Physician
Medexpress Urgent Care, PC - Massachusetts
Medexpress Urgent Care, PC - Massachusetts was paid $4.72M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 31% of everything it billed.
33Billing provider infoMEDEXPRESS URGENT CARE, PC - MASSACHUSETTS
SPRINGFIELD, MA 01128
SPRINGFIELD, MA 01128
33aNPI1376941591assigned 12/22/2014
33bProvider typeEmergency Medicine Physician
28Total paid$4.72M
24GClaims86,918
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Massachusetts
Rank by total paid#14 of 618
Median peer was paid$8K
This provider vs. median571×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KIMBALL, JOY controls 20+ related entities in our dataset. Read more
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 | 10,875 | $614K | |
| 2019 | 14,466 | $797K | |
| 2020 | 15,089 | $847K | |
| 2021 | 24,352 | $1.27M | |
| 2022 | 14,553 | $729K | |
| 2023 | 4,392 | $255K | |
| 2024incomplete | 3,191 | $200K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 31% | 18,954 | 18,920 | $1.48M |
| 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 | 27% | 17,698 | 17,326 | $1.30M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 20,046 | 19,467 | $1.11M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.5% | 10,200 | 10,014 | $305K |
| 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 | 4.9% | 1,928 | 1,927 | $230K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.6% | 1,945 | 1,941 | $120K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 4,262 | 4,224 | $50K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 3,945 | 2,080 | $49K |
| 99051 | <1% | 2,256 | 2,186 | $22K | |
| S9083 | Global fee urgent care centers | <1% | 109 | 101 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 309 | 307 | $12K |
| 81025 | <1% | 1,370 | 1,352 | $9K |
11 more codes
| 81003 | <1% | 2,940 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 308 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 140 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 66 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 75 | $1K |
| 90674 | <1% | 66 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 72 | $1K |
| 73630 | <1% | 12 | $235.97 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 162 | $0.78 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 43 | $0.16 |
| 87070 | 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 officialKIMBALL, JOY (CONTRACT MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.