NP / PA
Lexington Urgent Care PLLC
Lexington Urgent Care PLLC was paid $16.74M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoLEXINGTON URGENT CARE PLLC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1225374887assigned 12/28/2012
33bProvider typeNurse Practitioner
28Total paid$16.74M
24GClaims584,114
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#2 of 260
Median peer was paid$89K
This provider vs. median188×
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 | 34,563 | $1.01M | |
| 2019 | 42,382 | $1.31M | |
| 2020 | 48,511 | $1.56M | |
| 2021 | 85,845 | $2.78M | |
| 2022 | 148,271 | $4.04M | |
| 2023 | 144,752 | $3.84M | |
| 2024incomplete | 79,790 | $2.20M |
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 | 26% | 113,338 | 100,517 | $4.31M |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 19% | 91,696 | 82,290 | $3.21M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 37,181 | 35,835 | $2.48M |
| 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 | 13% | 37,648 | 34,925 | $2.17M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 10% | 141,993 | 65,828 | $1.72M |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.0% | 56,239 | 52,563 | $667K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 17,187 | 15,420 | $465K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.6% | 9,946 | 9,565 | $438K |
| 87428 | 2.0% | 9,445 | 8,887 | $336K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 11,021 | 9,626 | $247K |
| 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 | 1.4% | 2,311 | 2,272 | $234K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 13,550 | 10,769 | $195K |
36 more codes
| 87807 | <1% | 7,964 | $79K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 2,655 | $59K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 269 | $19K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,328 | $13K |
| 81002 | <1% | 13,064 | $11K | |
| 81025 | <1% | 1,887 | $11K | |
| 73600 | <1% | 577 | $10K | |
| 73620 | <1% | 506 | $8K | |
| 29540 | <1% | 360 | $7K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,972 | $6K |
| 69210 | <1% | 300 | $6K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 5,087 | $4K |
| 73120 | <1% | 242 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 287 | $4K |
| 87449 | <1% | 355 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,294 | $3K |
| 90658 | <1% | 227 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 195 | $3K |
| A7006 | Administration set, with small volume filtered pneumatic nebulizer | <1% | 727 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 253 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | $1K |
| 87420 | <1% | 81 | $653.77 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $648.72 |
| 73110 | <1% | 26 | $488.09 | |
| 10060 | <1% | 12 | $460.97 | |
| 87430 | <1% | 66 | $453.87 | |
| 82947 | <1% | 131 | $400.83 | |
| 73140 | <1% | 26 | $377.73 | |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 127 | $302.51 |
| 81003 | <1% | 907 | $240.30 | |
| 81005 | <1% | 128 | $185.02 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 27 | $145.19 |
| 99072 | <1% | 137 | $50.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 54 | $47.43 |
| 888888 | 0% | 233 | $0.00 | |
| 99000 | 0% | 25 | $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 officialSODA, NAWAR (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Georgetown Urgent Care PLLC | Georgetown, KY | $5.01M |
| Berea Urgent Care LLC | Berea, KY | $4.83M |
| Man O War Urgent Care LLC | Lexington, KY | $2.96M |
| Medical Laser Center LLC | Berea, KY | $404K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.