Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Excel Urgent Care of Nesconset, PLLC

Excel Urgent Care of Nesconset, PLLC was paid $783K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoEXCEL URGENT CARE OF NESCONSET, PLLC
NESCONSET, NY 11767
33aNPI1851679252assigned 08/02/2011
28Total paid$783K
24GClaims11,463
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

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

Rank by total paid#62 of 138
Median peer was paid$576K
This provider vs. median1.4×

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 RUVO, ANTHONY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018446$43K
2019407$36K
20201,142$85K
20214,350$252K
20222,978$189K
20231,306$108K
2024incomplete834$70K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 4,925 4,550 $407K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20% 2,008 1,992 $160K
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 13% 1,086 1,037 $103K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 6.9% 2,272 2,133 $54K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.6% 233 193 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.2% 269 267 $17K
S9083 Global fee urgent care centers 1.0% 242 207 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 114 109 $6K
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 <1% 42 42 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 162 84 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 110 110 $387.32

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 officialRUVO, ANTHONY (AUTHORIZED MEMBER)
Same official

Other billing entities under RUVO, ANTHONY

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