City Medical of Upper East Side, PLLC

City Medical of Upper East Side, PLLC was paid $44K by Medicaid between Nov 2019 and Apr 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoCITY MEDICAL OF UPPER EAST SIDE, PLLC
RIVERHEAD, NY 11901

33aNPI1811485188assigned 04/23/2018

33bProvider typeUrgent Care Clinic/Center

28Total paid$44K

24GClaims398

24DCodes billed4

24AFirst – last monthNov 2019 – Apr 2020

Compared with peers

Next to other Urgent Care Clinic/Center providers in New York

Rank by total paid#110 of 138

Median peer was paid$576K

This provider vs. median0.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

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

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
2019	161	$18K
2020	237	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	52%	206	190	$23K
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	28%	111	104	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17%	67	67	$7K
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	3.5%	14	14	$2K

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 officialHENRY, SWAHILI (DIRECTOR OF PAYMENT SOLUTIONS)

Parent organizationCITY MEDICAL OF UPPER EAST SIDE, PLLC

Same official

Other billing entities under HENRY, SWAHILI

Full network →

Provider	Location	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	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	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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.