Physician
Urgent One Medical Care P.C.
Urgent One Medical Care P.C. was paid $6.06M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoURGENT ONE MEDICAL CARE P.C.
CEDARHURST, NY 11516
CEDARHURST, NY 11516
33aNPI1831273887assigned 10/25/2006
33bProvider typePediatrics Physician
28Total paid$6.06M
24GClaims135,902
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#50 of 1,983
Median peer was paid$17K
This provider vs. median357×
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 | 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 | |
| 2024incomplete | 22,339 | $1.08M |
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 | 59% | 40,545 | 29,542 | $3.55M |
| 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 | 6.9% | 3,263 | 3,053 | $416K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 3,391 | 3,390 | $369K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 3,395 | 3,385 | $364K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 2,881 | 2,844 | $288K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.0% | 9,322 | 9,207 | $242K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 1,632 | 1,629 | $195K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.2% | 3,361 | 3,107 | $132K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 5,259 | 3,372 | $89K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 323 | 283 | $58K |
| 92588 | <1% | 978 | 973 | $50K | |
| 87070 | <1% | 7,335 | 6,812 | $47K |
56 more codes
| 99051 | <1% | 8,541 | $46K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,496 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 525 | $29K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 228 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,583 | $15K |
| 90671 | <1% | 587 | $15K | |
| 83655 | <1% | 1,088 | $12K | |
| 90461 | <1% | 2,647 | $11K | |
| 96127 | <1% | 2,085 | $11K | |
| 81002 | <1% | 4,086 | $8K | |
| 69210 | <1% | 126 | $6K | |
| 99050 | <1% | 873 | $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) | <1% | 482 | $5K |
| 99173 | <1% | 5,387 | $4K | |
| 99188 | <1% | 468 | $4K | |
| 99381 | <1% | 37 | $4K | |
| 90381 | <1% | 41 | $3K | |
| 90697 | <1% | 408 | $3K | |
| 90619 | <1% | 285 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $2K |
| 96380 | <1% | 58 | $1K | |
| 99348 | <1% | 15 | $1K | |
| 85018 | <1% | 729 | $1K | |
| 92587 | <1% | 54 | $1K | |
| 90651 | <1% | 219 | $1K | |
| 99401 | <1% | 97 | $889.12 | |
| 90686 | <1% | 2,466 | $790.15 | |
| 90380 | <1% | 16 | $564.30 | |
| 97597 | <1% | 20 | $562.66 | |
| 96160 | <1% | 1,252 | $393.21 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $272.57 |
| 90744 | <1% | 310 | $269.50 | |
| 90670 | <1% | 1,253 | $205.12 | |
| 90756 | <1% | 49 | $194.23 | |
| 97802 | <1% | 121 | $194.20 | |
| 90707 | <1% | 215 | $179.74 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 196 | $153.61 |
| 87081 | <1% | 30 | $127.84 | |
| 90716 | <1% | 227 | $96.00 | |
| 90656 | <1% | 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 | <1% | 279 | $60.00 |
| 90633 | <1% | 433 | $58.34 | |
| 90648 | <1% | 257 | $50.00 | |
| 90723 | <1% | 25 | $50.00 | |
| 90715 | <1% | 151 | $44.61 | |
| 90713 | <1% | 55 | $25.00 | |
| 90700 | <1% | 214 | $25.00 | |
| 99000 | <1% | 1,968 | $13.60 | |
| 90710 | 0% | 37 | $0.00 | |
| 90734 | 0% | 77 | $0.00 | |
| 90680 | 0% | 1,101 | $0.00 | |
| 36416 | 0% | 551 | $0.00 | |
| 90647 | 0% | 25 | $0.00 | |
| 90698 | 0% | 386 | $0.00 | |
| 90674 | 0% | 32 | $0.00 | |
| 90696 | 0% | 37 | $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 officialSIMAI, DAVID (PRESIDENT)