasone, oral, 0.25 mg 21 21 $18.00
82272 64 64 $9.31
J2765 Injection, metoclopramide hcl, up to 10 mg 29 28 $6.42
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 132 131 $4.00
97602 40 39 $3.42
99499 2,726 2,340 $1.00
J7510 Prednisolone oral, per 5 mg 42 39 $0.69
99080 1,161 557 $0.00
3078F 1,133 1,121 $0.00
J0558 Injection, penicillin g benzathine and penicillin g procaine, 100,000 units 34 30 $0.00
J7030 Infusion, normal saline solution , 1000 cc 13 13 $0.00
99173 13 13 $0.00
3077F 264 263 $0.00
1160F 1,868 1,851 $0.00
99024 329 301 $0.00
99429 5,059 4,175 $0.00
99000 430 428 $0.00
3079F 679 673 $0.00
3008F 2,520 2,491 $0.00
3075F 312 310 $0.00
91301 45 45 $0.00
1036F 1,458 1,441 $0.00
3074F 1,463 1,445 $0.00
3080F 223 222 $0.00