Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Romes Urgent Care Services LLC

Romes Urgent Care Services LLC was paid $792K by Medicaid between Sep 2020 and Mar 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoROMES URGENT CARE SERVICES LLC
STROUDSBURG, PA 18360
33aNPI1396038808assigned 05/17/2011
28Total paid$792K
24GClaims19,100
24DCodes billed11
24AFirst – last monthSep 2020 – Mar 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Pennsylvania

Rank by total paid#38 of 68
Median peer was paid$914K
This provider vs. median0.9×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2020695$32K
20215,789$245K
20225,861$246K
20235,622$225K
2024incomplete1,133$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 33% 5,012 4,571 $264K
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 27% 2,533 2,480 $214K
S9088 Services provided in an urgent care center (list in addition to code for service) 12% 4,921 4,470 $94K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10% 1,530 1,506 $81K
S9083 Global fee urgent care centers 8.4% 909 836 $66K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.3% 1,178 1,137 $42K
99051 2.2% 1,800 1,709 $17K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 506 477 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 603 590 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 33 33 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 75 49 $1K

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 officialOPROMOLLO-PETERS, CATHY (BILLING/CREDENTIALING MANAGER)