Clinic
Essen Medical Urgicare, PLLC
Essen Medical Urgicare, PLLC was paid $41.90M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoESSEN MEDICAL URGICARE, PLLC
BRONX, NY 10452
BRONX, NY 10452
33aNPI1841607298assigned 07/17/2014
33bProvider typeUrgent Care Clinic/Center
28Total paid$41.90M
24GClaims616,028
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#5 of 138
Median peer was paid$576K
This provider vs. median73×
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 | 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 | |
| 2024incomplete | 74,215 | $4.89M |
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 | 30% | 136,769 | 127,940 | $12.70M |
| S9083 | Global fee urgent care centers | 19% | 118,748 | 97,978 | $8.02M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 19% | 93,994 | 87,230 | $7.91M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.1% | 42,711 | 40,869 | $3.83M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.4% | 35,639 | 35,468 | $3.10M |
| 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 | 5.9% | 25,393 | 23,929 | $2.47M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.9% | 91,884 | 86,623 | $1.22M |
| 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 | 2.5% | 10,897 | 10,847 | $1.03M |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 7,458 | 7,432 | $572K |
| 99442 | 1.3% | 12,239 | 11,727 | $535K | |
| 99441 | <1% | 4,456 | 4,394 | $144K | |
| 0012A | <1% | 2,077 | 2,076 | $74K |
54 more codes
| 0011A | <1% | 2,090 | $73K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,054 | $57K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 363 | $36K |
| 99205 | Prolong outpt/office vis | <1% | 299 | $30K |
| 0013A | <1% | 524 | $20K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,916 | $15K |
| 90756 | <1% | 2,089 | $10K | |
| 99201 | <1% | 121 | $10K | |
| 87430 | <1% | 1,991 | $6K | |
| 99443 | <1% | 195 | $5K | |
| 90658 | <1% | 567 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 890 | $4K |
| 99050 | <1% | 859 | $3K | |
| 0001A | <1% | 90 | $3K | |
| H0033 | Oral medication administration, direct observation | <1% | 545 | $3K |
| 0002A | <1% | 68 | $3K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 360 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,488 | $2K |
| 81025 | <1% | 1,505 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,675 | $1K |
| 81002 | <1% | 2,514 | $1K | |
| 0071A | <1% | 37 | $976.44 | |
| 86580 | <1% | 311 | $816.29 | |
| 0003A | <1% | 20 | $656.08 | |
| 86804 | <1% | 122 | $578.75 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 178 | $574.68 |
| 0072A | <1% | 12 | $498.04 | |
| 90707 | <1% | 30 | $497.45 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $461.79 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 187 | $301.04 |
| 90654 | <1% | 101 | $257.25 | |
| 82947 | <1% | 188 | $172.87 | |
| 99072 | <1% | 893 | $130.88 | |
| 81000 | <1% | 93 | $106.48 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 553 | $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 | <1% | 364 | $44.96 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 101 | $41.23 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 244 | $31.00 |
| 96160 | <1% | 16 | $22.23 | |
| 1126F | <1% | 39 | $10.74 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 18 | $10.45 |
| 2010F | <1% | 174 | $7.22 | |
| 1125F | <1% | 15 | $3.89 | |
| 94760 | <1% | 43 | $2.01 | |
| 91307 | <1% | 54 | $0.23 | |
| 91301 | <1% | 2,760 | $0.10 | |
| 91300 | <1% | 151 | $0.01 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 41 | $0.00 |
| 3074F | 0% | 34 | $0.00 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 46 | $0.00 |
| 99429 | 0% | 144 | $0.00 | |
| 99080 | 0% | 23 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 80 | $0.00 |
| 99499 | 0% | 476 | $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 officialSAHGAL, SUMIR (OWNER OF CORP)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.