Clinic
Urgent Care Specialists, LLC
Urgent Care Specialists, LLC was paid $22.22M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoURGENT CARE SPECIALISTS, LLC
HUBER HEIGHTS, OH 45424
HUBER HEIGHTS, OH 45424
33aNPI1114957123assigned 07/04/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$22.22M
24GClaims401,755
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Ohio
Rank by total paid#2 of 95
Median peer was paid$201K
This provider vs. median111×
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 | 89,128 | $4.82M | |
| 2019 | 95,539 | $5.49M | |
| 2020 | 84,852 | $4.91M | |
| 2021 | 91,550 | $5.29M | |
| 2024incomplete | 40,686 | $1.72M |
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 | 40% | 124,462 | 119,047 | $8.83M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 26% | 91,537 | 89,083 | $5.88M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 62,181 | 59,804 | $4.11M |
| 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 | 9.8% | 28,979 | 28,364 | $2.17M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.5% | 6,139 | 5,768 | $330K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 5,203 | 5,060 | $314K |
| S9083 | Global fee urgent care centers | <1% | 1,745 | 1,683 | $160K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 23,881 | 23,304 | $93K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 3,221 | 3,108 | $92K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,233 | 1,204 | $75K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | <1% | 1,340 | 901 | $60K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,265 | 6,081 | $21K |
36 more codes
| 81002 | <1% | 14,441 | $17K | |
| 81025 | <1% | 4,100 | $16K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,276 | $14K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 734 | $8K |
| 99051 | <1% | 2,182 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 866 | $4K |
| 73630 | <1% | 352 | $4K | |
| 81003 | <1% | 2,009 | $3K | |
| 99441 | <1% | 51 | $3K | |
| 73610 | <1% | 153 | $2K | |
| 10060 | <1% | 51 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $1K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 682 | $1K |
| 73130 | <1% | 95 | $1K | |
| 69209 | <1% | 252 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 880 | $860.66 |
| 87428 | <1% | 25 | $635.84 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 4,423 | $608.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 810 | $593.45 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 22 | $565.28 |
| 93000 | <1% | 73 | $532.16 | |
| 99000 | <1% | 6,476 | $434.37 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 395 | $325.42 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 116 | $314.49 |
| 36415 | Collection of venous blood by venipuncture | <1% | 85 | $264.83 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 50 | $172.71 |
| 73140 | <1% | 13 | $126.66 | |
| 86308 | <1% | 32 | $106.63 | |
| 90714 | <1% | 12 | $83.05 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 546 | $44.13 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 811 | $37.34 |
| A9150 | Non-prescription drugs | <1% | 978 | $8.95 |
| Q4049 | Finger splint, static | <1% | 12 | $3.09 |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 16 | $0.00 |
| 99072 | 0% | 1,512 | $0.00 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 0% | 24 | $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 officialKUMAR, MANOJ (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Cortland Ent, PC | Cortland, NY | $2.09M |
| Cortland Asc, LLC | Cortland, NY | $488K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.