Clinic
Optum Urgent Care, PLLC
Optum Urgent Care, PLLC was paid $24.85M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoOPTUM URGENT CARE, PLLC
JERICHO, NY 11753
JERICHO, NY 11753
33aNPI1285975797assigned 03/07/2013
33bProvider typeUrgent Care Clinic/Center
28Total paid$24.85M
24GClaims254,236
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#10 of 138
Median peer was paid$576K
This provider vs. median43×
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 | 20,947 | $3.28M | |
| 2019 | 32,051 | $4.44M | |
| 2020 | 31,050 | $3.09M | |
| 2021 | 72,596 | $5.62M | |
| 2022 | 53,416 | $4.33M | |
| 2023 | 29,114 | $2.66M | |
| 2024incomplete | 15,062 | $1.45M |
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 | 41% | 85,014 | 80,600 | $10.31M |
| 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 | 16% | 27,212 | 26,342 | $3.96M |
| 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% | 31,584 | 31,481 | $3.83M |
| S9083 | Global fee urgent care centers | 12% | 12,609 | 11,447 | $2.97M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 11,134 | 10,672 | $995K |
| 99050 | 3.6% | 23,132 | 22,841 | $883K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.1% | 29,661 | 28,834 | $775K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 4,436 | 4,432 | $426K |
| 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 | 1.5% | 2,979 | 2,976 | $363K |
| 87428 | <1% | 11,332 | 11,082 | $90K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,202 | 3,549 | $85K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 3,838 | 3,729 | $77K |
21 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,263 | $32K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 244 | $30K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 141 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 62 | $6K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 145 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 270 | $830.60 |
| 93000 | <1% | 32 | $480.00 | |
| 81003 | <1% | 325 | $418.02 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 51 | $359.49 |
| 73610 | <1% | 94 | $274.80 | |
| 99201 | <1% | 12 | $272.88 | |
| 81025 | <1% | 168 | $247.83 | |
| 73130 | <1% | 13 | $45.43 | |
| 73630 | <1% | 34 | $42.15 | |
| 81002 | <1% | 22 | $13.92 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 51 | $2.79 |
| 87807 | 0% | 98 | $0.00 | |
| 99000 | 0% | 29 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 14 | $0.00 |
| 99001 | 0% | 23 | $0.00 | |
| 90715 | 0% | 12 | $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 officialMOREL, RICHARD (PRESIDENT)
Parent organizationPROHEALTH CARE ASSOCIATES LLP