Medicaid Provider Spending

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

MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA

NPI: 1396025813 · MONROEVILLE, PA 15146 · Emergency Medicine Physician · NPI assigned 08/29/2011

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

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

$370K
Total Medicaid Paid
12,737
Total Claims
10,942
Beneficiaries
14
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKIMBALL, JOY (CONTRACT MANAGER)
NPI Enumeration Date08/29/2011

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 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
MEDEXPRESS URGENT CARE, PC - VIRGINIA DANVILLE VA $1.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 70 $2K
2020 164 $5K
2021 10,458 $362K
2022 1,172 $358.07
2023 676 $70.00
2024 197 $105.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9088 Services provided in an urgent care center (list in addition to code for service) 5,279 4,394 $93K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,465 1,311 $84K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,241 1,955 $58K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,938 1,652 $58K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 376 332 $33K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 578 507 $27K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 227 205 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 226 217 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 54 49 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 28 26 $621.00
81025 68 64 $473.36
81003 217 191 $403.50
71046 Radiologic examination, chest; 2 views 13 13 $332.14
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 27 26 $29.90