Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › DORCHESTER › UPHAM'S CORNER HEALTH COMMITTEE, INC.

UPHAM'S CORNER HEALTH COMMITTEE, INC.

NPI: 1780780486 · DORCHESTER, MA 02125 · Dental Clinic/Center · NPI assigned 09/16/2006

$24.76M
Total Medicaid Paid
448,841
Total Claims
375,897
Beneficiaries
164
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRIVEDI, JAGDEEP (CEO)
NPI Enumeration Date09/16/2006

Related Entities

Other providers sharing the same authorized official: TRIVEDI, JAGDEEP

ProviderCityStateTotal Paid
UPHAMS CORNER HEALTH COMMITTEE INC DORCHESTER MA $1.80M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68,549 $3.60M
2019 70,120 $3.62M
2020 54,772 $3.18M
2021 70,931 $4.23M
2022 73,800 $5.88M
2023 65,638 $2.87M
2024 45,031 $1.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 98,203 80,617 $13.84M
D9450 34,720 22,459 $1.19M
T1040 Medicaid certified community behavioral health clinic services, per diem 6,027 3,767 $830K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 5,454 4,060 $708K
99050 15,267 14,312 $584K
90834 Psychotherapy, 45 minutes with patient 8,081 4,155 $557K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,717 3,697 $555K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,232 3,223 $504K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,285 3,269 $492K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,381 3,355 $470K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 11,040 9,058 $418K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,626 2,446 $411K
D1110 Prophylaxis - adult 9,770 7,581 $264K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,539 5,971 $263K
92340 Fitting of spectacles, except for aphakia; monofocal 7,984 6,888 $216K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,477 3,454 $163K
D0210 Intraoral - complete series of radiographic images 4,598 3,515 $154K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4,696 2,765 $139K
D0120 Periodic oral evaluation - established patient 9,552 7,678 $133K
D0274 Bitewings - four radiographic images 5,451 4,485 $120K
D0220 Intraoral - periapical first radiographic image 11,162 7,215 $116K
90832 Psychotherapy, 30 minutes with patient 2,848 2,315 $115K
D1120 Prophylaxis - child 2,256 2,209 $115K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14,014 13,745 $103K
D9110 3,968 2,322 $97K
D0150 Comprehensive oral evaluation - new or established patient 4,072 3,171 $97K
97802 2,514 2,077 $93K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,014 1,466 $90K
D0140 Limited oral evaluation - problem focused 3,114 2,115 $85K
92015 Determination of refractive state 7,661 7,488 $84K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,335 6,720 $77K
90460 Immunization administration through 18 years of age via any route, first or only component 4,994 4,938 $76K
D0230 Intraoral - periapical each additional radiographic image 8,229 4,357 $71K
D1206 Topical application of fluoride varnish 2,660 2,565 $68K
83036 Hemoglobin; glycosylated (A1C) 9,877 9,674 $64K
90686 8,686 8,608 $64K
D0180 3,514 2,804 $63K
D7140 Extraction, erupted tooth or exposed root 1,257 486 $58K
90677 488 486 $57K
97803 1,833 1,326 $57K
99441 2,469 2,335 $54K
90715 2,795 2,768 $49K
90651 2,571 2,553 $45K
99173 2,484 2,467 $44K
90472 Immunization administration, each additional vaccine (list separately) 4,797 4,746 $44K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,371 6,782 $43K
99442 1,438 1,226 $41K
92250 2,936 2,879 $40K
V2020 Frames, purchases 439 376 $40K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,430 1,737 $38K
90739 322 318 $37K
90746 702 695 $37K
99443 1,205 1,027 $35K
92341 933 909 $30K
90461 2,772 2,745 $27K
90837 Psychotherapy, 53 minutes with patient 309 183 $27K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,429 2,396 $23K
84703 3,350 3,244 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,684 1,658 $22K
0064A 511 502 $21K
92551 2,205 2,187 $20K
90791 Psychiatric diagnostic evaluation 150 142 $17K
99381 83 82 $16K
90670 1,981 1,957 $16K
V2750 Anti-reflective coating, per lens 483 419 $15K
81003 6,523 5,596 $13K
0124A 313 300 $13K
99385 66 66 $12K
0004A 269 265 $12K
D2330 298 195 $12K
90473 712 709 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,284 3,137 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,302 2,217 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 181 147 $10K
V2760 Scratch resistant coating, per lens 450 387 $10K
0001A 210 209 $10K
90732 103 102 $10K
0134A 242 235 $9K
D0272 Bitewings - two radiographic images 279 264 $8K
D1351 Sealant - per tooth 222 58 $8K
90662 447 444 $8K
92133 486 482 $8K
81025 1,097 1,053 $7K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,126 1,125 $7K
91320 109 109 $6K
90480 137 137 $6K
0071A 132 131 $6K
90734 1,730 1,716 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 82 82 $5K
87650 242 238 $5K
90716 711 708 $5K
99349 480 470 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 187 180 $4K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 48 46 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 357 349 $4K
86580 640 622 $4K
99051 751 695 $4K
0011A 321 310 $4K
90707 656 655 $3K
G0008 Administration of influenza virus vaccine 490 484 $3K
99215 Prolong outpt/office vis 125 122 $3K
91322 36 36 $3K
99606 110 99 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 50 41 $3K
D2331 68 43 $3K
93000 170 165 $3K
0012A 299 287 $2K
99383 13 13 $2K
D1330 3,456 2,319 $2K
92225 42 25 $2K
92552 77 77 $2K
0002A 28 28 $1K
85014 520 520 $1K
D1208 Topical application of fluoride, excluding varnish 42 39 $1K
85018 414 413 $909.44
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 12 12 $875.00
D0145 Oral evaluation for a patient under three years of age 30 30 $810.00
0094A 21 21 $806.55
99397 30 30 $789.58
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 17 17 $748.51
87210 170 167 $708.40
0073A 14 13 $596.31
87220 140 137 $572.93
92083 28 28 $492.94
T1001 Nursing assessment / evaluation 375 361 $216.58
90710 456 453 $179.25
82962 2,216 2,036 $178.72
90714 12 12 $175.70
94010 75 74 $94.79
81002 30 30 $79.20
82948 14 14 $34.19
90713 166 165 $28.14
11719 13 13 $16.21
91301 2,841 2,698 $0.00
91305 90 83 $0.00
90680 1,227 1,219 $0.00
90723 1,087 1,082 $0.00
90744 96 96 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 552 544 $0.00
91307 677 618 $0.00
91306 838 815 $0.00
90697 342 338 $0.00
96127 43 43 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 91 91 $0.00
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 144 142 $0.00
90696 244 243 $0.00
94760 25 24 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 120 106 $0.00
A9150 Non-prescription drugs 47 46 $0.00
91303 61 61 $0.00
90474 12 12 $0.00
J3490 Unclassified drugs 53 52 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 17 14 $0.00
91309 24 24 $0.00
90648 1,530 1,524 $0.00
90700 214 213 $0.00
90633 1,919 1,913 $0.00
90750 86 86 $0.00
91312 409 395 $0.00
91313 313 304 $0.00
91300 2,023 1,856 $0.00
91308 16 14 $0.00
90685 287 287 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 16 16 $0.00