Clinic
Eden Hill Express Care, LLC
Eden Hill Express Care, LLC was paid $2.58M by Medicaid between Jan 2018 and Jun 2021, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoEDEN HILL EXPRESS CARE, LLC
DOVER, DE 19904
DOVER, DE 19904
33aNPI1407022510assigned 05/08/2008
33bProvider typeUrgent Care Clinic/Center
28Total paid$2.58M
24GClaims79,509
24DCodes billed28
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Urgent Care Clinic/Center providers in Delaware
Rank by total paid#4 of 13
Median peer was paid$396K
This provider vs. median6.5×
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
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 | 14,272 | $60K | |
| 2019 | 28,916 | $417K | |
| 2020 | 20,441 | $1.20M | |
| 2021 | 15,880 | $907K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 20,232 | 18,200 | $809K |
| S9083 | Global fee urgent care centers | 31% | 12,654 | 11,237 | $804K |
| 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 | 20% | 7,600 | 7,231 | $513K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.5% | 3,560 | 3,198 | $141K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 6,211 | 2,862 | $82K |
| 86328 | 3.0% | 1,906 | 1,774 | $76K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 1,895 | 1,657 | $63K |
| 94010 | 1.5% | 3,360 | 3,120 | $40K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,378 | 982 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,938 | 3,684 | $9K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 732 | 680 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,868 | 1,745 | $5K |
16 more codes
| 81025 | <1% | 3,526 | $4K | |
| 82570 | <1% | 4,411 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 354 | $3K |
| 93000 | <1% | 278 | $2K | |
| 81003 | <1% | 4,419 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 145 | $518.90 |
| A4615 | Cannula, nasal | <1% | 142 | $384.85 |
| A4620 | Variable concentration mask | <1% | 142 | $384.70 |
| 99173 | <1% | 381 | $319.11 | |
| 73610 | <1% | 15 | $201.20 | |
| A6448 | Light compression bandage, elastic, knitted/woven, width less than three inches, per yard | <1% | 139 | $28.22 |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 12 | $7.36 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 14 | $1.86 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 158 | $1.44 |
| 69209 | 0% | 12 | $0.00 | |
| A4550 | Surgical trays | 0% | 27 | $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 officialREID, MAURICE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Eden Hill Expresscare, LLC | Smyrna, DE | $26K |
| Main Line Urgent Care Medical Group, P.C. | Havertown, PA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.