Medicaid Provider Spending

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

URGENT ONE MEDICAL CARE P.C.

NPI: 1831273887 · CEDARHURST, NY 11516 · Pediatrics Physician · NPI assigned 10/25/2006

$6.06M
Total Medicaid Paid
135,902
Total Claims
120,005
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMAI, DAVID (PRESIDENT)
NPI Enumeration Date10/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,426 $296K
2019 14,546 $514K
2020 20,722 $778K
2021 23,421 $1.09M
2022 22,285 $1.07M
2023 25,163 $1.23M
2024 22,339 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,545 29,542 $3.55M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,263 3,053 $416K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,391 3,390 $369K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,395 3,385 $364K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,881 2,844 $288K
90460 Immunization administration through 18 years of age via any route, first or only component 9,322 9,207 $242K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,632 1,629 $195K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,361 3,107 $132K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,259 3,372 $89K
99215 Prolong outpt/office vis 323 283 $58K
92588 978 973 $50K
87070 7,335 6,812 $47K
99051 8,541 7,927 $46K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,496 6,936 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 525 515 $29K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 228 225 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,583 5,358 $15K
90671 587 587 $15K
83655 1,088 1,087 $12K
90461 2,647 2,635 $11K
96127 2,085 2,080 $11K
81002 4,086 4,035 $8K
69210 126 122 $6K
99050 873 866 $5K
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) 482 408 $5K
99173 5,387 5,383 $4K
99188 468 468 $4K
99381 37 37 $4K
90381 41 41 $3K
90697 408 408 $3K
90619 285 285 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $2K
96380 58 58 $1K
99348 15 12 $1K
85018 729 729 $1K
92587 54 54 $1K
90651 219 219 $1K
99401 97 97 $889.12
90686 2,466 2,461 $790.15
90380 16 16 $564.30
97597 20 18 $562.66
96160 1,252 1,251 $393.21
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 39 $272.57
90744 310 310 $269.50
90670 1,253 1,245 $205.12
90756 49 48 $194.23
97802 121 120 $194.20
90707 215 212 $179.74
36415 Collection of venous blood by venipuncture 196 188 $153.61
87081 30 30 $127.84
90716 227 226 $96.00
90656 237 237 $69.41
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 279 278 $60.00
90633 433 433 $58.34
90648 257 255 $50.00
90723 25 24 $50.00
90715 151 151 $44.61
90713 55 55 $25.00
90700 214 213 $25.00
99000 1,968 1,774 $13.60
90710 37 37 $0.00
90734 77 77 $0.00
90680 1,101 1,098 $0.00
36416 551 550 $0.00
90647 25 25 $0.00
90698 386 383 $0.00
90674 32 32 $0.00
90696 37 37 $0.00