Clinic
Middletown Medical PC
Middletown Medical PC was paid $440K by Medicaid between Nov 2018 and Oct 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoMIDDLETOWN MEDICAL PC
MIDDLETOWN, NY 10940
MIDDLETOWN, NY 10940
33aNPI1790227536assigned 11/10/2016
33bProvider typeUrgent Care Clinic/Center
28Total paid$440K
24GClaims7,615
24DCodes billed50
24AFirst – last monthNov 2018 – Oct 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#73 of 138
Median peer was paid$576K
This provider vs. median0.8×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 42 | $3K | |
| 2019 | 537 | $29K | |
| 2020 | 936 | $56K | |
| 2021 | 1,215 | $111K | |
| 2022 | 1,617 | $113K | |
| 2023 | 2,103 | $80K | |
| 2024incomplete | 1,165 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 75% | 2,668 | 2,394 | $330K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 293 | 278 | $31K |
| 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 | 3.2% | 140 | 140 | $14K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.2% | 233 | 112 | $10K |
| 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 | 1.9% | 104 | 98 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 49 | 49 | $6K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.3% | 190 | 186 | $6K |
| 87634 | 1.0% | 65 | 63 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 314 | 144 | $4K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 114 | 114 | $3K |
| 99441 | <1% | 38 | 38 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | 17 | $2K |
38 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 154 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 395 | $2K |
| 99051 | <1% | 166 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 169 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 156 | $1K |
| 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 | <1% | 51 | $1K |
| 92551 | <1% | 96 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 54 | $727.88 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $647.01 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 29 | $579.93 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 15 | $386.62 |
| 83970 | <1% | 14 | $376.38 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 55 | $327.58 |
| 82607 | <1% | 27 | $304.32 | |
| 96127 | <1% | 54 | $299.76 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 38 | $282.49 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 23 | $264.48 |
| 80061 | Lipid panel | <1% | 26 | $246.82 |
| 99050 | <1% | 15 | $190.35 | |
| 83550 | <1% | 25 | $167.80 | |
| 82746 | <1% | 14 | $134.04 | |
| 80053 | Comprehensive metabolic panel | <1% | 13 | $133.12 |
| 83540 | <1% | 25 | $124.36 | |
| 82728 | <1% | 12 | $124.26 | |
| 90461 | <1% | 17 | $75.00 | |
| 82043 | <1% | 14 | $60.58 | |
| 82044 | <1% | 12 | $55.57 | |
| 82570 | <1% | 13 | $53.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 156 | $33.47 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 19 | $0.19 |
| 2001F | 0% | 99 | $0.00 | |
| 3008F | 0% | 227 | $0.00 | |
| 90688 | 0% | 12 | $0.00 | |
| 1160F | 0% | 543 | $0.00 | |
| 1159F | 0% | 556 | $0.00 | |
| 99173 | 0% | 54 | $0.00 | |
| 3210F | 0% | 15 | $0.00 |
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 officialPHILLIPS, MELISSA (EXECUTIVE ASSIST CEO)