Medexpress Urgent Care, PC - Pennsylvania
Medexpress Urgent Care, PC - Pennsylvania was paid $370K by Medicaid between Feb 2018 and Oct 2024, across 14 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 25% of everything it billed.
MONROEVILLE, PA 15146
Next to other Emergency Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 70 | $2K | |
| 2020 | 164 | $5K | |
| 2021 | 10,458 | $362K | |
| 2022 | 1,172 | $358.07 | |
| 2023 | 676 | $70.00 | |
| 2024incomplete | 197 | $105.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 25% | 5,279 | 4,394 | $93K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 1,465 | 1,311 | $84K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 16% | 2,241 | 1,955 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,938 | 1,652 | $58K |
| 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 | 8.9% | 376 | 332 | $33K |
| 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 | 7.4% | 578 | 507 | $27K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.8% | 227 | 205 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 226 | 217 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | 49 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | 26 | $621.00 |
| 81025 | <1% | 68 | 64 | $473.36 | |
| 81003 | <1% | 217 | 191 | $403.50 |
2 more codes
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.