Medicaid Provider Spending

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

MEDEXPRESS URGENT CARE, PC - MARYLAND

NPI: 1164707980 · HAGERSTOWN, MD 21740 · Emergency Medicine Physician · NPI assigned 10/12/2011

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

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

$9.92M
Total Medicaid Paid
151,879
Total Claims
135,461
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIMBALL, JOY (CONTRACT MANAGER)
NPI Enumeration Date10/12/2011

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, 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
MEDEXPRESS URGENT CARE, PC - VIRGINIA DANVILLE VA $1.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 675 $59K
2019 668 $33K
2020 27,959 $1.65M
2021 33,734 $2.36M
2022 34,499 $2.27M
2023 31,149 $2.04M
2024 23,195 $1.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,360 22,118 $2.61M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,908 21,963 $2.17M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16,255 15,284 $1.67M
S9083 Global fee urgent care centers 10,337 8,934 $1.14M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,042 6,782 $977K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 17,123 16,371 $626K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15,615 9,338 $145K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,807 1,721 $144K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 4,644 4,313 $134K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,972 12,060 $102K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 574 551 $39K
99215 Prolong outpt/office vis 164 160 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,696 1,568 $20K
71046 Radiologic examination, chest; 2 views 999 908 $18K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 440 410 $13K
73610 723 683 $12K
73630 731 688 $11K
99205 Prolong outpt/office vis 59 59 $10K
81003 5,358 5,016 $8K
81025 2,262 2,107 $8K
93000 601 568 $7K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 75 75 $4K
73130 190 187 $3K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 81 78 $3K
73562 159 153 $3K
73110 118 106 $2K
73140 127 125 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 205 157 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 198 184 $2K
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 1,272 1,191 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 395 368 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 333 301 $794.81
90714 39 39 $752.76
L3260 Surgical boot/shoe, each 43 41 $590.10
90674 39 38 $534.23
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 73 64 $411.04
86308 109 106 $353.88
82947 86 84 $241.65
73030 13 12 $205.44
A4565 Slings 49 44 $200.80
94664 25 13 $151.20
S9088 Services provided in an urgent care center (list in addition to code for service) 13 13 $150.00
Q4049 Finger splint, static 29 29 $121.82
87070 210 202 $46.18
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 104 75 $38.38
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 224 174 $1.48