Clinic
QHC Upstate Medical, P.C.
QHC Upstate Medical, P.C. was paid $16.63M by Medicaid between Jan 2018 and Jun 2022, across 98 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoQHC UPSTATE MEDICAL, P.C.
MONSEY, NY 10952
MONSEY, NY 10952
33aNPI1982932463assigned 11/23/2009
33bProvider typeUrgent Care Clinic/Center
28Total paid$16.63M
24GClaims487,064
24DCodes billed98
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#11 of 138
Median peer was paid$576K
This provider vs. median29×
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 | 55,924 | $1.83M | |
| 2019 | 134,223 | $4.20M | |
| 2020 | 130,204 | $3.97M | |
| 2021 | 161,640 | $6.55M | |
| 2022 | 5,073 | $68K |
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 | 24% | 67,395 | 58,855 | $3.98M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 33,748 | 33,434 | $3.02M |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 18% | 39,418 | 14,465 | $2.92M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.6% | 33,588 | 18,533 | $1.43M |
| 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 | 5.5% | 10,038 | 9,296 | $909K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 4.9% | 39,155 | 14,235 | $811K |
| 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 | 4.7% | 5,606 | 5,593 | $775K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.7% | 9,887 | 9,795 | $609K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 8,511 | 7,584 | $231K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 37,679 | 35,399 | $230K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 11,479 | 5,217 | $191K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 13,046 | 6,667 | $180K |
86 more codes
| 87070 | 1.1% | 23,770 | $178K | |
| 87184 | <1% | 23,433 | $134K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 11,676 | $128K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,065 | $96K |
| 12001 | <1% | 1,040 | $84K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 4,112 | $71K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,817 | $62K |
| S9083 | Global fee urgent care centers | <1% | 423 | $44K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 453 | $38K |
| 10060 | <1% | 374 | $36K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 348 | $29K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,210 | $29K |
| 93000 | <1% | 1,686 | $29K | |
| 10061 | <1% | 200 | $25K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 220 | $25K |
| 29125 | <1% | 360 | $21K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,427 | $21K |
| 10120 | <1% | 128 | $17K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 183 | $17K |
| 73630 | <1% | 799 | $16K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14,076 | $15K |
| 73110 | <1% | 583 | $14K | |
| 90707 | <1% | 182 | $12K | |
| 11730 | <1% | 191 | $12K | |
| 73140 | <1% | 543 | $11K | |
| 99342 | <1% | 570 | $11K | |
| 90686 | <1% | 906 | $10K | |
| 81000 | <1% | 3,124 | $10K | |
| 94760 | <1% | 71,491 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 76 | $10K |
| 92587 | <1% | 282 | $9K | |
| 90715 | <1% | 242 | $9K | |
| 73610 | <1% | 423 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 496 | $7K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 930 | $7K |
| 92585 | <1% | 67 | $7K | |
| 36410 | <1% | 666 | $7K | |
| 73130 | <1% | 308 | $6K | |
| 12011 | <1% | 57 | $6K | |
| 90674 | <1% | 262 | $5K | |
| 69210 | <1% | 115 | $5K | |
| 12002 | <1% | 44 | $4K | |
| 29131 | <1% | 89 | $4K | |
| 29515 | <1% | 57 | $4K | |
| 29540 | <1% | 219 | $4K | |
| 73090 | <1% | 179 | $3K | |
| 73080 | <1% | 144 | $3K | |
| 99050 | <1% | 696 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 124 | $2K |
| 90461 | <1% | 115 | $2K | |
| 90656 | <1% | 94 | $2K | |
| 99201 | <1% | 35 | $1K | |
| 17110 | <1% | 17 | $1K | |
| 73590 | <1% | 78 | $1K | |
| 81025 | <1% | 423 | $1K | |
| 99383 | <1% | 13 | $1K | |
| 85018 | <1% | 562 | $1K | |
| E0116 | Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each | <1% | 81 | $1K |
| 0031A | <1% | 23 | $952.86 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $894.21 |
| 90658 | <1% | 495 | $826.71 | |
| 29126 | <1% | 12 | $735.32 | |
| 99442 | <1% | 19 | $654.04 | |
| V5008 | Hearing screening | <1% | 35 | $620.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 56 | $582.50 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 108 | $543.70 |
| 99441 | <1% | 13 | $539.37 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 43 | $537.94 |
| 11721 | <1% | 28 | $512.90 | |
| 73552 | <1% | 15 | $407.80 | |
| 90734 | <1% | 12 | $300.00 | |
| 73660 | <1% | 13 | $244.79 | |
| 82947 | <1% | 62 | $242.78 | |
| 99173 | <1% | 123 | $211.07 | |
| 87430 | <1% | 12 | $71.49 | |
| 99051 | <1% | 16 | $17.85 | |
| 94664 | <1% | 26 | $16.23 | |
| 99000 | <1% | 673 | $9.46 | |
| 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% | 14 | $5.42 |
| A4566 | Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment | 0% | 19 | $0.00 |
| 97602 | 0% | 76 | $0.00 | |
| 15850 | 0% | 30 | $0.00 | |
| 99348 | 0% | 90 | $0.00 | |
| 36416 | 0% | 72 | $0.00 | |
| 2010F | 0% | 119 | $0.00 | |
| S0630 | Removal of sutures; by a physician other than the physician who originally closed the wound | 0% | 14 | $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 officialKURTZ, SETH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Crown Heights Medical, P.C. | Monsey, NY | $56.63M |
| KJ Medical Practice PC | Monroe, NY | $7.76M |
| Park Avenue Pediatrics, P.C. | Spring Valley, NY | $729K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.