Clinic
Health-Md Urgent Care
Health-Md Urgent Care was paid $3.00M by Medicaid between Aug 2021 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoHEALTH-MD URGENT CARE
WEST SPRINGFIELD, MA 01089
WEST SPRINGFIELD, MA 01089
33aNPI1285220590assigned 12/21/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$3.00M
24GClaims65,458
24DCodes billed25
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Massachusetts
Rank by total paid#6 of 117
Median peer was paid$225K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2021 | 4,061 | $147K | |
| 2022 | 9,373 | $355K | |
| 2023 | 23,230 | $1.08M | |
| 2024incomplete | 28,794 | $1.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 12,609 | 11,373 | $1.04M |
| 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 | 31% | 8,124 | 8,037 | $942K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 13% | 2,680 | 2,642 | $375K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.2% | 5,162 | 5,025 | $157K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.8% | 8,225 | 4,130 | $114K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.6% | 3,704 | 3,571 | $108K |
| 99051 | 2.0% | 8,165 | 7,767 | $61K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.7% | 399 | 385 | $51K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.4% | 318 | 312 | $43K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 820 | 761 | $38K |
| 87428 | <1% | 392 | 362 | $19K | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 225 | 25 | $15K |
13 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 150 | $11K |
| 81025 | <1% | 1,418 | $11K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 109 | $6K |
| 81003 | <1% | 2,048 | $4K | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 6,465 | $985.23 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 33 | $436.02 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 40 | $403.04 |
| 93000 | <1% | 31 | $359.97 | |
| 86308 | <1% | 28 | $127.96 | |
| 99000 | <1% | 3,721 | $0.77 | |
| A9150 | Non-prescription drugs | <1% | 552 | $0.01 |
| G0513 | Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service) | 0% | 20 | $0.00 |
| G0514 | Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service) | 0% | 20 | $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 officialKHAN, ATIF (OWNER)