Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MEDEXPRESS URGENT CARE, PC - MASSACHUSETTS

NPI: 1134506488 · SPRINGFIELD, MA 01128 · Emergency Medicine Physician · NPI assigned 05/06/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KIMBALL, JOY controls 20+ related entities in our dataset. Read more

$102K
Total Medicaid Paid
2,460
Total Claims
2,346
Beneficiary Records
10
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialKIMBALL, JOY (CONTRACT MANAGER)
NPI Enumeration Date05/06/2015

Related Entities

Other providers sharing the same authorized official: KIMBALL, JOY

ProviderCityStateTotal Paid
MEDEXPRESS URGENT CARE, PC - VIRGINIA BLUEFIELD VA $50.52M
URGENT CARE, PC - PENNSYLVANIA PITTSBURGH PA $25.82M
DWIC OF TAMPA BAY, INC. CLEARWATER FL $11.05M
MEDEXPRESS URGENT CARE, PC - MARYLAND HAGERSTOWN MD $9.92M
MEDEXPRESS, INC - DELAWARE WILMINGTON DE $7.89M
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA MONROEVILLE PA $370K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA INDIANA PA $73K
MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA FAIRMONT WV $41K
MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA MARTINSBURG WV $35K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA WILLIAMSPORT PA $20K
MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC BOYNTON BEACH FL $20K
MEDEXPRESS URGENT CARE, PC-PENNSYLVANIA EDWARDSVILLE PA $11K
MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA MORGANTOWN WV $8K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA PITTSBURGH PA $3K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA ERIE PA $3K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA LANCASTER PA $2K
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA YORK PA $1K
MEDEXPRESS URGENT CARE, PC-PENNSYLVANIA WILKES BARRE PA $1K
MEDEXPRESS, INC - DELAWARE NEW CASTLE DE $655.96
MEDEXPRESS URGENT CARE, PC - VIRGINIA BLUEFIELD VA $73.03

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 313 $10K
2019 309 $10K
2020 75 $3K
2021 52 $2K
2022 830 $35K
2023 594 $30K
2024 287 $14K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 692 683 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 791 770 $28K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 451 432 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 134 132 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 122 120 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 100 51 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 88 85 $958.96
81025 14 14 $83.49
81003 46 45 $52.04
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 22 14 $0.00