Medicaid Provider Spending

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

ESSEN MEDICAL URGICARE, PLLC

NPI: 1841607298 · BRONX, NY 10452 · Urgent Care Clinic/Center · NPI assigned 07/17/2014

$41.90M
Total Medicaid Paid
616,028
Total Claims
569,504
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSAHGAL, SUMIR (OWNER OF CORP)
NPI Enumeration Date07/17/2014

Related Entities

Other providers sharing the same authorized official: SAHGAL, SUMIR

ProviderCityStateTotal Paid
ESSEN MEDICAL ASSOCIATES, PC BRONX NY $37.33M
HOUSE CALL MEDICAL SERVICES OF NEW YORK, PLLC BRONX NY $3.53M
BRONX MEDICAL PRACTICE P.C. BRONX NY $712K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,030 $2.70M
2019 44,155 $3.56M
2020 77,990 $6.32M
2021 169,828 $10.82M
2022 131,907 $8.05M
2023 78,903 $5.55M
2024 74,215 $4.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 136,769 127,940 $12.70M
S9083 Global fee urgent care centers 118,748 97,978 $8.02M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 93,994 87,230 $7.91M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 42,711 40,869 $3.83M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 35,639 35,468 $3.10M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,393 23,929 $2.47M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 91,884 86,623 $1.22M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,897 10,847 $1.03M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,458 7,432 $572K
99442 12,239 11,727 $535K
99441 4,456 4,394 $144K
0012A 2,077 2,076 $74K
0011A 2,090 2,088 $73K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,054 4,009 $57K
99215 Prolong outpt/office vis 363 355 $36K
99205 Prolong outpt/office vis 299 298 $30K
0013A 524 524 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,916 3,845 $15K
90756 2,089 2,082 $10K
99201 121 120 $10K
87430 1,991 1,961 $6K
99443 195 193 $5K
90658 567 567 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 890 853 $4K
99050 859 819 $3K
0001A 90 90 $3K
H0033 Oral medication administration, direct observation 545 544 $3K
0002A 68 67 $3K
T1013 Sign language or oral interpretive services, per 15 minutes 360 358 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,488 1,471 $2K
81025 1,505 1,461 $2K
36415 Collection of venous blood by venipuncture 1,675 1,628 $1K
81002 2,514 2,450 $1K
0071A 37 37 $976.44
86580 311 298 $816.29
0003A 20 20 $656.08
86804 122 121 $578.75
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 178 177 $574.68
0072A 12 12 $498.04
90707 30 30 $497.45
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $461.79
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 187 187 $301.04
90654 101 101 $257.25
82947 188 183 $172.87
99072 893 841 $130.88
81000 93 92 $106.48
J1885 Injection, ketorolac tromethamine, per 15 mg 553 535 $96.97
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 364 356 $44.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 101 93 $41.23
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 244 236 $31.00
96160 16 16 $22.23
1126F 39 33 $10.74
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 18 18 $10.45
2010F 174 160 $7.22
1125F 15 14 $3.89
94760 43 37 $2.01
91307 54 54 $0.23
91301 2,760 2,697 $0.10
91300 151 146 $0.01
G9903 Patient screened for tobacco use and identified as a tobacco non-user 41 38 $0.00
3074F 34 31 $0.00
S9088 Services provided in an urgent care center (list in addition to code for service) 46 46 $0.00
99429 144 124 $0.00
99080 23 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 80 79 $0.00
99499 476 372 $0.00