Medicaid Provider Spending

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

MEDEXPRESS URGENT CARE, PC - VIRGINIA

NPI: 1215219878 · BLUEFIELD, VA 24605 · Emergency Medicine Physician · NPI assigned 09/09/2011

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

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

$50.52M
Total Medicaid Paid
1,270,935
Total Claims
1,112,407
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIMBALL, JOY (CONTRACT MANAGER)
NPI Enumeration Date09/09/2011

Related Entities

Other providers sharing the same authorized official: KIMBALL, JOY

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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 121,740 $5.44M
2019 190,142 $7.39M
2020 157,922 $6.63M
2021 194,289 $7.66M
2022 213,266 $8.33M
2023 208,065 $7.74M
2024 185,511 $7.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 192,024 177,047 $15.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 201,428 184,553 $12.20M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 114,069 109,176 $8.48M
S9088 Services provided in an urgent care center (list in addition to code for service) 142,701 127,160 $2.50M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 20,506 19,650 $2.14M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 81,011 75,660 $2.11M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 155,779 75,951 $1.82M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 106,207 99,794 $1.30M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 34,279 32,131 $1.04M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 10,430 10,141 $577K
87428 13,876 13,429 $448K
S9083 Global fee urgent care centers 3,781 3,469 $358K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,642 5,393 $213K
71046 Radiologic examination, chest; 2 views 9,209 8,664 $201K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15,992 14,748 $198K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 2,297 2,178 $157K
81025 19,808 18,891 $122K
73610 4,985 4,755 $119K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 3,408 3,275 $116K
73630 4,934 4,737 $111K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 2,131 2,055 $97K
99215 Prolong outpt/office vis 894 860 $93K
73110 3,050 2,923 $82K
81003 42,693 40,402 $81K
73562 3,021 2,871 $81K
10060 948 908 $80K
73130 3,249 3,107 $78K
73140 2,475 2,356 $62K
12001 824 800 $53K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,255 3,514 $52K
93000 4,619 4,450 $50K
29125 974 934 $42K
90674 1,977 1,894 $41K
99205 Prolong outpt/office vis 304 281 $39K
L3260 Surgical boot/shoe, each 1,228 1,179 $34K
90714 1,181 1,131 $32K
73030 1,445 1,388 $31K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,945 3,782 $25K
73080 1,027 984 $22K
74018 973 942 $20K
Q3014 Telehealth originating site facility fee 1,028 922 $20K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,748 3,561 $19K
72100 744 716 $19K
86308 3,687 3,524 $17K
71101 521 505 $14K
82947 3,792 3,573 $12K
A4565 Slings 1,768 1,712 $12K
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 7,165 6,867 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,700 5,411 $8K
29515 214 205 $8K
90715 210 186 $7K
73660 263 250 $5K
73090 259 256 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,236 4,047 $5K
69209 398 368 $5K
73502 167 159 $5K
Q4049 Finger splint, static 1,314 1,267 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,713 2,590 $4K
99201 102 100 $4K
73590 137 132 $3K
71045 Radiologic examination, chest; single view 123 122 $2K
12002 24 24 $2K
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass 290 277 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 25 25 $2K
36415 Collection of venous blood by venipuncture 760 711 $2K
G0008 Administration of influenza virus vaccine 87 81 $1K
12011 12 12 $1K
90661 42 42 $431.83
72040 12 12 $362.03
J2919 Injection, methylprednisolone sodium succinate, 5 mg 87 80 $274.49
87070 348 328 $263.87
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 2,760 2,515 $250.90
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 1,452 1,349 $237.01
99051 2,505 2,292 $223.59
87088 51 50 $122.15
Q4046 Cast supplies, short leg splint, adult (11 years +), fiberglass 12 12 $51.71
J2405 Injection, ondansetron hydrochloride, per 1 mg 221 203 $42.84
58999 39 32 $34.00
99000 192 189 $22.70
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 148 137 $11.93