URGENT CARE OF NEW YORK PLLC

NPI: 1962181925 · CENTEREACH, NY 11720 · Urgent Care Clinic/Center · NPI assigned 07/17/2023

$26K

Total Medicaid Paid

621

Total Claims

552

Beneficiaries

Codes Billed

2023-09

First Month

2024-11

Last Month

Provider Details

Authorized Official	HUMMEL, LORRAINE (AVP)
NPI Enumeration Date	07/17/2023

Other providers sharing the same authorized official: HUMMEL, LORRAINE

Provider	City	State	Total Paid
SAMARITAN EMERGENCY MEDICAL SERVICES, PC	WEST ISLIP	NY	$10.93M
GOOD SAMARITAN HOSPITAL MEDICAL	WEST ISLIP	NY	$924K
CHS PHYSICIAN PARTNERS, PC	GREENVALE	NY	$89K
ST FRANCIS HOSPITAL UNITED STATES CATHOLIC CONFERENCE	ROSLYN	NY	$72K
ST. JOSEPH HOSPITAL	BETHPAGE	NY	$39K
ST. CHARLES HOSPITAL CORP.	PORT JEFFERSON	NY	$18K
ST. FRANCIS CARDIAC PREVENTION SERVICES PC	MELVILLE	NY	$3K
GOOD SAMARITAN HOSPITAL MEDICAL CENTER	WEST ISLIP	NY	$1K

Year	Claims	Total Paid
2023	235	$9K
2024	386	$17K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	244	244	$15K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	55	55	$6K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32	29	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	133	69	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	101	99	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	56	56	$131.10