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

University Primary Care Practices INC

University Primary Care Practices INC was paid $206K by Medicaid between Jan 2018 and Jul 2019, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoUNIVERSITY PRIMARY CARE PRACTICES INC
BROOKPARK, OH 44142
33aNPI1073794426assigned 11/14/2007
28Total paid$206K
24GClaims3,698
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers

Next to other Urgent Care Clinic/Center providers in Ohio

Rank by total paid#47 of 95
Median peer was paid$201K
This provider vs. median1.0×

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

$0$10K$20K2018201920202021202220232024
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
20182,462$136K
20191,236$71K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 39% 1,053 1,042 $80K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 1,174 1,154 $63K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24% 713 707 $49K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.3% 588 584 $7K
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 2.6% 54 54 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 92 46 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 24 24 $263.52

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 officialDECARLO, DONALD (CMO, EAST MARKET)
Same official

Other billing entities under DECARLO, DONALD

Full network →
ProviderLocationPaid
University Primary Care Practices INCTallmadge, OH$123K
University Primary Care Practices INCCleveland, OH$11K

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