Clinic
Doctor Urgent Medical Care, PLLC
Doctor Urgent Medical Care, PLLC was paid $1.15M by Medicaid between Jun 2019 and Dec 2024, across 49 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 23% of everything it billed.
33Billing provider infoDOCTOR URGENT MEDICAL CARE, PLLC
BRONX, NY 10458
BRONX, NY 10458
33aNPI1881115822assigned 06/29/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.15M
24GClaims26,653
24DCodes billed49
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#54 of 138
Median peer was paid$576K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2019 | 127 | $12K | |
| 2020 | 1,954 | $102K | |
| 2021 | 18,665 | $745K | |
| 2022 | 3,518 | $214K | |
| 2023 | 1,214 | $52K | |
| 2024incomplete | 1,175 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 23% | 4,241 | 3,874 | $264K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,494 | 2,366 | $194K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 2,332 | 2,315 | $150K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.6% | 1,974 | 1,931 | $110K |
| S9083 | Global fee urgent care centers | 8.4% | 1,149 | 1,059 | $96K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.9% | 1,444 | 1,372 | $90K |
| 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 | 4.9% | 705 | 683 | $56K |
| 86328 | 4.2% | 3,057 | 2,903 | $48K | |
| 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 | 3.9% | 545 | 542 | $44K |
| 0012A | 3.1% | 1,219 | 1,218 | $36K | |
| 0011A | 2.7% | 1,274 | 1,274 | $31K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 585 | 569 | $12K |
37 more codes
| 0013A | <1% | 117 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 45 | $4K |
| 0064A | <1% | 74 | $3K | |
| 0004A | <1% | 41 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,327 | $797.51 |
| 0003A | <1% | 21 | $688.00 | |
| 0001A | <1% | 16 | $640.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $330.00 |
| 86769 | <1% | 43 | $174.39 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 116 | $110.84 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 34 | $30.73 |
| 99000 | <1% | 687 | $12.38 | |
| 91301 | <1% | 1,329 | $8.21 | |
| 91306 | <1% | 39 | $0.20 | |
| 91300 | <1% | 58 | $0.07 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 18 | $0.00 |
| 1160F | 0% | 31 | $0.00 | |
| 99072 | 0% | 33 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 36 | $0.00 |
| 99080 | 0% | 81 | $0.00 | |
| 1159F | 0% | 19 | $0.00 | |
| 96160 | 0% | 18 | $0.00 | |
| 81025 | 0% | 13 | $0.00 | |
| 3725F | 0% | 20 | $0.00 | |
| 81002 | 0% | 13 | $0.00 | |
| 97802 | 0% | 50 | $0.00 | |
| 99402 | 0% | 30 | $0.00 | |
| 94760 | 0% | 51 | $0.00 | |
| 3008F | 0% | 31 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 35 | $0.00 |
| 96127 | 0% | 35 | $0.00 | |
| 2001F | 0% | 31 | $0.00 | |
| 2010F | 0% | 31 | $0.00 | |
| 2000F | 0% | 31 | $0.00 | |
| 1036F | 0% | 31 | $0.00 | |
| 4293F | 0% | 19 | $0.00 | |
| 1126F | 0% | 17 | $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 officialNUNEZ, DENISE (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Divino Nino Pediatrics | Bronx, NY | $825K |
| DN Medical Services, PLLC | Bronx, NY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.