Clinic
Centralmed Urgent Care and Primary Care LLP
Centralmed Urgent Care and Primary Care LLP was paid $1.94M by Medicaid between Sep 2020 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoCENTRALMED URGENT CARE AND PRIMARY CARE LLP
COLONIE, NY 12205
COLONIE, NY 12205
33aNPI1932721032assigned 05/12/2020
33bProvider typePrimary Care Clinic/Center
28Total paid$1.94M
24GClaims42,355
24DCodes billed29
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#20 of 242
Median peer was paid$172K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2020 | 1,544 | $78K | |
| 2021 | 14,533 | $505K | |
| 2022 | 10,919 | $509K | |
| 2023 | 9,799 | $501K | |
| 2024incomplete | 5,560 | $343K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 6,137 | 5,673 | $526K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 23% | 3,657 | 3,469 | $438K |
| 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 | 15% | 2,625 | 2,611 | $293K |
| 99205 | Prolong outpt/office vis | 11% | 1,417 | 1,416 | $210K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 1,613 | 1,608 | $120K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.5% | 2,931 | 2,752 | $88K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.5% | 2,189 | 2,099 | $88K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.1% | 474 | 470 | $40K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.6% | 355 | 349 | $31K |
| 99051 | 1.3% | 3,884 | 3,727 | $25K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 332 | 322 | $20K |
| 80305 | 1.0% | 2,760 | 2,444 | $20K |
17 more codes
| 99406 | <1% | 1,991 | $18K | |
| 80053 | Comprehensive metabolic panel | <1% | 538 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 556 | $4K |
| 80061 | Lipid panel | <1% | 353 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 357 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 151 | $1K |
| 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% | 138 | $1K |
| 0012A | <1% | 20 | $1K | |
| 0011A | <1% | 19 | $954.36 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 47 | $826.62 |
| 81003 | <1% | 430 | $677.44 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,658 | $407.27 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 18 | $343.90 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 1,987 | $284.70 |
| 99000 | <1% | 1,720 | $12.09 | |
| 91301 | 0% | 33 | $0.00 | |
| 99072 | 0% | 3,965 | $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 officialAIGBE LEBARTY, NOSA (OWNER)