Clinic
Hope Primary & Urgent Care PLLC
Hope Primary & Urgent Care PLLC was paid $2.82M by Medicaid between Oct 2018 and Nov 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoHOPE PRIMARY & URGENT CARE PLLC
STEARNS, KY 42647
STEARNS, KY 42647
33aNPI1134606403assigned 07/19/2018
33bProvider typePrimary Care Clinic/Center
28Total paid$2.82M
24GClaims192,556
24DCodes billed30
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Kentucky
Rank by total paid#3 of 44
Median peer was paid$145K
This provider vs. median19×
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 | 1,345 | $13K | |
| 2019 | 15,801 | $181K | |
| 2020 | 25,063 | $400K | |
| 2021 | 35,035 | $504K | |
| 2022 | 44,503 | $681K | |
| 2023 | 40,903 | $605K | |
| 2024incomplete | 29,906 | $438K |
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 | 57% | 63,882 | 52,027 | $1.61M |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 9.1% | 19,639 | 14,968 | $258K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 6.9% | 8,397 | 7,011 | $195K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 4,730 | 4,121 | $174K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.1% | 5,827 | 5,339 | $173K |
| 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 | 4.9% | 3,446 | 2,914 | $138K |
| 87428 | 2.6% | 1,504 | 1,378 | $73K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 4,351 | 3,773 | $65K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 2,269 | 2,026 | $36K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 3,579 | 3,285 | $32K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 58,750 | 50,060 | $27K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 4,761 | 3,731 | $12K |
18 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 7,682 | $8K |
| 86328 | <1% | 212 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 73 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 65 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 304 | $1K |
| 87807 | <1% | 144 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 80 | $631.95 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $502.47 |
| 36415 | Collection of venous blood by venipuncture | <1% | 598 | $498.53 |
| 81003 | <1% | 1,365 | $338.26 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 19 | $336.80 |
| 81000 | <1% | 290 | $330.38 | |
| 93000 | <1% | 13 | $200.70 | |
| 85027 | <1% | 123 | $195.44 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 46 | $136.07 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 27 | $75.43 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 334 | $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 officialTUCKER, CLARISSA (OFFICE MANAGER)