Medicaid Provider Spending

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

MEDEXPRESS URGENT CARE, PC - MASSACHUSETTS

NPI: 1376941591 · SPRINGFIELD, MA 01128 · Emergency Medicine Physician · NPI assigned 12/22/2014

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

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

$4.72M
Total Medicaid Paid
86,918
Total Claims
83,666
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKIMBALL, JOY (CONTRACT MANAGER)
NPI Enumeration Date12/22/2014

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,875 $614K
2019 14,466 $797K
2020 15,089 $847K
2021 24,352 $1.27M
2022 14,553 $729K
2023 4,392 $255K
2024 3,191 $200K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18,954 18,920 $1.48M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,698 17,326 $1.30M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,046 19,467 $1.11M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 10,200 10,014 $305K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,928 1,927 $230K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,945 1,941 $120K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,262 4,224 $50K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,945 2,080 $49K
99051 2,256 2,186 $22K
S9083 Global fee urgent care centers 109 101 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 309 307 $12K
81025 1,370 1,352 $9K
81003 2,940 2,898 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 308 278 $5K
71046 Radiologic examination, chest; 2 views 140 140 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 66 66 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 75 75 $1K
90674 66 66 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 72 70 $1K
73630 12 12 $235.97
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 162 162 $0.78
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 43 42 $0.16
87070 12 12 $0.00